Table 4.
Observational cohort studies evaluating the association of serum potassium with all-cause mortality in patients with non-dialysis CKD
| Patient characteristics | n | Year | Follow-up | Pattern of the association | Details | Ref |
|---|---|---|---|---|---|---|
| Stage 3–4 CKD patients participating in the Renal Research Institute CKD Study | 820 | 2010 | 2.6 yrs | U-shaped | Time-varying SK of ≤4 mmol/L (HR: 1.73; 95% CI: 1.02–2.95) as well as time-varying SK >5.5 mmol/L were both associated with increased risk of ACM (HR: 1.57; 95% CI: 0.78–3.20) | 31 |
| CKD patients enrolled in an electronic medical record registry | 36,359 | 2015 | 2.6 yrs | U-shaped | Time-varying SK <3.5 mmol/L (HR: 1.95; 95% CI: 1.74–2.18) and SK >5.5 mmol/L were both associated with ACM (HR: 1.65; 95% CI: 1.48–1.84) | 32 |
| Stage 3–4 CKD patients enrolled in an electronic registry of HeathCare Partners in California | 55,266 | 2016 | 2.76 yrs | U-shaped | SK <3.5 mEq/L (IRR: 3.05; 95% CI: 2.53–3.68) and SK >6 mEq/L were both associated with ACM (IRR: 3.31; 95% CI: 2.52–4.34). | 33 |
| US veterans participating in the Racial and Cardiovascular Risk Anomalies in Chronic Kidney Disease (RCAV) study. | 2,662,462 | 2017 | 5.9 yrs | U-Shaped | Compared to serum potassium level of 4.2 mmol/l, both higher and lower serum potassium levels were associated with higher risk of ACM regardless of the African-American race. | 34 |
Abbreviations: ACM= all-cause mortality; CKD= chronic kidney disease; CI= confidence interval; HR= hazard ratio; IRR= incidence rate ratio; SK= serum potassium;