Evidence map›Paper›PMID 34686091›Full record

Trial reportThe Journal of international medical research2021

Effect of dynamic stratified potassium supplementation in elderly patients with chronic heart failure and moderate to severe hypokalaemia-a randomised, controlled trial.

Tuokang Zheng, Jia Wang, Qingbing Meng, Rui Zhang, Yu Ma, Yanling Dong, Yingli Jin, Hengbo Gao, Dongqi Yao, Yingping Tian

Open access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in The Journal of international medical research, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact, top 80% 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

0 citing papers in PubMed, 1 citations in OpenAlex.

No citing paper in PubMed yet.

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

10 authors at 2 institutions in 1 country.

Tuokang ZhengEmergency Department, 71213Second Hospital of Hebei Medical University, Second Hospital of Hebei Medical University, Xinhua District, Shijiazhuang, Hebei, China.ORCID https://orcid.org/0000-0002-2299-2683
Jia WangEmergency Department, The First Affiliated Hospital of Hebei North University, Zhangjiakou, Hebei, China.
Qingbing MengEmergency Department, 71213Second Hospital of Hebei Medical University, Second Hospital of Hebei Medical University, Xinhua District, Shijiazhuang, Hebei, China.
Rui ZhangEmergency Department, 71213Second Hospital of Hebei Medical University, Second Hospital of Hebei Medical University, Xinhua District, Shijiazhuang, Hebei, China.
Yu MaEmergency Department, 71213Second Hospital of Hebei Medical University, Second Hospital of Hebei Medical University, Xinhua District, Shijiazhuang, Hebei, China.
Yanling DongEmergency Department, 71213Second Hospital of Hebei Medical University, Second Hospital of Hebei Medical University, Xinhua District, Shijiazhuang, Hebei, China.
Yingli JinEmergency Department, 71213Second Hospital of Hebei Medical University, Second Hospital of Hebei Medical University, Xinhua District, Shijiazhuang, Hebei, China.
Hengbo GaoEmergency Department, 71213Second Hospital of Hebei Medical University, Second Hospital of Hebei Medical University, Xinhua District, Shijiazhuang, Hebei, China.
Dongqi YaoEmergency Department, 71213Second Hospital of Hebei Medical University, Second Hospital of Hebei Medical University, Xinhua District, Shijiazhuang, Hebei, China.
Yingping TianEmergency Department, 71213Second Hospital of Hebei Medical University, Second Hospital of Hebei Medical University, Xinhua District, Shijiazhuang, Hebei, China.ORCID https://orcid.org/0000-0002-0301-1712
Hebei Medical University · CNHebei North University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo compare the effectiveness of dynamic stratified potassium supplementation at high concentrations with enteral potassium supplementation in older patients with chronic heart failure and moderate to severe hypokalaemia.

methodsWe performed a single-centre, short-term, randomised, controlled, open-labelled, clinical trial, and patients were randomly allocated to the control or intervention group. The intervention group received intermittent infusions of 30 mmol/100 mL potassium chloride. In the control group, 10% potassium chloride was administered orally in a bolus dose. Short-term efficacy and adverse events were compared.

resultsThe intervention group received less potassium than that in the control group. T-wave normalisation and U-wave disappearance occurred sooner in the intervention group than in the control group after potassium supplementation. The rate of increase in potassium concentrations gradually became similar in both groups. The initial blood potassium concentration, method of potassium supplementation, potassium supplement dose, and 24-hour urinary potassium excretion significantly affected the rate of increase in blood potassium concentrations after supplementation.

conclusionsThe efficacy of enteral potassium supplementation is equivalent to that of supplementation with high intravenous potassium concentrations in elderly patients with chronic heart failure and moderate to severe hypokalaemia. High intravenous potassium concentrations may lead to a superior potassium recovery rate.

Indexed as

Heart FailureHypokalemiaAgedChronic DiseaseDietary SupplementsHumansPotassiumPotassiumchronic heart failureelderly patienthypokalaemiaPotassium supplementsupplementationT wave

Identifiers

PMID34686091
PMCPMC8544776
OpenAlexW3205036435

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

None linked

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.