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Children eGFR Formula Using Bedside Schwartz

Bedside Schwartz Equation:

\[ eGFR = 0.413 \times \frac{Height}{Scr} \]

cm
mg/dL

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1. What is the Bedside Schwartz Equation?

The Bedside Schwartz equation is a simplified formula used to estimate glomerular filtration rate (GFR) in children. It provides a quick and practical assessment of kidney function using only height and serum creatinine measurements.

2. How Does the Calculator Work?

The calculator uses the Bedside Schwartz equation:

\[ eGFR = 0.413 \times \frac{Height}{Scr} \]

Where:

Explanation: The equation estimates GFR based on the relationship between height, creatinine production, and renal clearance in pediatric patients.

3. Importance of eGFR Calculation in Children

Details: Accurate GFR estimation in children is essential for diagnosing kidney diseases, monitoring treatment response, adjusting medication doses, and assessing growth and development related to renal function.

4. Using the Calculator

Tips: Enter height in centimeters and serum creatinine in mg/dL. Ensure measurements are recent and accurate. The equation is validated for children aged 1-16 years.

5. Frequently Asked Questions (FAQ)

Q1: What age range is appropriate for this equation?
A: The Bedside Schwartz equation is validated for children aged 1-16 years. For infants under 1 year, other specialized equations should be used.

Q2: Why is height used in pediatric eGFR calculations?
A: Height correlates with muscle mass and creatinine production in children, making it a better predictor of GFR than age alone in pediatric populations.

Q3: What are normal eGFR values in children?
A: Normal eGFR in children varies by age and body size, but generally ranges from 90-140 mL/min/1.73m². Values should be interpreted in context of age and clinical condition.

Q4: Are there limitations to this equation?
A: The equation may be less accurate in children with extreme body habitus, malnutrition, muscle wasting diseases, or rapidly changing kidney function.

Q5: When should this calculation be used?
A: This calculation is useful for screening, monitoring known kidney disease, and medication dosing adjustments in pediatric patients with stable renal function.

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