Global Cockcroft-Gault Equation:
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The Cockcroft-Gault equation is a widely used formula for estimating creatinine clearance (CrCl) from serum creatinine, age, weight, and gender. It helps assess kidney function and guide medication dosing, particularly for drugs that are renally eliminated.
The calculator uses the Cockcroft-Gault equation:
Where:
Explanation: The equation estimates creatinine clearance based on demographic and laboratory parameters, providing an approximation of glomerular filtration rate.
Details: Creatinine clearance estimation is essential for drug dosing adjustments in patients with renal impairment, assessing kidney function, and monitoring renal disease progression.
Tips: Enter age in years, weight in kilograms, serum creatinine in mg/dL, and select gender. All values must be valid (age between 1-120, weight > 0, creatinine > 0).
Q1: What is the difference between CrCl and eGFR?
A: CrCl estimates creatinine clearance using Cockcroft-Gault, while eGFR estimates glomerular filtration rate using equations like CKD-EPI. They serve similar purposes but use different formulas.
Q2: What are normal CrCl values?
A: Normal CrCl is approximately 90-120 mL/min for young adults, decreasing with age. Values below 60 mL/min may indicate renal impairment.
Q3: When is ideal body weight used instead of actual weight?
A: For obese patients (BMI > 30), some guidelines recommend using ideal body weight to avoid overestimating CrCl.
Q4: Are there limitations to the Cockcroft-Gault equation?
A: Yes, it may be less accurate in elderly patients, those with extreme body weights, muscle wasting, or rapidly changing renal function.
Q5: Why is gender included in the calculation?
A: Women typically have lower muscle mass and creatinine production, hence the 0.85 correction factor for female patients.