Low Sodium To Potassium Ratio In Spot Urine Sample Is Associated With Progression To Acute Kidney In

Among patients admitted with decompensated cirrhosis, this prospective cohort study was performed to determine sodium to potassium ratio in spot urine samples (Na/K ur) and fractional excretion of sodium (FENa) in this patient group, as well as to assess its link with acute kidney injury (AKI) and prognosis. This analysis involved 225 adult individuals. Within 48 hours of hospitalization, urine samples were collected. Overall 32.9% of patients were found to have AKI at admission, which was identified to be related to lower Na/K ur ratio, but not FENa. AKI was detected in 44% of the patients exhibiting Na/K ur ratio < 1 and only in 8% when values ≥ 2. Among patients hospitalized for decompensated cirrhosis, findings revealed that progression to AKI and lower short-term survival were observed in relation to low Na/K ur ratio in spot urine sample.

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