Clinical Study

Baseline Renal Function Predicts Hyponatremia in Liver Cirrhosis Patients Treated with Terlipressin for Variceal Bleeding

Table 1

Baseline characteristics of the study population.

CharacteristicsHyponatremia ()Control () value

Age (years)56.3 ± 10.357.5 ± 11.30.421
Males, n (%)73 (83)146 (83)1.000
Etiology of cirrhosis, n (%)
 Alcohol55 (62.5)97 (55.1)0.252
 Hepatitis B virus27 (30.7)83 (47.2)0.011
 Hepatitis C virus6 (6.8)6 (4.5)0.437
Concomitant complications of cirrhosis, n (%)
 Ascites66 (75)123 (69.9)0.385
 Hepatic encephalopathy18 (20.5)46 (26.1)0.310
 Spontaneous bacterial peritonitis3 (3.4)15 (8.5)0.120
Hepatocellular carcinoma, n (%)26 (29.5)51 (29)0.924
 BCLC stage A/B/C/D, n (%)7/6/3/10 (27/23/12/38)8/7/11/25 (16/14/22/48)0.336
Diabetes mellitus, n (%)17 (19.3)(47.9)0.029
Hypertension, n (%)14 (15.9)16 (9.1)0.093
Hemoglobin, g/dL9.5 ± 2.09.2 ± 8.20.822
Bilirubin, mg/dL2.3 ± 1.95.6 ± 7.6<0.001
Albumin, g/dL3.0 ± 0.62.8 ± 0.60.006
INR1.6 ± 0.52.0 ± 1.20.001
Creatinine, mg/dL0.8 ± 0.41.6 ± 1.4<0.001
Initial sodium, mEq137.8 ± 4.5134.1 ± 7.2<0.001
Lowest sodium, mEq125.9 ± 6.8137.2 ± 7.8<0.001
MELD score14.0 ± 5.020.7 ± 10.2<0.001
Child-Pugh score8.3 ± 2.39.5 ± 2.70.001
Shock on admission, n (%)4 (4.5)45 (34.3)<0.001
Blood transfusion (packed red cells)3.2 ± 2.23.9 ± 3.60.118
Cumulative dose of terlipressin (mg)17.9 ± 3.817.6 ± 7.50.621
Amount of free water hydration (L)4.7 ± 2.34.05 ± 3.90.142

BCLC: Barcelona Clinic Liver Cancer; INR: international normalized ratio; MELD: Model for End-Stage Liver Disease; the data are expressed as the means ± the standard deviations (ranges) or numbers (%).