Evidence map›Paper›PMID 33830482›Full record

ArticleEuropean geriatric medicine2021

Prevalence of hypokalemia in older persons: results from the PolSenior national survey.

Marcin Adamczak, Jerzy Chudek, Jan Zejda, Magdalena Bartmańska, Tomasz Grodzicki, Tomasz Zdrojewski, Andrzej Wiecek

Open access · hybridAbstract read
In one paragraph

Article in European geriatric medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
2.2field-weighted citation impact, top 12% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 21 citations in OpenAlex.

  1. Review
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  6. Beta-lactam-associated hypokalemia.The Journal of international medical research · 2024
    Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 3 institutions in 1 country.

Marcin AdamczakDepartment of Nephrology, Transplantation and Internal Medicine, Medical University of Silesia in Katowice, Francuska Str. 20/24, 40-027, Katowice, Poland.ORCID http://orcid.org/0000-0002-0804-1718
Jerzy ChudekDepartment of Internal Diseases and Oncological Chemotherapy, Medical University of Silesia in Katowice, Katowice, Poland.ORCID http://orcid.org/0000-0002-6367-7794
Jan ZejdaDepartment of Epidemiology, Medical University of Silesia in Katowice, Katowice, Poland.ORCID http://orcid.org/0000-0002-1619-3463
Magdalena BartmańskaDepartment of Nephrology, Transplantation and Internal Medicine, Medical University of Silesia in Katowice, Francuska Str. 20/24, 40-027, Katowice, Poland. bartmanska.m@gmail.com.ORCID http://orcid.org/0000-0002-6306-0153
Tomasz GrodzickiDepartment of Internal Medicine and Gerontology, Jagiellonian University Medical College, Cracow, Poland.
Tomasz ZdrojewskiDepartment of Hypertension and Diabetology, Medical University of Gdansk, Gdansk, Poland.
Andrzej WiecekDepartment of Nephrology, Transplantation and Internal Medicine, Medical University of Silesia in Katowice, Francuska Str. 20/24, 40-027, Katowice, Poland.ORCID http://orcid.org/0000-0002-8625-4188
Medical University of Silesia · PLGdańsk Medical University · PLJagiellonian University · PL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeHypokalemia is one of the most common electrolyte disturbances in clinical practice. There are only a few epidemiological studies analyzing the occurrence of hypokalemia in older persons. The aim of the study was to determine the prevalence of hypokalemia in the Polish older population.

methodsSerum potassium concentration was estimated in 4654 participants (2270 females and 2384 males, mean age 76.5 [11.0] years), who participated in the PolSenior study. Hypokalemia was defined as serum potassium concentration below 3.5 mmol/L. Hypokalemia was found in 39 participants (0.84%) and was significantly more frequent among females (28 females = 1.23% and 11 males = 0.46%; p = 0.003). The prevalence of hypokalemia was not related to age. Among 3303 participants suffering from arterial hypertension, 1093 were treated with potassium-losing diuretics.

resultsHypokalemia was significantly more frequent among hypertensive than normotensive older participants (1.06 vs. 0.30% respectively; p = 0.007) and among hypertensive participants treated with potassium losing diuretics than ones untreated with these drugs (1.96 vs. 0.46% respectively; p < 0.001). In hypertensive participants, the prevalence of hypokalemia did not depend significantly on oral supplementation of potassium (1.92 and 0.98% respectively, NS). None of 81 participants using laxative agents presented hypokalemia.

conclusionsThis study demonstrates that: older age seems not to appear to be a significant risk factor of hypokalemia. Hypokalemia is more often found in the older hypertensive patients treated with potassium losing diuretics, and prevention of diuretic-induced hypokalemia with oral supplementation of potassium seems to be insufficient.

Indexed as

HypertensionHypokalemiaAgedAged, 80 and overDiureticsFemaleHumansMalePotassiumPrevalenceDiureticsPotassiumDiuretic therapyHypertensionHypokalemiaOlder personsPrevalence

Identifiers

PMID33830482
PMCPMC8463376
OpenAlexW3151613329

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.