肾小球滤过率方案.ppt

Courtesy of David Seccombe, UBC CEQUAL …estimating… Glomerular Filtration Rate The test Limitations Analytical Issues Performance standards Importance of Serial Monitoring Real Change in Value The Test? eGFR-MDRDas: 186x(sCREA/88.4)-1.154 x age-0.203 x 0.742 if female mL/min/1.73m2 (non SI units!) Upper reporting limit may be “ 60 mL/min/1.73m2”; automatically calculated and reported with serum creatinine Serum creatinine and eGFR should be included with risk testing for diseases such as diabetes, hypertension, CVD (hyperlipidemia), family history, genetic suseptibility. The Test?