Research Article

Characteristics, Risk Factors, and Adverse Outcomes of Hyperkalemia in Acute-on-Chronic Liver Failure Patients

Table 4

Comparison between patients with hyperkalemia who died or survived.

VariablesSurvivalNon-survivalP-value
N=22N=57

Age (years)0.563
Male-n%17(77.3)48(84.2)0.469
Etiology of cirrhosis-n ()
Hepatitis B7(31.8)23(40.4)0.484
Alcoholic12(54.5)26(45.6)0.476
Hepatitis B plus alcoholic1(4.5)4(7.0)1.000
others2(9.1)3(5.3)0.614
Medications-n
Diuretic (frusemide/spironolactone)20(90.9)48(84.2)0.683
Potassium chloride11(50.0)22(38.6)0.357
Potassium citrate granules9(40.9)25(43.9)0.812
Beta-blockers1(4.5)4(7.0)1.000
Complications of cirrhosis-n
Ascites17(77.3)50(87.7)0.246
Bacterial infection20(90.9)54(94.7)0.614
Hepatic encephalopathy5(22.7)28(49.1)0.033
Acute kidney injury12(54.5)49(86.0)0.003
Gastrointestinal bleeding5(22.7)23(40.4)0.142
Clinical and laboratory data at admission
MAP(mmHg) 0.327
Heart rate(beats/minute)0.292
WBC(×109/L)0.248
PLT(×109/L)104.0(72.5-152)77.0(47.0-120.5)0.056
ALB(g/L)0.151
TBIL(μmol/L )228.8(104.4-343.6)184.3(106.6-286.9)0.314
INR1.8(1.6-2.1)2.5(1.8-3.3)0.003
BUN(mmol/L)6.6(4.3-10.8)10.5(5.6-15.3)0.057
Serum Cr(μmol/L)70.6(54.0-104.0)95.0(60.0-129.0)0.077
Serum Na+ (mmol/L)132.2(124.6-137.1)131.0(125.2-135.6)0.600
Serum K+ (mmol/L)3.8(3.4-5.5)4.9(4.0-5.6)0.038
CTP score11.5(10.0-13.0)12.0(11.0-13.0)0.079
MELD score0.016
CLIF-SOFA score7.0(7.0-10.0)8.0(7.0-11.5)0.596

MAP, mean arterial pressure; WBC, white blood cells; PLT, platelet; ALB, albumin; TBIL, total bilirubin; INR, international normalized ratio; BUN, blood urea nitrogen; Cr, creatinine; CTP, Child-Turcotte-Pugh; MELD, Model for End-Stage Liver Disease; CLIF-SOFA, chronic liver failure-sequential organ failure assessment.