your serum creatinine is normal . No need to worry about kidney function. Possible case of High ratio are as follow:
1 Alienation: hyperthermia, taking steroids and tetracyclines, stress, etc.
2 high protein diet (especially when renal insufficiency), gastrointestinal bleeding.
3 urea reabsorption hyperthyroidism: pre-renal, dehydration, cardiac insufficiency, hypoproteinemia, decreased blood volume, hepatorenal syndrome. Post-renal: urinary tract obstruction, ureteral anastomosis. Kidney tubular urea permeability congenital hyperactivity (familial hyperurea).