Bedside Schwartz Equation:
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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.
The calculator uses the Bedside Schwartz equation:
Where:
Explanation: The equation estimates GFR based on the relationship between height, creatinine production, and renal clearance in pediatric patients.
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.
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.
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.