Table 4.
Identification of Risk Factors for the Occurrence of TRM by Day 180 after SCT in Patients at Risk for CMV
Risk Factors | TRM at day 180
|
Total n = 91 | P Value | |
---|---|---|---|---|
No n = 84 | Yes n = 7 | |||
Age | ||||
<7 yr | 40 | 3 | 43 | 1.00 |
≥7 yr | 44 | 4 | 48 | |
Disease category | ||||
Immunodeficiency | 17 | 2 | 19 | .60 |
Other | 67 | 5 | 72 | |
Disease category | ||||
Malignant | 44 | 2 | 46 | .30 |
Other | 40 | 5 | 45 | |
Donor source | ||||
Matched related donor | 34 | 2 | 36 | .70 |
Other | 50 | 5 | 55 | |
Donor source | ||||
UCB | 9 | 0 | 9 | 1.00 |
Other | 75 | 7 | 82 | |
Donor source | ||||
Unrelated donor (cord or marrow) | 49 | 5 | 54 | .70 |
Matched related donor (marrow) | 34 | 2 | 36 | |
Donor source | ||||
Mismatched unrelated marrow donor | 7 | 0 | 7 | 1.00 |
Matched marrow donor CMV status (recipient/donor) | 67 | 7 | 74 | |
Pos/pos | 28 | 0 | 28 | .02* |
Pos/neg | 34 | 2 | 36 | |
Neg/pos | 21 | 5 | 26 | |
Pos/ind | 1 | 1 | ||
CMV status (recipient/donor) | ||||
Pos/pos | 28 | 0 | 28 | .50 |
Pos/neg | 34 | 2 | 36 | |
CMV status (recipient/donor) | ||||
Pos/pos | 28 | 0 | 28 | .02 |
Neg/pos | 21 | 5 | 26 | |
Recipient CMV status | ||||
Pos | 63 | 2 | 65 | .02 |
Neg | 21 | 5 | 26 | |
Donor CMV status | ||||
Pos | 49 | 5 | 54 | .70 |
Neg | 34 | 2 | 36 | |
Receipt of TBI | ||||
Yes | 33 | 1 | 34 | .30 |
No | 51 | 6 | 57 | |
History of CMV before transplantation | ||||
Yes | 5 | 1 | 6 | .40 |
No | 79 | 6 | 85 | |
Reduced-intensity regimen | ||||
Yes | 8 | 2 | 10 | .20 |
No | 76 | 5 | 81 | |
ATG use in conditioning | ||||
Yes | 22 | 2 | 24 | 1.00 |
No | 62 | 5 | 67 | |
Alemtuzumab use in conditioning | ||||
Yes | 7 | 2 | 9 | .10 |
No | 77 | 5 | 82 | |
Fludarabine use in conditioning | ||||
Yes | 29 | 5 | 34 | .10 |
No | 55 | 2 | 57 | |
ATG, alemtuzumab, or fludarabine use in conditioning | ||||
Yes | 41 | 5 | 46 | .40 |
No | 43 | 2 | 45 | |
Steroid exposure within day +50 after transplantation | ||||
Yes | 41 | 4 | 45 | .70 |
No | 43 | 3 | 46 | |
Acute GVHD | ||||
Yes | 11 | 2 | 13 | .30 |
No | 73 | 5 | 78 | |
Neutrophil engraftment within day 21 | ||||
Yes | 37 | 5 | 42 | .20 |
No | 47 | 2 | 49 | |
Reactivation of CMV | ||||
Yes | 25 | 1 | 26 | .70 |
No | 59 | 6 | 65 | |
Re-reactivation of CMV | ||||
Yes | 6 | 0 | 6 | 1.00 |
No | 78 | 7 | 85 |
P value of Fisher’s exact test.
One patient with “pos/ind” (positive recipient but indeterminate) was not included in the Fisher’s exact test.