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Table 1 Demographic and clinical variables and outcome of patients classified by serum chloride status

From: Hyperchloremia and moderate increase in serum chloride are associated with acute kidney injury in severe sepsis and septic shock patients

Variable

Hyperchloremia

N = 98

No hyperchloremia

N = 142

p

Demographics

 Age, yr, mean ± SD

57.5 ± 15.1

52.9 ± 18.4

0.05

 Male, %

46.9

55.6

0.38

Underlying diseases

 Hypertension, %

36.7

28.2

0.074

 Ischemic heart disease, %

6.1

5.6

0.65

 CHF, %

4.1

8.5

0.10

 DM, %

21.4

21.1

0.71

 COPD, %

21.4

18.3

0.086

 Cirrhosis, %

7.1

4.9

0.082

 Malignancy, %

4.1

5.6

0.20

 HIV, %

11.2

9.2

0.56

 Chronic steroid treatment, %

5.1

6.3

0.91

Clinical parameters at presentation

 MAP, mean ± SD

85 ± 21

89 ± 17

0.12

 HR, mean ± SD

104 ± 22

96 ± 21

0.003a

 Lactate, mean ± SD

2.9 ± 2.8

2.5 ± 2.4

0.29

 Creatinine(mg/dL), median (IQR)

1.0 (0.7-1.4)

0.9 (0.4-1.4)

0.49

 APACHE II score, mean ± SD

11.3 ± 5.0

7.8 ± 5.4

<0.001a

Clinical parameters at 24 hr

 Vasopressor, %

31

11

<0.001a

 Mechanical ventilator, %

64

32

<0.001a

 Fluid intake, mean ± SD

4959 ± 3,417

4691 ± 2,341

0.71

 Urine output, mean ± SD

2416 ± 1,146

2554 ± 1,463

0.644

Chloride parameters

 Initial chloride ([Cl-]0), mean ± SD

104.3 ± 7.7

103.7 ± 4.6

0.51

 Maximal Cl in 48 hours ([Cl-]max)

104.4 ± 3.7

114.4 ± 3.6

<0.001a

 Increase in serum Cl (Δ[Cl-])

3.2 ± 4.2

6.1 ± 5.0

<0.001a

Clinical outcome

 AKI, %

85.7

47.9

<0.001a

 RRT, %

7.1

3.5

0.206

 28-day mortality, %

6.1

1.4

0.066

  1. SD standard deviation, CHF congestive heart failure, DM diabetes mellitus, COPD chronic obstructive pulmonary disease, HIV human immunodeficiency virus, MAP mean arterial pressure, HR heart rate, IQR interquartile rate, APACHE Acute Physiology and Chronic Health Evaluation, [Cl - ] 0 initial chloride concentration, [Cl - ] max maximal chloride concentration in the first 48 hours, Δ[Cl - ] increase in serum chloride; AKI acute kidney injury, RRT renal replacement therapy
  2. aIndicates statistical significance, p < 0.05