Table 2.
Patients’ characteristics according to urine-concentrating features
Variables | Group 1 |
Group 2 |
P value group 1 vs. group 2 | Group 3 |
Group 4 |
P value group 3 vs. group 4 | P value all |
---|---|---|---|---|---|---|---|
ADH <5 pg/ml Max Uosm ≥ 600 mOsm/kgH2O |
ADH ≥5 pg/ml Max Uosm ≥ 600 mOsm/kgH2O |
ADH ≥5 pg/ml Max Uosm < 600 mOsm/kgH2O |
ADH <5 pg/ml Max Uosm < 600 mOsm/kgH2O |
||||
n | 63 | 65 | 54 | 12 | |||
Age, yrs | 50 [38–63] | 40 [31–58] | 0.03 | 60 [48–66] | 51 [41–57] | 0.05 | <0.001 |
Male sex, n (%) | 25 (39.7) | 27 (41.5) | 1 | 15 (27.8) | 4 (33.3) | 1 | 0.4 |
Lithium treatment duration, yrs | 3 [2–7] | 3 [1–7] | 0.4 | 18 [10–28] | 13 [4–17] | 0.06 | <0.001 |
Sustained-release formulation n (%) | 42 (68.9) | 50 (78.1) | 0.3 | 25 (46.3) | 8 (66.7) | 0.3 | 0.003 |
Daily dose, mg/d | 800 [500–1000] | 950 [750–1200] | <0.001 | 750 [500–1000] | 800 [575–1000] | 0.5 | 0.003 |
Serum lithemia, mmol/l | 0.65 [0.50–0.85] | 0.77 [0.64–0.87] | 0.04 | 0.72 [0.60–0.89] | 0.76 [0.60–0.88] | 0.8 | 0.2 |
24-hour urinary output, ml/d | 1812 [1471–2312] | 1558 [1337–2060] | 0.08 | 2883 [2022–3513] | 3026 [1755–3786] | 1 | <0.001 |
Fasting thirst score, 0–10 scale | 6 [4–7] | 6 [4–8] | 0.6 | 5 [3–7] | 5 [4–5] | 0.1 | 0.04 |
Fasting natremia, mmol/l | 141 [140–142] | 141 [140–142] | 0.9 | 143 [141–144] | 141 [141–142] | 0.1 | <0.001 |
Maximal Uosm, mOsm/kgH2O | 814 [709.50–898] | 826 [739–885] | 1 | 435 [318–516] | 541 [483–560] | 0.03 | <0.001 |
Plasma vasopressin, pg/ml | 3.39 [2.90–4.20] | 7.80 [5.80–12.50] | <0.001 | 10.55 [6.81–16.73] | 3.69 [2.48–4.38] | <0.001 | <0.001 |
Plasma copeptin, pmol/l | 8.12 [6.73–10.89] | 13.30 [9.92–19.25] | <0.001 | 25.87 [18.30–45.18] | 9.73 [3.04–16.80] | 0.03 | <0.001 |
mGFR, ml/min per 1.73 m2 | 78.0 [72.4–90.4] | 88.0 [76.8–94.2] | 0.1 | 54.4 [43.1–72.2] | 81.1 [58.6–89.4] | 0.02 | <0.001 |
ADH, antidiuretic hormone; mGFR, measured glomerular filtration rate; Q, quartile; Uosm, urine osmolality.
Data are expressed as median (Q1–Q3) or number (percentage). Comparisons were performed using Mann–Whitney test when 2 groups were compared and Kruskal–Wallis test when comparing all the groups for quantitative variables. χ2 test was performed for categorical variables.