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GFR Calculator Cockcroft-Gault Medscape

Cockcroft-Gault Equation:

\[ CrCl = \frac{(140 - Age) \times Weight \times (0.85 \text{ if female})}{72 \times Scr} \]

years
kg
mg/dL

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1. What is the Cockcroft-Gault Equation?

The Cockcroft-Gault equation estimates creatinine clearance (CrCl) from serum creatinine, age, weight, and gender. It is widely used for drug dosing adjustments in patients with renal impairment and provides a practical estimate of kidney function.

2. How Does the Calculator Work?

The calculator uses the Cockcroft-Gault equation:

\[ CrCl = \frac{(140 - Age) \times Weight \times (0.85 \text{ if female})}{72 \times Scr} \]

Where:

Explanation: The equation estimates creatinine clearance based on demographic and laboratory parameters, with adjustment for gender differences in muscle mass.

3. Importance of CrCl Calculation

Details: Creatinine clearance estimation is essential for appropriate drug dosing in patients with renal impairment, assessing kidney function, and monitoring renal disease progression.

4. Using the Calculator

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).

5. Frequently Asked Questions (FAQ)

Q1: Why use Cockcroft-Gault equation?
A: It is widely validated for drug dosing adjustments and provides a practical estimate of creatinine clearance, especially useful in clinical settings.

Q2: What are normal CrCl values?
A: Normal creatinine clearance is approximately 95-125 mL/min for men and 85-115 mL/min for women, declining with age.

Q3: When should this equation be used?
A: Primarily for drug dosing adjustments in patients with renal impairment and for estimating kidney function in clinical practice.

Q4: Are there limitations to this equation?
A: Less accurate in elderly, obese, malnourished patients, and those with unstable renal function or extreme body weights.

Q5: How does it compare to other GFR equations?
A: Cockcroft-Gault estimates creatinine clearance, while equations like CKD-EPI estimate GFR. Each has specific clinical applications and limitations.

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