Creatinine Clearance Formula:
| From: | To: |
Creatinine clearance (CrCl) is a measure of kidney function that estimates the rate at which creatinine is cleared from the blood by the kidneys. It provides a more direct measurement of glomerular filtration rate than serum creatinine alone and is particularly useful for drug dosing adjustments.
The calculator uses the standard creatinine clearance formula:
Where:
Explanation: This formula calculates the volume of plasma cleared of creatinine per minute, providing a direct measure of kidney filtration capacity.
Details: Creatinine clearance is essential for assessing kidney function, diagnosing renal impairment, monitoring disease progression, and adjusting medication dosages for drugs that are renally eliminated.
Tips: Enter urine creatinine in mg/dL, urine volume in mL, plasma creatinine in mg/dL, and collection time in minutes. For standard 24-hour urine collection, use 1440 minutes. All values must be positive numbers.
Q1: Why is 24-hour urine collection used?
A: 24-hour collection provides an integrated measure of kidney function throughout the day, accounting for diurnal variations in creatinine production and excretion.
Q2: What are normal CrCl values?
A: Normal values are approximately 95-125 mL/min for men and 85-115 mL/min for women. Values decline with age.
Q3: How accurate is 24-hour urine collection?
A: Accuracy depends on proper collection technique. Incomplete collection is the most common source of error.
Q4: When is CrCl preferred over eGFR?
A: CrCl is often preferred for drug dosing in hospitalized patients, elderly patients, and those with extremes of body weight or muscle mass.
Q5: What factors affect CrCl results?
A: Factors include age, gender, muscle mass, diet, exercise, medications, and proper collection technique.