Table 5.
Significant risk factors for shorter 3-year survival in 347 HT recipients by 2 post-HT weight groupsa: Group 1 = non-overweight; Group 2 = overweight.
| Risk factorb | Group 1 (N = 108) | Group 2 (N = 239) | Wald statistic | Pc | Relative riskd |
|---|---|---|---|---|---|
| Higher prednisone dose (mg) | 21.6 ± 11.8 | 24.6 ± 14.5 | 54.57 | .000 | |
| Severe renal dysfunctione | 18.5% | 13.4% | 14.71 | .000 | 3.24 |
| Earlier IV-treated infection (days) | 256 ± 368 | 335 ± 385 | 9.92 | .002 | |
| Female patient | 29.6% | 15.9% | 7.65 | .006 | 2.30 |
| Higher cholesterol level (mg/dl) | 209 ± 42 | 221 ± 46 | 7.28 | .007 | |
| Respiratory failure | 31.5% | 18.8% | 6.72 | .010 | 2.12 |
HT, heart transplant; IV, intravenous.
Weight groups based on mean post-transplant BMI (body mass index = kg/m2): Group 1 (non-overweight) = BMI <25 (range = 16–24, mean = 22, SD = 1.9); Group 2 (overweight) = BMI ≥ 25 (range = 25–40, mean = 29, SD = 3.2).
From multivariate Cox regression. Nonsignificant variables in regression model: patient age at HT, patient race, repeat HT, cardiac allograft vasculopathy, diabetes, lymphoma, liver failure, stroke, time to first treated acute rejection.
Significance determined at P ≤ .025.
Relative risk applies to dichotomous risk factors only.
Defined as a serum creatinine >2.5 mg/dl or a diagnosis of renal failure or on dialysis.9