ESPN 50th Annual Meeting

ESPN 2017


 
Automated Height Independant Estimated GFR Reporting leads to Earlier Detection of Children with CKD
ANDREW LUNN KARIM PREMJI 1 JAMES KNIPE 1 DONNA FULLERTON 1 STEPHANIE BARBER 1 ANDREW MAXTED 1 PETER HAY 1

1- NOTTINGHAM CHILDRENS HOSPITAL
 
Introduction:

Automated estimated glomerular filtration rate(eGFR) reporting is established adult practice and improves detection of chronic kidney disease (CKD). eGFR formula in children commonly require height which is not routinely available when measuring creatinine. We have validated a height independent eGFR formula (Table 1) and report changes in referrals before and after introduction of automated reporting.

Material and methods:

We reviewed our new referrals for 6 months prior to introduction of automated eGFR reporting in children aged 2 to 17 years of age. The case notes of all patients referred because of a reduced estimated GFR were reviewed and the outcome determined.

Results:

 In the 6 months prior to reporting no patients were referred beacuse of a reduced estimated GFR.

In the 6 months following reporting 9 patients were referred with an eGFR less than 90 ml/min per 1.73m2. 3 patients had an ultrasound which showed a small kidney, one of whom also had proteinuria. The remaining 6 patients had no proteinuria, no hypertension and normal ultrasound when done. All patients with abnormal ultrasounds had an eGFR < 80ml/min per 1.73m2.

Conclusions:

 Automated reporting of estimated GFR in children is feasible and increases early detection of children with CKD. If the estimated GFR is greater than 80 ml/min per 1.73m2 and there are no other risk factors for CKD then ultrasound is not required.