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Table 3 Factors associated with the index hyperkalemic event

From: Epidemiology and health outcomes associated with hyperkalemia in a primary care setting in England

 

Odds ratio (95% CI)

Unadjusted

Stepwise adjusted

Age range, years

 18–29

REF

REF

 30–39

1.07 (1.04–1.10)

0.86 (0.83–0.89)

 40–49

1.15 (1.12–1.19)

0.68 (0.66–0.71)

 50–59

1.41 (1.37–1.45)

0.68 (0.66–0.70)

 60–69

1.60 (1.56–1.65)

0.67 (0.65–0.69)

 70–79

1.76 (1.72–1.81)

0.60 (0.58–0.62)

  ≥ 80

1.77 (1.73–1.83)

0.62 (0.59–0.64)

Sex

 Male

REF

REF

 Female

0.89 (0.88–0.90)

1.08 (1.07–1.10)

Presence of measured baseline laboratory values

  

 BUN

1.12 (1.05–1.19)

0.70 (0.66–0.75)

 eGFR

31.49 (30.51–32.52)

29.81 (28.84–30.80)

Smoking status

 Current

1.05 (1.04–1.15)

1.17 (1.15–1.18)

 Former

1.40 (1.39–1.26)

1.26 (1.24–1.27)

 Never

REF

REF

 Unknown

0.72 (0.66–1.28)

1.32 (1.20–1.44)

Comorbidity

 Hypertension

2.29 (2.27–2.32)

0.88 (0.87–0.90)

 Hyperlipidemia

1.42 (1.41–1.44)

0.85 (0.84–0.87)

 Ischemic heart disease

1.63 (1.61–1.66)

0.85 (0.83–0.87)

 Arrhythmia (including atrial fibrillation)

1.33 (1.31–1.36)

0.91 (0.89–0.93)

 Heart failure

1.94 (1.87–2.02)

0.89 (0.84–0.94)

 Cerebrovascular disease

1.31 (1.29–1.34)

0.93 (0.91–0.96)

 Peripheral artery disease

1.71 (1.64–1.78)

1.13 (1.08–1.19)

 Diabetes (types 1 and 2)

1.97 (1.94–2.01)

0.95 (0.93–0.97)

 Chronic kidney disease

1.69 (1.67–1.71)

1.04 (1.02–1.06)

 Obstructive lung disease

0.92 (0.91–0.93)

0.95 (0.93–0.96)

 Liver disease

1.13 (1.10–1.17)

0.93 (0.90–0.96)

Concomitant medication

 ACE inhibitor

15.11 (14.80–15.43)

13.63 (13.31–13.95)

 ARB

14.56 (14.05–15.09)

15.89 (15.27–16.54)

 MRA

17.47 (16.17–18.88)

7.77 (7.06–8.54)

 Antibiotics

0.32 (0.31–0.33)

0.33 (0.32–0.34)

 Loop diuretics

2.79 (2.72–2.86)

1.39 (1.34–1.44)

 Thiazide diuretics

  Bendroflumethiazide

1.86 (1.82–1.90)

0.85 (0.83–0.88)

  Indapamide

1.45 (1.36–1.54)

0.57 (0.52–0.62)

  Hydrochlorothiazide

2.46 (2.26–2.67)

0.83 (0.75–0.93)

  1. ACE angiotensin-converting enzyme, ARB angiotensin II receptor blocker, BUN blood urea nitrogen, CI confidence interval, eGFR estimated glomerular filtration rate, MRA mineralocorticoid receptor antagonist, REF reference value