Cockcroft-Gault Equation:
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The Cockcroft-Gault equation estimates creatinine clearance (CrCl) from serum creatinine, age, and weight. It is widely used for drug dosing adjustments in patients with renal impairment and provides a quick assessment of kidney function.
The calculator uses the Cockcroft-Gault equation:
Where:
Explanation: The equation provides an estimate of creatinine clearance, which correlates with glomerular filtration rate and is used for medication dose adjustments.
Details: Creatinine clearance estimation is essential for appropriate drug dosing in patients with renal impairment, preventing toxicity from medications cleared by the kidneys.
Tips: Enter age in years, weight in kilograms, and serum creatinine in mg/dL. 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 while eGFR estimates glomerular filtration rate. CrCl is often used for drug dosing, while eGFR is used for CKD staging.
Q2: What are normal CrCl values?
A: Normal CrCl is approximately 95-125 mL/min for young adults, declining with age. Values below 60 mL/min indicate renal impairment.
Q3: When should the Cockcroft-Gault equation be used?
A: Primarily for drug dosing adjustments in patients with known or suspected renal impairment, especially for medications with narrow therapeutic windows.
Q4: Are there limitations to this equation?
A: Less accurate in elderly, obese, malnourished patients, and those with unstable renal function. Does not account for muscle mass variations.
Q5: Should ideal body weight be used?
A: For obese patients, some guidelines recommend using ideal body weight rather than actual weight for more accurate estimation.