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Nephrology

Creatinine Clearance (Cockcroft-Gault)

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Formula

CrCl (mL/min) = (140 - age) x weight_kg / (72 x Scr mg/dL); multiply by 0.85 if female.

Limitations

  • The original derivation used total body weight and non-standardised (pre-IDMS) creatinine assays.
  • The choice of weight (actual, ideal, adjusted) in obesity or oedema is a clinical decision; the weight entered is used as given.
  • Not valid in unstable renal function, pregnancy, or at extremes of muscle mass.

References

  1. Prediction of creatinine clearance from serum creatinine. Cockcroft DW, Gault MH. Nephron. 1976;16(1):31-41. PMID 1244564