Table 3.
Effect of hypertonic saline and furosemide on GFR and tubular function in a randomized, cross-over study of 24 healthy subjects
Period | Baseline | Hypertonic saline infusion | Post hypertonic saline infusion | ||||
---|---|---|---|---|---|---|---|
0–90 min | 90–150 min | 150–180 min | 180–210 min | 210–240 min | 240–300 min | P (GLM within) | |
GFR (51Cr-EDTA clearance) | |||||||
Placebo | 104 ± 14 | 102 ± 15 | 107 ± 15 | 110 ± 15* | 111 ± 23* | 112 ± 15* | 0.001 |
Furosemide | 104 ± 12 | 103 ± 13 | 103 ± 18 | 93 ± 14* | 93 ± 14* | 98 ± 12 | |
P (GLM between) | 0.089 | ||||||
Urine output (mL/min) | |||||||
Placebo | 9.8 ± 1.5 | 3.5 ± 1.6* | 2.7 ± 1.3* | 2.7 ± 0.8* | 3.3 ± 1.4* | 4.7 ± 2.2* | < 0.001 |
Furosemide | 9.1 ± 2.2 | 23.1 ± 2.6* | 10.1 ± 3.1 | 4.3 ± 1.8* | 2.4 ± 0.9* | 2.0 ± 1.2* | |
P (GLM between) | < 0.001 | ||||||
CH2O (ml/min) | |||||||
Placebo | 6.6 ± 1.3 | −0.4 ± 1.4* | −2.2 ± 1.2* | −2.4 ± 1.0* | −1.8 ± 1.6* | 0.0 ± 2.1* | 0.001 |
Furosemide | 6.1 ± 2.0 | 1.1 ± 1.1* | −2.0 ± 0.7* | −1.8 ± 0.5* | −1.5 ± 0.5* | −1.1 ± 0.6* | |
P (GLM between) | 0.597 | ||||||
U-Na (μmol/min) | |||||||
Placebo | 200 ± 94 | 361 ± 146* | 501 ± 234* | 531 ± 182* | 511 ± 161* | 466 ± 106* | < 0.001 |
Furosemide | 162 ± 78 | 2865 ± 342* | 1515 ± 3.81* | 659 ± 274* | 377 ± 158* | 273 ± 141* | |
P (GLM between) | < 0.001 | ||||||
FENa (%) | |||||||
Placebo | 1.38 ± 0.63 | 2.46 ± 0.85* | 3.28 ± 1.49* | 3.36 ± 0.89* | 3.26 ± 0.81* | 3.00 ± 0.69* | < 0.001 |
Furosemide | 1.13 ± 0.55 | 19.81 ± 3.11* | 10.66 ± 3.81* | 5.03 ± 1.97* | 3.03 ± 1.59* | 2.05 ± 1.31* | |
P (GLM between) | < 0.001 | ||||||
U-Cl (μmol/min) | |||||||
Placebo | 239 ± 84 | 379 ± 146* | 537 ± 261* | 575 ± 201* | 558 ± 185* | 502 ± 122* | < 0.001 |
Furosemide | 212 ± 61 | 3083 ± 356* | 1679 ± 462* | 763 ± 298* | 441 ± 177* | 310 ± 156* | |
P (GLM between) | < 0.001 | ||||||
FEK (%) | |||||||
Placebo | 21.1 ± 6.2 | 18.1 ± 7.1* | 21.6 ± 17.0 | 23.1 ± 10.0 | 22.7 ± 8.0 | 21.9 ± 7.8 | < 0.001 |
Furosemide | 24.0 ± 9.2 | 64.9 ± 15.2* | 44.6 ± 14.7* | 34.6 ± 16.6* | 27.4 ± 11.4 | 23.8 ± 10.5 | |
P (GLM between) | < 0.001 | ||||||
U-osmolality (μmol//min) | |||||||
Placebo | 899 ± 205 | 1103 ± 304* | 1416 ± 592* | 1485 ± 403* | 1446 ± 351* | 1351 ± 260* | < 0.001 |
Furosemide | 831 ± 124 | 6293 ± 684* | 3514 ± 881* | 1746 ± 602* | 1129 ± 323* | 905 ± 328 | |
P (GLM between) | < 0.001 |
GFR Glomerular filtration rate, urine output, CH2O free water clearance, u-Na/min urinary sodium excretion, FENa fractional excretion of sodium, u-Cl/min urinary chloride excretion and FEK fractional excretion of potassium, Urine was collected every 30 min in the 90 min baseline period, once after 60 min of hypertonic infusion, and every 30 min 90 min after hypertonic saline infusion and once 150 min after cessation of hypertonic saline infusion. Data from three baseline periods are pooled and shown as one period. Data are presented as means ± SD. Statistics are performed with a general linear model (GLM) or paired t-test. Difference from baseline: * = p < 0.05