Ein 85-jähriger, bisher rüstiger Mann kommt in die Notaufnahme. Er klagt über starke Müdigkeit, Appetitlosigkeit seit drei Tagen und darüber, dass er kaum Wasser lassen muss. Vor knapp zwei Wochen habe er einen grippeartigen Infekt mit Schnupfen, Husten, Hals-, Kopf- und Gliederschmerzen sowie Fieber bis 38,5 °C durchgemacht.
Literatur
Cockcroft DW, Gault MH. Prediction of creatinine clearance from serum creatinine. Nephron 16: 31–41 (1976).
Rule AD, Larson TS, Bergstralh EJ, Slezak JM, Jacobsen SJ, Cosio FG. Using Serum creatinine to estimate filtration rate: Accuracy in good health and chronic kidney disease. Ann Intern Med 141: 929–937 (2004).
Levey AS, Stevens LA, Schmid CH et al. for the Chronic Kidney Disease Epidemiology Collaboration (CKD-EPI) A New Equation to Estimate Glomerular Filtration Rate. Ann Intern Med 150: 604–612 (2009).
Levey AS, Greene T, Kusek JW, Beck GJ, MDRD Study Group: simplified equation to predict glomerular filtration rate from serum creatinine. J Am Soc Nephrol 11: A0828 (2000).
Silva Selistre L, Rech DL, Souza V et al. Diagnostic Performance of Creatinine-Based Equations for Estimating Glomerular Filtration Rate in Adults 65 Years and Older. JAMA Intern Med; 179:796–804 (2019).
Roderick PJ, Atkins RJ, Smeeth L et al. Detecting chronic kidney disease in older people; what are the implications? Age and Ageing 37: 179–186 (2008).
Schaeffner ES, Ebert N, Delanaye P et al. Two novel equations to estimate kidney function in persons aged 70 years or older. Ann Intern Med 157: 471–481 (2012).
Nikolaus T, Bach M, Oster P, Schlierf G. The Timed Test of Money Counting: a simple method of recognizing geriatric patients at risk for increased health care. Aging (Milano) 1995;7:179–183.
Zeyfang A, Berndt S, Aurnhammer G, Nikolaus T, Oster P, Bahrmann A. A short easy test can detect ability for autonomous insulin injection by the elderly with diabetes mellitus. J Am Med Dir Assoc (2012a) Jan;13(1):81.e15–8
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Zeeh, J. Niereninsuffizienz im Alter frühzeitig erkennen!. MMW - Fortschritte der Medizin 162, 45–49 (2020). https://doi.org/10.1007/s15006-020-0340-z
Published:
Issue Date:
DOI: https://doi.org/10.1007/s15006-020-0340-z