Description

Grubb et al developed 2 equations for predicting the glomerular filtration rate (GFR) based on a patient's serum cystatin C concentration. One advantage is that the equations are valid at any age. The authors are from University Hospital Lund, University Hospital Malmo and Lasarettet (Trelleborg) in Sweden.


 

Patient selection: any age (from 0 to over 9 years)

 

Cystatin C analysis was performed on a Hitachi Modular P analysis using Dako reagents. Reference ranges were 0.55 to 1.15 mg/L for ages 1 to 50 years and 0.63 to 1.44 mg/L for ages > 50 years.

 

Parameters:

(1) serum cystatin C concentration

(2) age

(3) gender

 

With Age Only

Parameter

Finding

Points

age

< 14 years

1.384

 

>= 14 years

1

 

GFR in mL per minute per 1.73 square meter BSA =

= 84.69 * ((serum cystatin C in mg/L) ^ (-1.680)) * (points for age)

 

With Age and Gender

 

Parameter

Finding

Points

age

< 14 years

1.376

 

>= 14 years

1

gender

male

1

 

female

0.94

 

GFR in mL per minute per 1.73 square meter BSA =

= 87.62 * ((serum cystatin C in mg/L) ^ (-1.693)) * (points for age) * (points for gender)

 


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