Advertisement

Pediatric GFR calculator

Estimate paediatric GFR using the 2009 bedside Schwartz equation or the full 2009 CKiD equation with cystatin C, BUN, sex and height.

Calculator

For feet, enter decimal feet: 5 ft 6 in is 5.5 ft.

Changing this selector reinterprets the number; 1 mg/dL = 88.4 µmol/L.

Estimated GFR (mL/min/1.73 m²)
57.82

Advertisement

How this calculator works

The bedside equation uses height and serum creatinine. The full 2009 CKiD equation adds cystatin C, BUN and a sex coefficient. Both report GFR indexed to 1.73 m², not absolute kidney clearance. The original study involved children aged 1 to 16 years with chronic kidney disease and measured GFR mainly in the 15 to 75 mL/min/1.73 m² range. Its cystatin C assay was turbidimetric; later assay-standardised equations are different. These historical equations are not neonatal equations and should not be substituted for an age- and assay-appropriate current clinical method. The result is an estimate for information only and is not medical advice.

Formula

Bedside eGFR = 0.413 × height(cm)/creatinine(mg/dL). Full 2009 CKiD eGFR = 39.1 × (height(m)/creatinine)^0.516 × (1.8/cystatin C)^0.294 × (30/BUN)^0.169 × 1.099 if male × (height(m)/1.4)^0.188.

Worked example

At 140 cm and creatinine 1 mg/dL, bedside eGFR is 57.82 mL/min/1.73 m². At 100 cm and 0.5 mg/dL it is 82.6 mL/min/1.73 m²; accuracy outside the original CKD range is less certain.

Advertisement

Frequently asked questions

Is BUN the same number as urea?

No. The full equation specifically requires BUN in mg/dL. Do not enter serum urea in mmol/L into that field.

Why name the cystatin C assay?

The 2009 equation was fitted to a particular turbidimetric assay. Standardisation and later equations changed the calibration, so the formula cannot be freely interchanged.

Does this return absolute clearance?

No. The result is indexed to 1.73 m² of body surface area. It is not a stand-alone dosing recommendation.

Sources

Advertisement