Table 2.
Multivariable Predictors of Time to Graft Loss During the First 6 Months After Transplant
Predictor | HR (95% CI) | p-value |
---|---|---|
Ischemic timea | ||
Quartile 3 | 1.3 (1.1–1.6) | 0.009 |
Quartile 4 | 1.3 (1.1–1.5) | 0.01 |
Age at HTx (recipient) | N/Ab | 0.02 |
Female sex | 1.2 (1.0–1.4) | 0.009 |
Donor age < 1 year | 1.4 (1.1–1.8) | 0.005 |
Diagnosis vs cardiomyopathy | ||
Congenital | 1.7 (1.4–2.1) | <0.001 |
Other | 1.4 (1.0–1.8) | 0.02 |
Type of support vs none | ||
ECMO | 3.3 (2.5–4.3) | <0.001 |
Ventilator | 1.8 (1.5–2.2) | <0.001 |
Inotropes | 1.1 (0.9–1.4) | 0.45 |
Dialysis after listing | 2.1 (1.4–3.1) | 0.001 |
Creatinine clearance vs ≥ 40c | ||
<40 | 1.9 (1.5–2.5) | <0.001 |
Not reported | 1.5 (1.1–2.0) | 0.01 |
Bilirubin at HTx (recipient) | N/Ab | 0.08 |
Prior sternotomy | ||
Yes | 1.8 (1.2–2.7) | 0.004 |
Not reported | 1.7 (1.2–2.6) | 0.006 |
Era vs 1987–1992 | ||
1993–1996 | 1 (0.8–1.3) | 0.62 |
1997–2000 | 0.8 (0.6–1.1) | 0.13 |
2001–2004 | 0.6 (0.4–0.9) | 0.01 |
2005–2008 | 0.5 (0.4–0.7) | <0.001 |
CI, confidence interval; ECMO, extracorporeal membrane oxygenation; HR, hazard ratio; HTx, heart transplantation.
Reference group = ischemic time less than the median; quartile 3, 3.52–4.30 hours; quartile 4, >4.30 hours.
No hazard ratios are associated with these continuous variables because restricted cubic splines were used to model them.
Calculated as ml/min/1.732.