Kinetic eGFR When Creatinine Is Changing (Chen)

Kinetic eGFR for a creatinine that is still changing, from a baseline and two consecutive creatinines.

Open the calculator → Runs in your browser. Data leaves only if you deliberately send a problem report from the interactive tool.

Example

Baseline (steady-state) creatinine
1 mg/dL
Clearance or eGFR at that baseline
100 mL/min
First creatinine
1 mg/dL
Second creatinine
2 mg/dL
Hours between the two
24 hours
Weight
70 kg

Result: Kinetic eGFR 47.22 mL/min (30 to 59); the baseline estimate was 100 (60 or more).

The tool opens with these values already filled in. Replace them with your own.

What you enter

  • Baseline (steady-state) creatinine
  • Clearance or eGFR at that baseline
  • First creatinine
  • Second creatinine
  • Hours between the two
  • Weight (or enter the maximum rise per day)
  • Maximum creatinine rise per day
How this is calculated

Citation

Chen S. Retooling the creatinine clearance equation to estimate kinetic GFR when the plasma creatinine is changing acutely. J Am Soc Nephrol. 2013;24(6):877-888; equation as reproduced in Kwong YD, et al. PLoS One. 2019;14:e0225601, Fig 1. Read the source ↗

A reference and educational tool. Not medical, legal, or financial advice, and not a substitute for clinician judgment.

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Built by Clay Good. Source on GitHub.