Chronic kidney disease (CKD) is a high-cost disease that
affects
approximately one in ten people globally, progresses rapidly, results
in kidney failure or dialysis, and triggers other diseases. Although
clinically used serum creatinine tests are used to evaluate kidney
functions, these tests are not suitable for frequent and regular control
at-home settings that obstruct the regular monitoring of kidney functions,
improving CKD management with early intervention. This study introduced
a new electromechanical lab-on-a-chip platform for point-of-care detection
of serum creatinine levels using colorimetric enzyme-linked immunosorbent
assay (ELISA). The platform was composed of a chip containing microreservoirs,
a stirring bar coated with creatinine-specific antibodies, and a phone
to detect color generated via ELISA protocols to evaluate creatinine
levels. An electromechanical system was used to move the stirring
bar to different microreservoirs and stir it inside them to capture
and detect serum creatinine in the sample. The presented platform
allowed automated analysis of creatinine in ∼50 min down to
∼1 and ∼2 mg/dL in phosphate-buffered saline (PBS) and
fetal bovine serum (FBS), respectively. Phone camera measurements
in hue, saturation, value (HSV) space showed sensitive analysis compared
to a benchtop spectrophotometer that could allow low-cost analysis
at point-of-care.