Revista ABCd (São Paulo). 08 Feb, 2018

PREVALENCE AND RISK FACTORS OF HYPERKALEMIA AFTER LIVER TRANSPLANTATION 

Helem Sena RIBEIRO
Michelle Carvalho OLIVEIRA
Lucilene Rezende ANASTÁCIO
Simone Vasconcelos GENEROSO
Agnaldo Soares LIMA
Maria Isabel CORREIA
DOI: 10.1590/0102-672020180001e1357

Background:

There is a lack of data regarding hyperkalemia after liver transplantation.

Aim:

To evaluate the prevalence of hyperkalemia after liver transplantation and its associated factors.

Methods:

This retrospective cohort study evaluated 147 consecutive post-transplant patients who had at least one year of outpatient medical follow up. The data collection included gender, age, potassium values, urea, creatinine, sodium and medication use at 1, 6 and 12 months after. Hyperkalemia was defined as serum potassium concentrations higher than 5.5 mEq/l.

Results:

Hiperkalemia was observed in 18.4%, 17.0% and 6.1% of patients 1, 6 and 12 months after tranplantation, respectively. Older age (p=0.021), low creatinine clearance (p=0.007), increased urea (p=0.010) and hypernatremia (p=0.014) were factors associated with hyperkalemia, as well as the dose of prednisone at six months (p=0.014).

Conclusion:

Hyperkalemia was prevalent in less than 20% of patients in the 1st month after liver transplantation and decreased over time. Considering that hyperkalemia does not affect all patients, attention should be paid to the routine potassium intake recommendations, and treatment should be individualized.


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