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Bedside Schwartz eGFR (Pediatric)

The 2009 bedside Schwartz equation estimates GFR in children as 0.413 × height (cm) ÷ serum creatinine (mg/dL), in mL/min/1.73 m². Developed in children aged 1–16 with CKD; values <90 suggest reduced function.

  • Height (cm or m or in)
  • Serum creatinine (mg/dL or µmol/L)
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Interpretation

ResultMeaning
≥ 90G1
60–89G2
30–59G3
15–29G4
< 15G5

Formula

eGFR (mL/min/1.73 m²) = 0.413 × height (cm) ÷ Scr (mg/dL). SI: 36.5 × height (cm) ÷ Scr (µmol/L).

Clinical pearls

  • Requires an enzymatic, IDMS-traceable creatinine; the old Jaffe-based Schwartz constants (0.55, 0.45) overestimate GFR with modern assays.
  • Derived in children with CKD (CKiD cohort, ages 1–16); less accurate at normal GFR and in infants under 1 year.

Examples

FAQ

What constant does the bedside Schwartz formula use?

0.413 with height in cm and creatinine in mg/dL (about 36.5 with creatinine in µmol/L).

Can adult eGFR equations be used in children?

No. CKD-EPI and MDRD were developed in adults; use bedside Schwartz (or CKiD U25) in children.

Evidence

  1. Schwartz GJ et al. New equations to estimate GFR in children with CKD. J Am Soc Nephrol 2009;20:629–37.

Nephrology & Electrolytes · Reviewed 2026-10-14 · Methodology