Table 3.
Associations between dialysate K and clinical outcomes
| HR (95% CI), All-cause mortality |
HR (95% CI), Arrhythmia composite^ |
||||
|---|---|---|---|---|---|
| Dialysate K (mEq/L) | N patients (%) | Unadjusted | Adjusted* | Unadjusted | Adjusted* |
| 1.0 – 1.5 | 8114 (15%) | 0.96 (0.90–1.03) | 1.04 (0.97–1.11) | 1.09 (0.95–1.24) | 1.14 (1.00–1.30) |
| 2.0 – 2.5 | 33017 (61%) | 1 (Ref.) | 1 (Ref.) | 1 (Ref.) | 1 (Ref.) |
| 3.0 – 4.0 | 13405 (25%) | 1.13 (1.07–1.18) | 0.95 (0.90–1.00) | 1.05 (0.96–1.15) | 0.95 (0.86–1.04) |
HR: Hazard ratio; Cox models stratified by DOPPS phase, country, US large dialysis organization (all-cause mortality only), and accounted for facility clustering.
Arrhythmia composite includes sudden death or arrhythmia-related hospitalizations.
For the arrhythmia composite outcome, 45,511 patients (3300 events, 7%) were eligible for the analysis after excluding facilities where cause of death and/or hospitalization was not obtained.
Adjustments: age, sex, vintage, 13 comorbidities, vascular access, BMI, albumin, nPCR, serum Ca, serum phosphorus, serum phosphorus squared, serum bicarbonate, dialysate bicarbonate, hemoglobin, treatment time, Kt/V.