Halbesma et al developed a score for predicting a patient’s risk of developing chronic kidney disease. This can help to identify a patient who may benefit from more aggressive management. The authors are from the University of Groningen and VU University Medical Center in Amsterdam with data from the Prevention of Renal and Vascular Endstage Disease (PREVEND) Study.
Patient selection: adult in the general population (of the Netherlands)
Parameters:
(1) age in years
(2) estimated GFR in mL per min per 1.73 square meter
(3) urinary albumin excretion in mg per24 hours
(4) systolic blood pressure in mm Hg
(5) CRP in mg/L
(6) known hypertension
|
Parameter |
Finding |
Points |
|
age in years |
< 50 years of age |
0 |
|
|
50 to 70 years of age |
1 |
|
|
> 70 years of age |
3 |
|
eGFR |
> 90 mL/min per 1.73 sq m |
0 |
|
|
75.1 to 90 |
13 |
|
|
60 to 75 |
19 |
|
|
< 60 |
21 |
|
urinary albumin excretion |
< 30 mg per 24 hour |
0 |
|
|
30 tp 150 |
3 |
|
|
151 to 300 |
4 |
|
|
> 300 |
6 |
|
systolic blood pressure |
< 160 mm Hg |
0 |
|
|
160 to 180 |
2 |
|
|
> 180 |
6 |
|
CRP |
< 3 mg/L |
0 |
|
|
3 to 10 |
1 |
|
|
> 10 |
4 |
|
known hypertension |
no |
0 |
|
|
yes |
3 |
total score =
= SUM(points for all 6 parameters)
Interpretation:
• minimum score: 0
• maximum score: 43
• The higher the score the greater the likelihood of developing CKD.
|
Score |
Percent with CKD |
|
0 to 19 |
< 5% |
|
20 to 23 |
5 to 10% |
|
24 to 28 |
10 to 20% |
|
29 to 30 |
20 to 30% |
|
31 or 32 |
30 to 40% |
|
33 or 34 |
40 to 50% |
|
35 or 36 |
50 to 60% |
|
37 or 38 |
60 to 70% |
|
39 or 40 |
70 to 80% |
|
41 to 43 |
80 to 86% |
Specialty: Nephrology, Clinical Laboratory
ICD-10: ,
