Sumarsono et al evaluated the impact of hypochloremia on prognosis for a patient with decompensated cirrhosis. The authors are from UT Southwestern Medical Center, Parkland Memoiral Hospital, University of Texas Houston, and Cedar Sinai Medical Center Los Angeles.
Patient selection: decompensated cirrhosis
Electrolytes were measured on samples drawn between 12 hours before and on ICU admission.
Serum Chloride
Serum Sodium
90-Day Survival
>= 99 mmol/L
>= 135 mmol/L
76%
>= 99 mmol/L
< 135 mmol/L
70%
< 99 mmol/L
>= 135 mmol/L
62%
< 99 mmol/L
< 135 mmol/L
54%
Patients with hypochloremia had a higher MELD-Na score. A score > 22 was associated with a higher risk of mortality.
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