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09 October 2023 : Clinical Research  

A New Predictive Equation for Estimating Serum Ionized Calcium Levels in Patients on Chronic Hemodialysis

Wei-Li Hung1CE, Chi-Feng Huang23DE, Ming-Hsien Tsai45BC, Hung-Hsiang Liou6AC, Pei-Yang Liu7F, Yu-Wei Fang45AEG*

DOI: 10.12659/MSM.941321

Med Sci Monit 2023; 29:e941321

Table 3 Determinants of the serum ionized calcium level in patients on chronic hemodialysis.

ParameterCrudeMultivariable
β (95% CI)Pβ (95% CI)P
Age (per 1 years)0.001 (−0.003, 0.005)0.578
Males [vs female]−0.133 (−0.043, −0.223)0.004
Kt/V (per 1 unit)0.484 (0.260, 0.708)<0.001
Blood nitrogen (per 1 mg/dL)0.001 (−0.002, 0.003)0.7840.002 (0.001, 0.003)0.001
Creatinine (per 1 mg/dL)−0.019 (−0.037, −0.001)0.040−0.019 (−0.028, −0.008)<0.001
Sodium (per 1 mEq/L)0.014 (−0.001, 0.028)0.061
Potassium (per 1 mEq/L)0.054 (−0.015, 0.123)0.125
Calcium (per 1 mg/dL)0.438 (0.413, 0.464)<0.0010.487 (0.465, 0.509)<0.001
Phosphate (per 1 mg/dL)−0.023 (−0.058, −0.012)0.192−0.034 (−0.052. −0.016)<0.001
Albumin level (per 1 g/dL)−0.044 (−0.157, 0.069)0.445−0.327 (−0.386, −0.268)<0.001
Ln (Triglyceride) (per 1 unit)−0.037 (−0.112, 0.038)0.330
Total cholesterol (per 1 mg/dL)0.001 (0.001, 0.002)0.036
Hemoglobin (per 1 g/dL)−0.001 (−0.034, 0.312)0.944
Alk-P (per 1 U/L)0.001 (−0.001, 0.002)0.210
ALT (per 1 U/L)−0.002 (−0.007, 0.004)0.489
AST (per 1 U/L)0.001 (−0.005, 0.006)0.902
Iron (per 1 g/dL)−0.001 (−0.002, 0.001)0.538
Ln (Ferritin) (per 1 unit)0.086 (0.041, 0.131)<0.001
Transferrin saturation (per 1%)0.001 (−0.004, 0.004)0.978
CI – confidence interval; Kt/V – urea kinetics; Ln – natural log transformation; Alk-P – alkaline phosphatase; ALT – alanine aminotransferase; AST – aspartate aminotransferase.

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Medical Science Monitor eISSN: 1643-3750
Medical Science Monitor eISSN: 1643-3750