Table 3.
Reported in observational or non-randomized interventional studies incidence of hyperkalemia in CKD patients under treatment with RAAS-blockers
| Patient characteristics | n | Year | Design | Follow-up | Definition of hyperkalemia | Reported incidence rate | Ref |
|---|---|---|---|---|---|---|---|
| CKD outpatients initiating an ACEI at a VA medical centre | 1,818 | 1998 | Observational cohort study | 12 mo | >5.1 mmol/l | 11% | 27 |
| Patients with resistant hypertension and stage 2–3 CKD who received spironolactone added to pre-existing BP-lowering therapies | 46 | 2009 | Single-arm, interventional study | 1.5 mo | >5.5 mmol/L | 17.3% | 29 |
| National US sample of veterans treated with ACEIs/ARBs during the fiscal year 2005 | 245,808 (70,873 with stage 3–4 CKD) | 2009 | Observational cohort study | 12 mo | ≥5.5 mEq/L | 13.7% in CKD patients treated with ACEIs/ARBs | 30 |
| CKD outpatients initiating an ACEI-based antihypertensive regimen | 5,171 | 2010 | Observational cohort study | 3 mo | >5.5 mmol/L | 2.8% | 28 |
| Outpatients enrolled in the Geisinger Health System | 194,456 | 2016 | Registry study | 3 yrs | >5.5 mmol/L | 2.3% | 31 |
Abbreviations: AASK= African American Study of Kidney Disease; ACEI= angiotensin-converting-enzyme-inhibitor; ARB= angiotensin-receptor-blocker; BP= blood pressure; CKD= chronic kidney disease;