Table 1

Factors associated with true hyperkalaemia*

TotalTrue hyperkalaemia (K>5.5)Normal (K<=5.5)P-value
Total1575 (100.0)213 (13.5)1362 (86.5)
Gender0.536
 Female837 (53.1)109 (13)728 (87)
 Male738 (46.9)104 (14.1)634 (85.9)
Age (year), median (IQR)67 (60–75)70 (63–77.5)67 (59–75)<0.001
BMI (kg/m2), median (IQR)24.5 (22–27.5)24.1 (22–27.7)24.5 (22–27.4)0.682
eGFR (ml/min/m2), median (IQR)73.3 (48.7–92.5)54.4 (35–82.1)75.9 (51.4–94)<0.001
Level of eGFR<0.001
 <30147 (9.3)38 (25.9)109 (74.1)
 30–59448 (28.4)90 (20.1)358 (79.9)
 60–89530 (33.7)51 (9.6)479 (90.4)
 ≥90450 (28.6)34 (7.6)416 (92.4)
On ARB0.069
 Yes436 (27.7)70 (16.1)366 (83.9)
 No1139 (72.3)143 (12.6)996 (87.4)
On ACE-i0.001
 Yes366 (23.2)68 (18.6)298 (81.4)
 No1209 (76.8)145 (12)1064 (88)
On spironolactone0.668
 Yes31 (2)5 (16.1)26 (83.9)
 No1544 (98)208 (13.5)1336 (86.5)
On potassium chloride>0.999
 Yes22 (1.4)3 (13.6)19 (86.4)
 No1553 (98.6)210 (13.5)1343 (86.5)
On potassium citrate>0.999
 Yes1 (0.1)0 (0)1 (100)
 No1574 (99.9)213 (13.5)1361 (86.5)
On NSAIDs0.311
 Yes19 (1.2)4 (21.1)15 (78.9)
 No1556 (98.8)209 (13.4)1347 (86.6)
On ACE-i and NSAIDs0.517
 Yes5 (0.3)1 (20)4 (80)
 No1570 (99.7)212 (13.5)1358 (86.5)
On ARB and NSAIDs0.421
 Yes14 (0.9)3 (21.4)11 (78.6)
 No1561 (99.1)210 (13.5)1351 (86.5)
  • Significant P values of <0.05 are bolded

  • *True hyperkalaemia refers to all repeat non-haemolysed potassium of >5.5, who are not on SPS.

  • ACE-i, Angiotensin-Converting Enzyme-inhibitors; ARB, Angiotensin receptor blockers; BMI, body mass index; eGFR, estimated Glomerular Filtration Rate; NSAIDs, non-steroidal anti-inflammatory drugs; SPS, sodium polystyrene sulfonate.