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Inicio Medicina Clínica (English Edition) New tools for the management of renal function in the elderly: Berlin Initiative...
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Vol. 146. Issue 10.
Pages 450-454 (May 2016)
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Vol. 146. Issue 10.
Pages 450-454 (May 2016)
Review
New tools for the management of renal function in the elderly: Berlin Initiative Study equation and hematocrit, urea and gender formulae
Nuevas herramientas para abordar la función renal en ancianos: la ecuación Berlin Initiative Study y la fórmula hematocrito, urea y género
Manuel Heras
Corresponding author
, María José Fernández-Reyes
Servicio de Nefrología, Hospital General de Segovia, Segovia, Spain
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Abstract

In the last few years a debate has emerged on the range of normal renal function in the elderly, and if every elderly person with a glomerular filtration rate estimated using formulas (Cockroft-Gault, MDRD, CKD-EPI) of less than 60ml/min/1.73m2 has kidney disease. In this review we analyzed, based on the results of the study Elderly people with chronic kidney disease of the Hospital de Segovia, the new equations to measure kidney function in the elderly: the Berlin Initiative Study equation designed to estimate the glomerular filtration rate in people aged 70 or more, and the hematocrit, urea and gender formula to establish whether an elderly person with a glomerular filtration rate lower than 60ml/min/1.73m2 has kidney disease.

Keywords:
Glomerular filtration rate
Berlin Initiative Study equation
Hematocrit, urea, gender formulae
Resumen

En los últimos años se ha generado un debate sobre el rango normal de función renal en el anciano, y si todo anciano con filtrado glomerular estimado por fórmulas (Cockroft-Gault, MDRD, CKD-EPI) menor de 60ml/min/1.73m2 tiene una enfermedad renal. En esta revisión analizamos, con base en los datos del estudio Ancianos con enfermedad renal crónica del Hospital de Segovia, las nuevas ecuaciones para medir la función renal en ancianos: la Berlin Initiative Study, diseñada para estimar el filtrado glomerular en personas de 70 años o más, y la fórmula hematocrito, urea y género para diferenciar si un anciano con FG menor de 60ml/min/1.73m2 tiene enfermedad renal.

Palabras clave:
Filtrado glomerular
Ecuación Berlin Initiative Study
Fórmula hematocrito, urea y género

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