Incidence and risk factors of hyperkalaemia after acute kidney injury in cardiology department
10.3969/j.issn.1006-5725.2018.08.013
- VernacularTitle:心内科病房急性肾损伤后高钾血症及危险因素分析
- Author:
Yanhua WU
1
,
2
;
Yuanhan CHEN
;
Wei DONG
;
Shixin CHEN
;
Zhiyong XIE
;
Kaicong ZHANG
;
Xinling LIANG
Author Information
1. 南方医科大学第二临床医学院 广州510280
2. 广东省人民医院 广东省医学科学院肾内科 广州510080
- Keywords:
acute kidney injury;
hyperkalemia;
cardiology department;
electronic medical informa-tion;
risk factors
- From:
The Journal of Practical Medicine
2018;34(8):1278-1281
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the incidence of hyperkalaemia and analyze the risk factors in pa-tients with acute kidney injury(AKI)in cardiology department.Methods We conducted a retrospective case-con-trol study,using the electronic medical information of the patients in Guangdong General Hospital. Results A to-tal of 37 837 patients were included in this study and 1 571(4.3%)patients with AKI were detected.Hyperkalae-mia occurred in 517 patients(1.4%).The incidence of hyperkalaemia in AKI patients was higher than that in non-AKI patients(10.1% vs. 1.0%,P < 0.001)and the incidences of hyperkalaemia at AKI stage 1~3 were 2.6 %, 13.9% and 20.6 %,respectively. Multiple logistic regression analysis demonstrated that AKI stages,chronic kid-ney disease and heart failure were risk factors for hyperkalaemia.AKI and hyperkalaemia were related to increased hospitalization expenses,delayed hospital stay,renal replacement therapy and in-hospital mortality. Based on AKI,the combination of hyperkalemia could significantly increase clinical burden and adverse outcomes. Conclu-sion In cardiology department,the monitoring of serum creatinine and potassium level should be emphasized.
