ESTIMATION OF GLOMERULAR FILTRATION RATE IN MALNOURISHED CHILDREN
Dr. Arooj Fatima Asad*, Dr. Danish Ali, Dr. Samra Ikram
ABSTRACT
Objectives: First objective was to compare eGFR by Updated Schwartz (US) and Simple Height Independent (SHID) formula with Original Schwartz (OS) in children with Severe Acute Malnutrition (SAM). The second objective was to compare eGFR in children below and above two years. Methods: This analytic study on estimation of GFR was based on retrospective data collected from 78 children with SAM at Services hospital Lahore from October 2017 - March 2018. Glomerular filtration rate was calculated using serum creatinine (S. Cr) and height in Original Schwartz, US and by age in SHID equation and compared with OS as standard. Data was analyzed using descriptive statistics. Results: There were 78 children in this study. Males were 39(50%). Mean age of patients was 18±15.53 months with 62(79.48%) ?24 months. Mean weight, height and Mid Upper Arm Circumference was 5.69±2.42kg, 68.52+13.59 cm and 10±1.57 cm respectively. Mean eGFR by OS, US and SHID formula was 71.45±49.89, 58.06±3.91 and 59.33±3.73ml/min/1.73m2 respectively. There was significant difference (0.001) in mean eGFR calculated by three different formulae. Majority of children (73%) had subnormal GFR (
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