Table 1.
Normokalemia (n = 212) | Mild hypokalemia (n = 76) | Severe hypokalemia (n = 18) |
p-Valuesb |
||||
---|---|---|---|---|---|---|---|
p1 | p2 | p3 | p4 | ||||
Demographics | |||||||
Age (median), years | 64.0 (46.8–77.0) | 65.0 (58.3–75.0) | 73.5 (53.5–80.0) | 0.266 | 0.448 | 0.241 | 0.123 |
Comorbidities | |||||||
Hypertension, % | 46.2 | 57.9 | 50.0 | 0.085 | 0.544 | 0.756 | 0.100 |
ARA2/ACEI, % | 28.6 | 36.8 | 22.2 | 0.181 | 0.239 | 0.565 | 0.337 |
Diabetes, % | 21.4 | 22.4 | 22.2 | 0.900 | 0.989 | 0.937 | 0.859 |
Obesity, % | 38.3 | 31.0 | 17.6 | 0.376 | 0.273 | 0.091 | 0.108 |
Cardiovascular disease, % | 13.8 | 9.2 | 16.7 | 0.266 | 0.356 | 0.738 | 0.445 |
Charlson comorbidity index ≥3, % | 49.0 | 59.2 | 77.8 | 0.129 | 0.143 | 0.019* | 0.027* |
Clinical presentation | |||||||
Clinical duration, daysc | 7.0 (4.0–11.0) | 5.5 (3.0–8.0) | 3.0 (1.0–7.5) | 0.513 | 0.098 | 0.029* | 0.088 |
Fever, % | 72.1 | 76.3 | 55.6 | 0.409 | 0.077 | 0.138 | 0.968 |
Dry cough, % | 64.9 | 57.9 | 29.4 | 0.450 | 0.033* | 0.004* | 0.045* |
Dyspnea, % | 57.2 | 48.7 | 38.9 | 0.253 | 0.454 | 0.133 | 0.093 |
Diarrhea, % | 24.0 | 28.0 | 22.2 | 0.450 | 0.620 | 0.864 | 0.597 |
Confusion, % | 11.2 | 14.7 | 22.2 | 0.511 | 0.434 | 0.170 | 0.239 |
Fatigue, % | 39.9 | 43.2 | 35.3 | 0.565 | 0.549 | 0.709 | 0.765 |
Myalgia/arthralgia, % | 29.7 | 21.6 | 11.8 | 0.244 | 0.358 | 0.115 | 0.075 |
Anosmia/dysgeusia, % | 13.6 | 11.0 | 5.9 | 0.627 | 0.530 | 0.362 | 0.387 |
Initial assessment | |||||||
Oximetry on room air (%) | 95.0 (92.0–97.0) | 94.0 (91.0–97.0) | 94.5 (90.5–96.8) | 0.195 | 0.604 | 0.889 | 0.227 |
PaO2:FiO2 | 333.3 (276.1–400.0) | 324.4 (277.3–371.4) | 323.0 (276.0–407.0) | 0.665 | 0.684 | 0.494 | 0.456 |
Respiratory rate, breaths/min | 18.0 (16.0–24.0) | 18.0 (15.3–25.0) | 17.0 (16.0–27.0) | 0.775 | 0.848 | 0.890 | 0.862 |
Systolic BP, mmHg | 130.0 (115.8–141.3) | 126.0 (108.5–153.5) | 132.0 (115.3–159.0) | 0.903 | 0.408 | 0.272 | 0.493 |
Diastolic BP, mmHg | 78.5 (68.0–89.0) | 73.0 (64.0–84.0) | 81.5 (72.8–91.5) | 0.032* | 0.059 | 0.317 | 0.170 |
Heart rate, beats/min | 94.0 (80.0–106.0) | 94.0 (83.0–103.0) | 96.5 (79.8–106.5) | 0.665 | 0.628 | 0.817 | 0.766 |
CURB65 | 1.0 (0.0–2.0) | 1.0 (0.0–3.0) | 2.0 (0.3–2.8) | 0.069 | 0.924 | 0.258 | 0.045* |
eGFR, ml/min/m2 | 83.0 (56.2–90.0) | 78.7 (53.6–90.0) | 76.1 (37.5–90.0) | 0.972 | 0.335 | 0.293 | 0.586 |
eGFR <60 mL/min/m2, % | 26.8 | 28.9 | 47.1 | 0.891 | 0.149 | 0.075 | 0.331 |
Lymphocytes, 109 cells/liter | 1.09 (0.79–1.41) | 0.88 (0.64–1.31) | 1.08 (0.49–1.54) | 0.025* | 0.758 | 0.478 | 0.018* |
C-reactive protein, mg/dl | 5.7 (2.5–11.9) | 7.7 (2.9–14.4) | 7.8 (2.0–15.2) | 0.256 | 0.931 | 0.623 | 0.231 |
Procalcitonin, ng/mL | 0.10 (0.05–0.18) | 0.13 (0.06–0.20) | 0.22 (0.06–0.36) | 0.240 | 0.327 | 0.129 | 0.075 |
Ferritin, mg/l | 618.0 (293.0–1184.0) | 961.0 (470.3–1442.5) | 796.5 (353.5–2935.0) | 0.008* | 0.905 | 0.160 | 0.002* |
Interleukin 6, pg/mL | 21.50 (9.25–46.75) | 47.0 (18.50–69.75) | 28.0 (4.50–105.50) | 0.001* | 0.824 | 0.358 | 0.002* |
Lactate dehydrogenase, U/l | 269.0 (218.0–360.0) | 274.0 (238.0–371.0) | 265.0 (240.0–413.0) | 0.218 | 0.971 | 0.686 | 0.198 |
D-dimer, mg/mL | 0.59 (0.39–1.20) | 0.75 (0.46–1.52) | 0.85 (0.62–2.73) | 0.198 | 0.287 | 0.051 | 0.046* |
Troponin T, ng/l | 9.0 (6.0–20.5) | 11.5 (7.0–22.8) | 27.0 (11.0–55.0) | 0.384 | 0.025* | 0.005* | 0.033* |
Brain natriuretic peptide, pg/mL | 133.0 (30.8–693.0) | 176.0 (48.0–905.0) | 1502.0 (81.0–2964.0) | 0.312 | 0.072 | 0.014* | 0.040* |
Creatine phosphokinase, U/l | 78.0 (51.0–143.5) | 87.5 (63.0–144.3) | 108.5 (34.3–449.5) | 0.422 | 0.715 | 0.597 | 0.317 |
Opacities >50% of lung surface on X-ray, % | 24.7 | 19.4 | 18.8 | 0.438 | 0.953 | 0.592 | 0.327 |
ARA2/ACEI, angiotensin II receptor antagonists/angiotensin-converting enzyme inhibitors; BP, blood pressure; eGFR, estimated glomerular filtration rate. Data shown as % or median (interquartile range), unless specified otherwise. *p < 0.05, statistically significant difference.
Severe hypokalemia (K+ <3 mmol/l), mild hypokalemia (K+ 3–3.5 mmol/l), and normokalemia (K+ >3.5 mmol/l). Hypokalemia was defined as K+ ≤3.5 mmol/l (i.e., severe hypokalemia plus mild hypokalemia).
The Mann–Whitney U-test and Chi-square test were used for group comparisons: p1, mild hypokalemia vs normokalemia; p2, mild hypokalemia vs severe hypokalemia; p3, severe hypokalemia vs normokalemia; p4, hypokalemia vs normokalemia.
Days of symptoms before admission.