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. 2024 Aug 21;14:1387181. doi: 10.3389/fonc.2024.1387181

Table 2B.

Univariate and multivariate Cox analyses: platelet engraftment at day 30 post-HCT.

Risk factors Univariate Multivariate
Hazard ratio (95% CI) p Hazard ratio (95% CI) p
DSA
pos vs neg
0.40 (0.22-0.72) 0.02 0.43 (0.23-0.82) 0.01
Disease
MFI vs AL
0.52 (0.32-0.82) 0.005 0.62 (0.34-1.11) 0.11
Conditioning
RIC vs ABL
0.7 (0.50-0.97) 0.03 0.89 (0.56-1.41) 0.6
Stem cell source
PBSC vs others
0.52 (0.19-1.40) 0.19
Disease status at transplant
no CR vs CR
0.52 (0.42-0.77) 0.0004 0.58 (0.38-0.90) 0.01
Donor
SIB vs UD
SIB vs Haplo
0.66 (0.38-1.17)
0.4 (0.27-0.71)
0.1
0.0009
1.10 (0.71-1.70)
0.70 (0.42-1.16)
0.65
0.17
CD34+ cell
continuous
1.14 1.076-1.20) <0.0001 1.17 (1.10-1.24) <0.0001
Age
continuous
0.9 (0.5-0.9) <0.0001 0.97 (0.96-0.99) <0.0001
Recipient sex
Female vs male
0.93 (0.62-1.39) 0.7 - -
GvHD prophylaxis
PTCY vs others
0.78 (0.25-2.46) 0.67 - -

MFI, myelofibrosis; AL, acute leukemia; RIC, reduced intensity conditioning regimen; ABL, myeloablative conditioning regimen; PBSC, peripheral blood stem cells; SIB, sibling donor; UD, unrelated donor; HAPLO, haploidentical donor.

Risk factors affecting platelets engraftment failure at 30 days after HCT: DSA positivity (p = 0.02), disease type (p =0.005), disease status (p=0.0004), donor type (p= 0.0009), conditioning regimen (p = 0.03), age at transplant (p <0.0001), and number of CD34+ cells infused (p < 0.0001). Multivariate analysis confirmed the role of DSA positivity (p=0.01), disease status (p=0.01) age (p < 0.0001) and number of CD34+ cells infused (p < 0.0001).