Table 2. Association of Sodium Polystyrene Sulfonate Use vs Nonuse With Hospitalization or Emergency Department Visit for an Adverse Gastrointestinal Event Within 30 Days.
Variable | No. of Events (% Total) | Time to Event, Median (IQR), d | Incidence Rate (95% CI) per 1000 Person-Years | HR (95% CI) |
---|---|---|---|---|
Total Cohort (27 704 With Use and 1 826 162 With Nonuse) | ||||
Use | 63 (0.2) | 12 (6.2) | 28.33 (21.33-35.32) | 5.61 (4.34-7.26) |
Nonuse | 756 (0.04) | 16 (9.2) | 5.05 (4.69-5.41) | |
Matched Cohort (20 020 With Use and 20 020 With Nonuse)a | ||||
Use | 37 (0.2) | 12 (8.2) | 22.97 (15.57-30.37) | 1.94 (1.10-3.41) |
Nonuse | 18 (0.1) | 14 (3.2) | 11.01 (5.92-16.09) | |
Matched With Laboratory Values (7557 With Use and 18 492 With Nonuse)b | ||||
Use | 15 (0.2) | 12 (6.2) | 24.54 (12.11-36.95) | 2.91 (1.38-6.12) |
Nonuse | 13 (0.1) | 8 (4.2) | 8.59 (3.92-13.26) |
Abbreviations: HR, hazard ratio; IQR, interquartile range.
SI conversion factor: To convert potassium level to millimoles per liter, multiply by 1.0.
Matched (greedy algorithm, without replacement) 1:1 to individuals without use on the logit of the high-dimensional propensity score (±0.2 of the standard deviation) and the following: age, sex, diabetes, congestive heart failure, prior acute kidney injury, chronic dialysis, history of hyperkalemia, previous nephrologist visit, medication use (β-blocker or renin-angiotensin-aldosterone system blockade), and index date (within 1 year). Additional adjustment was for place of residence.
Matched (greedy algorithm, without replacement) 1:4 to individuals without use on the logit of the high-dimensional propensity score (±0.2 of the standard deviation) and the following: baseline estimated glomerular filtration rate (<15, 15-29, 30-44, 45-59, 60-89, or ≥90 mL/min/1.73 m2), baseline serum potassium level (<5 or ≥5 mEq/L), age, sex, diabetes, congestive heart failure, prior acute kidney injury, chronic dialysis, medication use (renin-angiotensin-aldosterone system blockade or low-molecular weight heparin), and index date (within 1 year). Additional adjustment was for place of residence.