Published in:
01-04-2020 | Editorial Commentary
Big equation for small kidneys: a newly proposed model to estimate neonatal GFR
Authors:
Abby Basalely, Diane Liu, Frederick J. Kaskel
Published in:
Pediatric Nephrology
|
Issue 4/2020
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Excerpt
Rapid assessment of glomerular filtration rates (GFR) in infants is imperative for both drug dosing and recognition of acute kidney injury (AKI) [
1‐
3]. This is especially important in low birth weight and preterm neonates who have an increased risk of AKI and development of chronic kidney disease (CKD) [
4]. However, obtaining accurate estimates of GFR in term and preterm infants has been challenging. Serum creatinine, the traditional biomarker of filtration, is dependent upon muscle mass and age-dependent renal excretion. Creatinine values in newborns are further complicated by the fact that infant creatinine levels are reflective of maternal creatinine levels in the first few days of life and creatinine is reabsorbed by immature tubules [
5,
6]. …