Research Article

Course of Hyperkalemia in Patients on Hemodialysis

Table 1

Baseline (visit 1, day −7) characteristics of placebo patients.

Summary statisticOverall, N = 86Predialysis sK+ at randomization (visit 4, day 1) (mmol/L)
<5.5, n = 145.5 to <6.0, n = 376.0 to <6.5, n = 21≥6.5, n = 14

Demographics
Age, years, mean (SD)60.3 (13.2)53.4 (12.3)64.1 (11.1)58.2 (14.7)60.1 (14.7)
Age, years, n (%)
 18–5018 (20.9)6 (42.9)5 (13.5)4 (19.0)3 (21.4)
 51–6428 (32.6)4 (28.6)11 (29.7)8 (38.1)5 (35.7)
 65–8439 (45.3)4 (28.6)21 (56.8)8 (38.1)6 (42.9)
 ≥851 (1.2)0 (0)0 (0)1 (4.8)0 (0)
Female sex, n (%)36 (41.9)3 (21.4)15 (40.5)11 (52.4)7 (50.0)
Race, n (%)
 White43 (50.0)5 (35.7)18 (48.6)11 (52.4)9 (64.3)
 Black or African American6 (7.0)3 (21.4)2 (5.4)1 (4.8)0 (0)
 Asian31 (36.0)3 (21.4)17 (45.9)8 (38.1)3 (21.4)
 American Indian or Alaska Native2 (2.3)2 (14.3)0 (0)0 (0)0 (0)
 Other4 (4.7)1 (7.1)0 (0)1 (4.8)2 (14.3)

Clinical characteristics
Height, cm, mean (SD)165.0 (9.2)169.1 (10.1)164.3 (7.9)164.9 (11.8)162.7 (5.9)
Weight, kg, mean (SD)72.7 (16.4)75.2 (15.0)70.2 (15.3)78.7 (20.1)68.1 (12.0)
Body mass index, kg/m2, mean (SD)26.7 (5.5)26.2 (4.6)25.9 (5.3)28.9 (6.7)25.7 (4.4)
Predialysis sK+, mmol/L, mean (SD)6.0 (0.4)5.9 (0.3)5.9 (0.4)6.0 (0.3)6.3 (0.7)
Serum bicarbonate, mmol/L, mean (SD)20.1 (2.4)19.3 (1.9)20.0 (2.2)20.9 (3.3)19.8 (1.9)

Dialysis parameters
Vintage, years, mean (SD)7.9 (7.8)5.2 (3.9)9.7 (8.8)7.3 (8.9)6.9 (4.8)
Duration of dialysis session, minutes, mean (SD)241.7 (31.9)236.1 (41.5)245.7 (34.4)242.8 (17.8)235.1 (31.9)
Dialysate potassium, mmol/L, mean (SD)2.2 (0.5)2.1 (0.5)2.2 (0.4)2.3 (0.5)2.4 (0.5)
Dialysate potassium, mmol/L, n (%)
 11 (1.2)1 (7.1)0 (0.0)0 (0.0)0 (0.0)
 263 (73.3)11 (78.6)30 (81.1)14 (66.7)8 (57.1)
 322 (25.6)2 (14.3)7 (18.9)7 (33.3)6 (42.9)
spKt/V, mean (SD)1.7 (0.4)1.5 (0.2)1.7 (0.4)1.8 (0.4)1.9 (0.3)
Dialysate flow, mL/min, mean (SD)548.0 (131.1)583.6 (220.8)563.4 (113.1)521.9 (98.9)511.1 (92.8)
Prescribed ultrafiltration rate, mL, mean (SD)2785.8 (1228.1)2426.6 (1665.1)2929.8 (1250.4)2871.4 (998.1)2635.7 (996.6)
Urea removal rate, %, mean (SD)74.3 (5.8)71.8 (6.4)74.1 (5.2)74.1 (6.1)75.9 (6.7)

Key medical history, n (%)
Hypertension69 (80.2)11 (78.6)31 (83.8)16 (76.2)11 (78.6)
Dyslipidemia14 (16.3)2 (14.3)5 (13.5)5 (23.8)2 (14.3)
Cardiac failure4 (4.7)0 (0.0)3 (8.1)0 (0.0)1 (7.1)
Diabetes mellitus10 (11.6)1 (7.1)5 (13.5)2 (9.5)2 (14.3)
Type 1 diabetes mellitus2 (2.3)0 (0.0)1 (2.7)0 (0.0)1 (7.1)
Type 2 diabetes mellitus22 (25.6)4 (28.6)11 (29.7)4 (19.0)3 (21.4)

Key allowed concomitant medications, n (%)
ACE inhibitors12 (14.0)3 (21.4)4 (10.8)3 (14.3)2 (14.3)
Angiotensin II antagonists23 (26.7)2 (14.3)16 (43.2)3 (14.3)2 (14.3)
Angiotensin II antagonists + calcium channel blockers2 (2.3)0 (0.0)2 (5.4)0 (0.0)0 (0.0)
Aldosterone antagonists3 (3.5)0 (0.0)2 (5.4)1 (4.8)0 (0.0)

ACE, angiotensin-converting enzyme; SD, standard deviation; spKt/V, target single pool Kt/V.