From: Hyperchloremia is associated with poor renal outcome after coronary artery bypass grafting
Variables | Total (n = 2977) | NormoCl (n = 1524) | Mild HyperCl (n = 1118) | Severe HyperCl (n = 335) | P |
---|---|---|---|---|---|
Age (year) | 65.5 ± 9.8 | 65.3 ± 10.0 | 65.5 ± 9.7 | 66.7 ± 9.6* | 0.045 |
Male (%) | 73.7 | 76.6 | 71.2† | 68.4† | < 0.001 |
Body mass index (kg/m2) | 24.3 ± 3.1 | 24.2 ± 3.2 | 24.5 ± 3.0† | 24.4 ± 2.6 | 0.031 |
Systolic blood pressure (mmHg) | 126.4 ± 20.6 | 127.1 ± 19.6 | 126.5 ± 21.4 | 123.9 ± 22.0* | 0.038 |
Diastolic blood pressure (mmHg) | 73.3 ± 12.4 | 73.9 ± 12.0 | 73.3 ± 12.7 | 70.9 ± 12.9‡ | < 0.001 |
Comorbidities (%) | |||||
Hypertension | 57.5 | 55.2 | 58.3 | 65.4† | 0.003 |
Diabetes mellitus | 43.8 | 42.8 | 43.3 | 49.6* | 0.075 |
History of myocardial infarction | 9.3 | 8.2 | 10.1 | 11.6* | 0.074 |
History of stroke | 19.8 | 18.2 | 20.1 | 25.4† | 0.011 |
History of peripheral vascular disease | 6.5 | 5.4 | 7.0 | 9.9† | 0.009 |
Smoking (%) | 31.5 | 30.8 | 31.8 | 33.4 | 0.603 |
Alcohol (%) | 29.7 | 30.0 | 29.3 | 29.3 | 0.923 |
Operating factor | |||||
No. of grafting arteries | 2.4 ± 0.8 | 2.5 ± 0.9 | 2.4 ± 0.7* | 2.3 ± 0.7* | < 0.001 |
Cardiopulmonary bypass (%) | 16.4 | 11.7 | 16.7‡ | 37.0‡ | < 0.001 |
Intra-aortic balloon pump (%) | 8.9 | 8.0 | 8.1 | 15.5‡ | < 0.001 |
Surgical time (min) | 345.5 ± 105.2 | 350.6 ± 113.0 | 345.3 ± 100.1 | 322.9 ± 79.5‡ | < 0.001 |
Medications (%) | |||||
ACE inhibitor or ARB | 35.9 | 39.7 | 34.4† | 23.9‡ | < 0.001 |
Beta-blocker | 38.3 | 39.2 | 38.7 | 33.1* | 0.113 |
Diuretics | 16.2 | 18.3 | 13.6† | 15.5 | 0.005 |
Statin | 40.5 | 43.4 | 39.8 | 30.1‡ | < 0.001 |
Laboratory findings | |||||
White blood cells (×103/mm3) | 7.8 ± 3.1 | 7.8 ± 3.0 | 7.8 ± 3.1 | 8.3 ± 3.1† | 0.022 |
Hemoglobin (g/dL) | 12.5 ± 2.1 | 13.1 ± 1.9 | 12.2 ± 2.0‡ | 10.9 ± 2.1‡ | < 0.001 |
Albumin (g/dL) | 3.8 ± 0.6 | 4.0 ± 0.6 | 3.7 ± 0.6‡ | 3.1 ± 0.7‡ | < 0.001 |
Cholesterol (mg/dL) | 149.4 ± 44.2 | 158.5 ± 41.3 | 147.0 ± 44.5‡ | 117.0 ± 39.8‡ | < 0.001 |
Glucose (mg/dL) | 140.5 ± 1.4 | 145.9 ± 1.9 | 128.9 ± 1.9 | 155.5 ± 8.5‡ | < 0.001 |
eGFR (ml/min/1.73 m2) | 70.1 ± 20.1 | 71.5 ± 19.8 | 70.3 ± 19.4 | 63.3 ± 21.7‡ | < 0.001 |
Sodium (mmol/L) | 139.6 ± 3.4 | 138.4 ± 2.9 | 140.6 ± 2.3‡ | 142.9 ± 3.1‡ | < 0.001 |
Potassium (mmol/L) | 4.2 ± 0.4 | 4.2 ± 0.4 | 4.1 ± 0.4‡ | 4.1 ± 0.5‡ | < 0.001 |
Chloride (mmol/L) | 105.5 ± 4.3 | 102.6 ± 2.3 | 107.5 ± 1.3‡ | 113.1 ± 2.7‡ | < 0.001 |
Left ventricular EF < 40% (%) | 12.6 | 14.3 | 11.3* | 9.0† | 0.007 |