TABLE 3.
RISK RATIOS FOR THE ASSOCIATION BETWEEN PREOPERATIVE BODY MASS INDEX AND GRADE 3 PRIMARY GRAFT DYSFUNCTION WITHIN 72 HOURS STRATIFIED BY DIAGNOSIS AND USE OF CARDIOPULMONARY BYPASS
| BMI Category |
Continuous BMI |
|||||||
| No. | BMI <25 kg/m2 | BMI 25–29.9 kg/m2 | BMI ≥ 30 kg/m2 | P Trend | Risk Ratio (95% CI) per 5 kg/m2 Increase | P Value | P for Interaction | |
| Stratified by use of CBP | ||||||||
| CBP | 137 | 1 (Ref) | 1.6 (1.2–2.1) | 1.5 (1.3–1.7) | <0.001 | 1.2 (1.02–1.5) | 0.03 | 0.08 |
| No CBP | 375 | 1 (Ref) | 2.1 (1.3–3.5) | 2.7 (1.9–4) | <0.001 | 1.5 (1.3–1.7) | <0.001 | |
| Stratified by diagnosis | ||||||||
| COPD only | 261 | 1 (Ref) | 2 (1.3–3) | 2.4 (1.1–5) | 0.01 | 1.4 (1.1–1.8) | 0.006 | 0.40 |
| ILD only | 251 | 1 (Ref) | 1.8 (1.2–2.7) | 1.8 (1.1–2.8) | 0.002 | 1.3 (1.2–1.5) | <0.001 | |
Definition of abbreviations: BMI = body mass index; CBP = cardiopulmonary bypass; CI = confidence interval; COPD = chronic obstructive pulmonary disease; ILD = interstitial lung disease; PGD = primary graft dysfunction.
Effect estimates are risk ratios (95% confidence intervals). Models are adjusted for transplant procedure (bilateral vs. single), systolic pulmonary artery pressure, ischemic time, donor oxygenation, and donor age with a random intercept for study center. Models stratified by cardiopulmonary bypass are adjusted for diagnosis. Models stratified by diagnosis are adjusted for use of cardiopulmonary bypass.