Table 4 Effects of various risk factors on hyperkalemia occurrence in 3,732 infants who were born at 32–36 gestational weeks.

From: Synergic interaction between ritodrine and magnesium sulfate on the occurrence of critical neonatal hyperkalemia: A Japanese nationwide retrospective cohort study

Risk factorsa

Univariate analysis

Multivariable analysisb

Crude odds ratio (95% CI)

P-value

Adjusted odds ratio (95% CI)

P-value

Combination of MgSO4 and ritodrine

   MgSO4 alone vs. no usage

0.87

(0.47–1.61)

0.654

0.63

(0.33–1.20)

0.155

   Ritodrine alone vs. no usage

1.19

(0.90–1.59)

0.224

1.20

(0.89–1.62)

0.231

   Both MgSO4 and ritodrine vs. no usage

1.78

(1.29–2.45)

<0.001

1.53

(1.09–2.15)

0.015

Obstetrical complications

   pPROM

0.78

(0.58–1.04)

0.085

0.78

(0.57–1.07)

0.118

   GH/PE/eclampsia/HELLP/AFLP

1.21

(0.89–1.65)

0.232

1.37

(0.96–1.96)

0.085

   Placental abruption

0.60

(0.26–1.38)

0.233

0.46

(0.19–1.09)

0.076

   Placenta previa/Low lying placenta

1.33

(0.85–2.09)

0.210

1.24

(0.76–2.02)

0.389

   DM

0.64

(0.15–2.65)

0.535

0.85

(0.20–3.56)

0.818

   GDM

1.53

(0.94–2.47)

0.085

1.63

(0.998–2.67)

0.051

Cesarean section

1.13

(0.87–1.47)

0.354

0.96

(0.71–1.31)

0.798

Delivery at <35 wk

1.45

(1.14–1.85)

0.003

1.46

(1.13–1.88)

0.004

Twins/triplets

1.15

(0.88–1.49)

0.303

1.11

(0.82–1.50)

0.501

Sex: male

0.91

(0.71–1.16)

0.994

0.92

(0.72–1.18)

0.511

SGA infants

0.88

(0.61–1.27)

0.496

0.87

(0.59–1.28)

0.477

Large-for-gestational-age infants

0.37

(0.05–2.68)

0.323

0.35

(0.05–2.61)

0.306

Apgar score at 1 min < 3

2.01

(1.21–3.36)

0.008

2.21

(1.29–3.81)

0.004

  1. Abbreviations: CI, confidence interval; MgSO4, magnesium sulfate; pPROM, preterm premature rupture of the membranes; GH, gestational hypertension; PE, preeclampsia; HELLP, hemolysis, elevated liver enzymes, and low platelets; AFLP, acute fatty liver of pregnancy; DM, diabetes mellitus; GDM, gestational diabetes mellitus; wk, gestational weeks; SGA, small-for-gestational-age; min, minute.
  2. This analysis was performed using “Hyperkalemia set”.
  3. aRisk factors were determined based on both clinical relevance and univariate analysis as follows: combination of MgSO4 and ritodrine, obstetrical complications, cesarean section, delivery at <35 wk, twins/triplets, infantile sex, SGA infants, large-for-gestational-age infants, and Apgar score at 1 min <3.
  4. bMultivariable analyses were performed using all the risk factors using the univariate analyses. However, birthweight was not used as a risk factor due to the close relationship with gestational weeks. In addition, the obstetric complication of TPL/shortened CL/CI was not used as a risk factor because either ritodrine or MgSO4 was commonly used under these conditions. Excluding 40 patients with missing data for 14 variables, a total of 3,692 patients underwent multivariable analysis. abbreviations: TPL, threatened preterm labor; CL, cervical length; CI, cervical incompetency.