TY  - JOUR
TI  - Short-Term Prognosis of Patients with Hyperpotassemia in the 
Emergency Department
AB  - Aim: Although hyperkalemia is a common encountered electrolyte disorder in the emergency room, there is little information in the literature 
regarding its clinical results. In this study, the short-term prognoses of patients who applied to the emergency department for any reason and 
were found to have hyperkalemia were investigated.
Materials and Methods: This retrospective cohort study was carried out in a tertiary care university hospital emergency department by using 
the data provided by a hospital information management system (HIMS) in a year period. The 1st week and 28th day survivals of the patients 
who applied to the emergency department for any reason and were found to have hyperpotassemia (K >5.11 mg/dL) were evaluated. The 
relationship between potassium values at the first admission of patients with hyperkalemia and hospitalization or intensive care admissions, 
age, gender, hemodialysis needs, chronic kidney disease (CKD) and acute kidney injury (AKI), and survival were investigated.
Results: In the study, the results of 18,582 serum potassium samples were evaluated. Among the 2,715 hyperkalemia samples, 532 (19.5%) 
false potassium elevations and 363 (9%) repeat patients were measured. These samples were excluded from evaluation. Information of seven 
patients could not be reached and they were excluded from the study. Hyperpotassemia results of 1934 patients were included in the final 
analysis. It was found that 130 (6.7%) of the patients died within seven days, and 245 (12.7%) died within 28 days. In the study, 7-day and 28-
day day mortality of patients who developed AKI, needed hemodialysis, who were hospitalized or located in intensive care unit were found to 
be significantly higher (p<0.001 for each). There was no statistical difference at 7th and 28th days between patients with CKD and those without 
CKD. It was found that AKI for patients, hyperpotassemia was associated with hospitalization, death and hemodialysis.
Conclusion: Patients with hyperkalemia accompanying AKI carry a risk in terms of mortality and other adverse prognoses. This risk has been 
found to be weaker in CKD. Hyperkalemia creates a serious risk even in hyperpotassemia close to normal value
AU  - Eray, Oktay
AU  - yildirim, recep
AU  - Günsoy, Ertuğ
DO  - 10.4274/eajem.galenos.2021.60243
PY  - 2022
JO  - Eurasian Journal of Emergency Medicine
VL  - 21
IS  - 2
SN  - 2149-5807
SP  - 100
EP  - 105
DB  - TRDizin
UR  - http://search/yayin/detay/531523
ER  -