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Serum-to-dialysate potassium gradient and its association with short-term outcomes in hemodialysis patients

Nephrology Dialysis Transplantation Jul 05, 2018

Brunelli SM, et al. - Given a high serum-to-dialysate potassium (K+) gradient at the start of dialysis leads to rapid lowering of serum K+ and may confer a greater risk of adverse events, researchers performed this retrospective (2010–11) event-based study to analyze the near-term association of K+ gradient with clinical outcomes. Study participants were adult Medicare Parts A and B enrollees who received in-center hemodialysis on a Monday/Wednesday/Friday schedule at a large US dialysis organization. Findings revealed an independent association of higher K+ gradient with greater risk of all-cause hospitalizations and Emergency Department visits.
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