Creatinine clearance estimation in the extremely elderly subjects

  • Hirayama Shunichi
    Tokyo University of Pharmacy and Life Science
  • Kikuchi Reiko
    Department of Geriatric Medicine, Kyorin University, School of Medicine
  • Inoue Shinichiro
    Department of Geriatric Medicine, Kyorin University, School of Medicine
  • Tsukahara Daisuke
    Department of Geriatric Medicine, Kyorin University, School of Medicine
  • Suemitsu Yumi
    Department of Geriatric Medicine, Kyorin University, School of Medicine
  • Kobayashi Yoshio
    Department of Geriatric Medicine, Kyorin University, School of Medicine
  • Sugiyama Yoichi
    Department of Geriatric Medicine, Kyorin University, School of Medicine
  • Hasegawa Hiroshi
    Department of Geriatric Medicine, Kyorin University, School of Medicine
  • Kouzaki Koichi
    Department of Geriatric Medicine, Kyorin University, School of Medicine
  • Inoue Gosuke
    Department of Internal Medicine, Higashimurayama Nursing Home
  • Toba Kenji
    Department of Geriatric Medicine, Kyorin University, School of Medicine

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Other Title
  • 超高齢者におけるクレアチニンクリアランス推定式の比較検討
  • チョウ コウレイシャ ニ オケル クレアチニン クリアランス スイテイシキ ノ ヒカク ケントウ

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Abstract

Background: It has been reported that elderly outpatients take at least 6 different kinds of medication.<br> Purpose: To know which formula will best predict creatinine clearance, because 24-hour urine collection is difficult for elderly outpatients.<br> Patients and Methods: We compared four types of formulae (Cockcroft & Gault, Yasuda, Orita, Walser) to estimate creatinine clearance using serum creatinine of 143 elderly inpatients (73 men, 70 women, mean age 82.9±8.6 years old) including 67 extremely elderly people with various underlying diseases.<br> Result: The formula of Cockcroft and Gault showed the best correlation with creatinine clearance in the extremely elderly subjects (r=0.74) as well as in people under 85 years (r=0.76). However, the estimated values of the extremely elderly women were lower than actual creatinine clearance.<br> Conclusion: The formula of Cockcroft and Gault is the best predictive equation of creatinine clearance, except in the extremely elderly women.<br>

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