Estimate single-pool Kt/V (spKt/V) for a hemodialysis session with the Daugirdas second-generation formula: Kt/V = −ln(R − 0.008·t) + (4 − 3.5·R) × UF / W, where R = Post-BUN/Pre-BUN, t = treatment time (h), UF = ultrafiltration volume (kg), W = post-dialysis weight (kg). The first term captures urea removal and generation; the second corrects for volume contraction. KDOQI target: spKt/V ≥1.2 per session (minimum delivered dose) for conventional thrice-weekly hemodialysis, target ~1.4. Requires post-dialysis BUN drawn by slow-flow/stop-pump technique. Derived from Daugirdas JT, J Am Soc Nephrol 1993. Valid for intermittent hemodialysis; not for peritoneal dialysis or CRRT/SLED. Not medical advice.
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Key facts
Category
Health
Input types
number
Output type
json
Sample coverage
4
API ready
Yes
Overview
Estimate single-pool Kt/V (spKt/V) for an intermittent hemodialysis session using the Daugirdas second-generation formula. Enter pre- and post-dialysis BUN, treatment time, ultrafiltration volume, and post-dialysis weight to receive the Kt/V value, BUN ratio, and a status against the 1.2 minimum reference.
When to use
Estimate delivered dialysis dose for a conventional intermittent hemodialysis session.
Review how BUN reduction, treatment time, ultrafiltration, and post-dialysis weight affect spKt/V.
Check whether a calculated session reaches the KDOQI minimum reference of 1.2.
How it works
1Enter positive pre-dialysis and post-dialysis BUN values, with post-dialysis BUN lower than pre-dialysis BUN.
2Enter treatment time in hours, ultrafiltration volume in kilograms, and post-dialysis weight in kilograms.
3The calculator computes R as post-dialysis BUN divided by pre-dialysis BUN and applies the Daugirdas second-generation formula.
4The JSON result includes Kt/V, ratio R, status, method, and a note about the 1.2 minimum reference.
Use cases
Nephrology teams can estimate the delivered spKt/V for individual hemodialysis sessions.
Dialysis educators can demonstrate the relationship between BUN values, treatment time, ultrafiltration, and post-dialysis weight.
Clinical reviewers can compare calculated results with the KDOQI minimum reference and target range.
Examples
1. Four-hour session reaching the minimum reference
Dialysis clinician
Background
A hemodialysis session has a pre-dialysis BUN of 90 mg/dL and a post-dialysis BUN of 30 mg/dL.
Problem
Estimate the delivered single-pool Kt/V and determine whether it reaches the 1.2 minimum reference.
How to use
Enter preBun 90, postBun 30, treatmentTime 4, ultrafiltration 2, postWeight 70, and decimalPlaces 4.