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Table 1 Study Cohort Characteristics

From: Metabolic acidosis is associated with increased risk of adverse kidney outcomes and mortality in patients with non-dialysis dependent chronic kidney disease: an observational cohort study

 

Total Study Cohort

N = 51,558

Metabolic Acidosis Group

N = 17,350

Normal Serum Bicarbonate Group

N = 34,208

P value

Sex, n (%)

 Female

27,094 (53)

9,011 (52)

18,083 (53)

0.047

 Male

24,464 (47)

8,339 (48)

16,125 (47)

0.047

 Age, mean ± SD

72.9 ± 11.5

70.3 ± 13.3

74.3 ± 10.3

< 0.001

Race, n (%)

 African American

5,128 (10)

2,585 (15)

2,543 (7)

< 0.001

 Asian

996 (2)

398 (2)

598 (2)

< 0.001

 Caucasian

42,055 (82)

12,866 (74)

29,189 (85)

< 0.001

 Other/unknown

3,379 (7)

1,501 (9)

1,878 (5)

< 0.001

Region, n (%)

 Midwest

30,683 (60)

9,359 (54)

21,324 (62)

< 0.001

 Northeast

2,603 (5)

1,175 (7)

1,428 (4)

< 0.001

 Other/unknown

586 (1)

227 (1)

359 (1)

0.009

 South

14,107 (27)

5,329 (31)

8,778 (26)

< 0.001

 West

3,579 (7)

1,260 (7)

2,319 (7)

0.041

Baseline labs, mean ± SD

 Serum bicarbonate, mEq/L

24.0 ± 3.6

19.7 ± 1.1

26.1 ± 2

< 0.001

 eGFR, mL/min/1.73 m2

41.2 ± 12.1

37.2 ± 13.3

43.2 ± 10.9

< 0.001

 ACR, urinary, mg/g

190 ± 554

277 ± 692

127 ± 414

< 0.001

CKD stage, n (%)

 Stage 3a

22,431 (44)

5,719 (33)

16,712 (49)

< 0.001

 Stage 3b

19,081 (37)

5,987 (35)

13,094 (38)

< 0.001

 Stage 4

8,736 (17)

4,747 (27)

3,989 (12)

< 0.001

 Stage 5, non-dialysis

1,310 (3)

897 (5)

413 (1)

< 0.001

Comorbidities/conditions, n (%)

 Hypertension

31,761 (62)

12,879 (74)

18,882 (55)

< 0.001

 Diabetes

16,168 (31)

7,391 (43)

8,777 (26)

< 0.001

 Coronary artery disease

14,329 (28)

6,249 (36)

8,080 (24)

< 0.001

 Peripheral vascular disease

10,052 (19)

5,038 (29)

5,014 (15)

< 0.001

 Heart failure

10,029 (19)

5,119 (30)

4,910 (14)

< 0.001

 CCI, weighted non-renal score, mean ± SD

2.3 (2.7)

3.5 (3.1)

1.7 (2.3)

< 0.001

ACE and ARB prescription, n (%) 

12,041 (23)

5,110 (29)

6,931 (20)

< 0.001

 Alkali treatment, n (%)

807 (2)

461 (3)

346 (1)

< 0.001

 Additional baseline labs, mean ± SD

 Serum albumin, g/dL

3.7 ± 0.6

3.5 ± 0.7

3.9 ± 0.5

< 0.001

 Serum calcium, corrected mg/dLa

9.3 ± 0.6

9.3 ± 0.7

9.4 ± 0.5

< 0.001

 Hemoglobin, g/dL

12.2 ± 2.0

11.3 ± 2.1

12.6 ± 1.8

< 0.001

 Serum potassium, mEq/L

4.4 ± 0.6

4.5 ± 0.7

4.4 ± 0.5

< 0.001

  1. Abbreviations: ACE Angiotensin-converting enzyme inhibitor, ACR Albumin-creatinine ratio, ARB Angiotensin II receptor blockers, CCI Charlson Comorbidity Index, CKD Chronic kidney disease, eGFR Estimated glomerular filtration rate, SD Standard deviationa Conversion factors for units, serum calcium mg/dL to mmol/L x 0.2495