Table 1 Baseline characteristics in patients with apparent hypocalcemia, hidden hypocalcemia, and normocalcemia.

From: Hidden Hypocalcemia as a Risk Factor for Cardiovascular Events and All-Cause Mortality among Patients Undergoing Incident Hemodialysis

Baseline characteristics

Apparent hypocalcemia N = 97

Hidden hypocalcemia N = 152

Normocalcemia N = 78

Apparent vs. Hidden

ANOVA/ Fisher’s exact test

Ionized calcium (mmol/L)

0.92 ± 0.12

1.07 ± 0.05

1.20 ± 0.04

<0.001

<0.001

Corrected calcium (mg/dL)

7.6 ± 0.6

8.9 ± 0.3

9.3 ± 0.5

<0.001

<0.001

Age (years)

61 ± 15

67 ± 13

62 ± 16

0.001

0.001

Male (%)

73

73

62

1.00

0.16

eGFR (ml/min/1.73 m2)

4.7 ± 1.6

5.2 ± 1.6

5.4 ± 2.3

0.02

0.04

Body mass index

24.5 ± 4.5

22.5 ± 3.7

23.1 ± 6.5

<0.001

0.01

Comorbidities

     

   Diabetes (%)

37

49

33

0.09

0.05

   Coronary artery disease (%)

3

9

10

0.07

0.10

   Heart failure (%)

4

11

14

0.09

0.06

   Pacemaker implantation

2

1

1

0.64

0.86

   Peripheral artery disease (%)

6

3

6

0.35

0.41

   Cerebrovascular infarction (%)

4

11

12

0.09

0.12

Phosphorus (mg/dL)

6.6 ± 1.9

5.5 ± 1.4

5.2 ± 1.6

<0.001

<0.001

Alkaline phosphates (IU/L)

249 (177, 305)

219 (179, 298)

222 (171, 270)

0.62

0.18

Intact PTH (pg/mL)

355 (246, 551)

273 (188, 372)

174 (72, 296)

<0.001

<0.001

Albumin (g/dL)

3.1 ± 0.6

2.9 ± 0.6

3.3 ± 0.5

0.003

<0.001

CRP (mg/dL)

0.17 (0.05, 0.82)

0.12 (0.02, 0.89)

0.06 (0.02, 0.21)

0.55

<0.001

pH

7.37 ± 0.05

7.40 ± 0.05

7.38 ± 0.05

<0.001

<0.001

HCO3- (mmol/L)

20.2 ± 4.1

23.0 ± 4.4

21.5 ± 4.4

<0.001

<0.001

Prescription

     

   VDRA (%)

25

32

46

0.26

0.01

   Calcium bycarbonate (%)

63

41

62

0.001

0.001

  1. Data are presented as mean ± SD, medians (interquartile ranges), or percentages. Group definitions: apparent hypocalcemia, low ionized calcium (<1.15 mmol/L), and low corrected calcium (<8.4 mg/dL); hidden hypocalcemia, low ionized calcium (<1.15 mmol/L), and normal or high corrected calcium (≥8.4 mg/dL); normocalcemia, normal ionized calcium (1.15–1.29 mmol/L).
  2. Abbreviations: eGFR, estimated glomerular filtration rate; PTH, parathyroid hormone; CRP, C-reactive protein; VDRA, vitamin D receptor activator.