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)
Specialty: Nephrology, Clinical Laboratory