Sumarsono et al correlated the serum chloride with 180-day mortality for a patient in the intensive care unit with decompensated cirrhosis. The authors are from UT Southwestern Medical Center, Parkland Memorial Hospital, Children's Health System of Texas, and Cedar Sinai Medical Center in Los Angeles.
Patient selection: critically-ill with decompensated cirrhosis
A patient with hypochloremia will have a greater 180-day mortality compared to a patient with a normal serum chloride.
Serum Sodium
Serum Chloride
180 Day Survival
>= 135 mmol/L
>= 99 mmol/L
73%
>= 135 mmol/L
< 99 mmol/L
65%
< 135 mmol/L
>= 99 mmol/L
56%
< 135 mmol/L
< 99 mmol/L
50%
where:
• The normal reference range for serum chloride in adults in 98 to 107 mmol/L.
• The normal reference range for serum sodium in adults is 136 to 145 mmol/L.
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