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How To Calculate Creatinine Clearance UK

UK Cockcroft-Gault Equation:

\[ CrCl = \frac{(140 - Age) \times Weight \times 1.23 \text{ (male)}}{SCr (\mu mol/L)} \]

years
kg
µmol/L

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1. What is the UK Cockcroft-Gault Equation?

The UK Cockcroft-Gault equation estimates creatinine clearance (CrCl) from serum creatinine, age, weight, and gender using µmol/L units. It is widely used in clinical practice for drug dosing adjustments and renal function assessment.

2. How Does the Calculator Work?

The calculator uses the UK Cockcroft-Gault equation:

\[ CrCl = \frac{(140 - Age) \times Weight \times 1.23 \text{ (male)}}{SCr (\mu mol/L)} \]

Where:

Explanation: The equation estimates the rate at which creatinine is cleared from the blood by the kidneys, providing an approximation of glomerular filtration rate.

3. Importance of Creatinine Clearance Calculation

Details: Creatinine clearance is essential for drug dosing adjustments, particularly for medications with renal excretion. It helps prevent toxicity in patients with impaired kidney function.

4. Using the Calculator

Tips: Enter age in years, weight in kilograms, serum creatinine in µmol/L, and select gender. All values must be valid (age 1-120, weight > 0, SCr > 0).

5. Frequently Asked Questions (FAQ)

Q1: Why use µmol/L instead of mg/dL?
A: The UK version uses µmol/L as it's the standard unit in many countries including the United Kingdom, providing consistency with local laboratory practices.

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

Q3: When is this equation most useful?
A: Particularly valuable for drug dosing in elderly patients and those with renal impairment where precise dosing is critical.

Q4: Are there limitations to this equation?
A: Less accurate in extremes of body composition, elderly, critically ill patients, and those with rapidly changing renal function.

Q5: How does this differ from the standard Cockcroft-Gault?
A: This version uses µmol/L for creatinine instead of mg/dL, with adjusted constants (1.23 for males, 1.04 for females) to accommodate the different units.

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