Table 1.
Characteristics of the population
Variables | Overall | Treatment duration |
|||
---|---|---|---|---|---|
Tertile 1 <2.5 yr |
Tertile 2 2.5–10 yr |
Tertile 3 >10 yr |
|||
n | 217 | 68 | 70 | 79 | P value |
Age, yrs | 51 [37–62] | 38 [30–53] | 45 [36–58] | 60 [52–66] | <0.001 |
Male sex, n (%) | 83 (38) | 31 (46) | 25 (36) | 27 (34) | 0.3 |
Hypertension, n (%) | 56 (26) | 20 (29) | 17 (25) | 19 (24) | 0.7 |
BMI, kg/m2 | 26 [23–29] | 26 [23–28] | 26 [23–30] | 26 [23–29] | 0.6 |
Lithium treatment duration, yrs | 5 [2–14] | 1 [0.5–2] | 4 [3–6] | 18 [13–26] | <0.001 |
Sustained-release formulation | 139 (65) | 49 (74) | 48 (71) | 42 (53) | 0.02 |
Lithium daily dose, mg/d | 800 [575–1000] | 1000 [688–1200] | 800 [500–1000] | 750 [500–888] | 0.004 |
Serum lithemia, mmol/l | 0.7 [0.6–0.9] | 0.8 [0.6–0.9] | 0.7 [0.6–0.8] | 0.7 [0.6–0.9] | 0.8 |
24-hour urine output, ml/d | 1932 [1448–2835] | 1662 [1227–2238] | 1765 [1460–2443] | 2516 [1794–3265] | <0.001 |
Polyuria >3 l/d | 46 (21.4) | 9 (13) | 12 (17) | 25 (32) | 0.01 |
24-hour osmolar intake, mOsm/24 h | 659 [516–847] | 645 [506–887] | 669 [507–837] | 663 [551–829] | 1 |
Fasting thirst score, on a 0–10 scale | 5 [4–7] | 6 [4–7] | 5 [4–7] | 5.00 [4.00, 7.00] | 0.3 |
Fasting natremia, mmol/l | 141 [140–142] | 141 [140–141] | 141 [140–142] | 142 [141–144] | <0.001 |
Fasting Uosm, mOsm/kgH2O | 578 [408–719] | 689 [545–757] | 621 [500–737] | 406 [295–562] | <0.001 |
Maximal Uosm, mOsm/kgH2O | 716 [547–853] | 823 [706–898] | 789 [636–870] | 529 [385–683] | <0.001 |
Plasma copeptin, pmol/l | 13 [8–23] | 11 [8–16] | 11 [7–14] | 24 [14–42] | <0.001 |
Plasma vasopressin, pg/ml | 5.8 [3.9–10.3] | 5 [3.3–7.8] | 5.7 [3.9–8.5] | 7.7 [4.6–13.5] | 0.005 |
mGFR, ml/min per 1.73 m2 | 78 [63–90] | 88 [76–96] | 84 [71–94] | 63 [46–77] | <0.001 |
Renal microcysts, n (%) | N = 99 | <0.001 | |||
0 | 49 (50) | 19 (76) | 23 (74) | 7 (16) | |
1–10 | 30 (30) | 6 (24) | 8 (26) | 16 (37) | |
11–50 | 10 (10) | 0 (0) | 0 (0) | 10 (23) | |
>50 | 10 (10) | 0 (0) | 0 (0) | 10 (23) |
BMI, body mass index; mGFR, measured glomerular filtration rate; Q, quartile; Uosm, urine osmolality.
Data are expressed as median (Q1–Q3) or n (%). Comparisons were performed using Kruskal–Wallis test or χ2 test.