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January 1, 1976Nephron15,442 citations

Prediction of Creatinine Clearance from Serum Creatinine

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DCDonald W. CockcroftHGHenry Gault

Key Result

A new formula predicting creatinine clearance from serum creatinine in adult males shows a correlation coefficient of 0.83 with measured Ccr values.

Key Points

  • To develop a formula predicting creatinine clearance from serum creatinine levels in adult males based on age and body weight.
  • Analyzed data from 249 patients aged 18-92 to establish relationships between age and creatinine excretion.
  • Developed a predictive formula based on serum creatinine levels.
  • Compared predicted creatinine clearance values using the formula and four other methods with measured values from 236 patients.
  • The formula achieved a correlation coefficient of 0.83 with mean measured creatinine clearance.
  • Predicted values were consistent with measured clearances, showing no significant difference on average.
  • Including age and body weight factors improved prediction accuracy.

Structured PICO

Does a new formula incorporating serum creatinine, age, and body weight accurately predict creatinine clearance in adult patients?

P
Population
Adult patients aged 18-92
I
Intervention
A newly developed formula to predict creatinine clearance (Ccr) from serum creatinine (Scr), age, and body weight
C
Comparator
Four other prediction methods and measured 24-hour creatinine clearance
O
Outcome
Correlation and difference between predicted and measured creatinine clearancesurrogate

A newly developed formula incorporating serum creatinine, age, and body weight provides a reasonable prediction of creatinine clearance in adults.

Abstract

A formula has been developed to predict creatinine clearance (Ccr) from serum creatinine (Scr) in adult males: (see article)(15% less in females). Derivation included the relationship found between age and 24-hour creatinine excretion/kg in 249 patients aged 18-92. Values for Ccr were predicted by this formula and four other methods and the results compared with the means of two 24-hour Ccr's measured in 236 patients. The above formula gave a correlation coefficient between predicted and mean measured Ccr's of 0.83; on average, the difference predicted and mean measured values was no greater than that between paired clearances. Factors for age and body weight must be included for reasonable prediction.

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Cite This Study

Cockcroft et al. (1976) studied this question. A new formula predicting creatinine clearance from serum creatinine in adult males shows a correlation coefficient of 0.83 with measured Ccr values.

synapsesocial.com/papers/696bdcb250a360e9ca11988dhttps://doi.org/10.1159/000180580
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