Table 2.
Cox regression analysis of hypophosphatemia versus graft failure risk
| Graft Failure (181 Events) | Hypophosphatemia Category, HR [95% CI] | Lowest Serum Phosphate per 1 mg/dl | |||
|---|---|---|---|---|---|
| Absent | Mild | Severe | HR [95% CI] | P Value | |
| Crude | Reference | 0.52 [0.36 to 0.77]a | 0.44 [0.30 to 0.64]b | 0.43 [0.33 to 0.56] | <0.001 |
| Model 1 | Reference | 0.55 [0.38 to 0.82]a | 0.46 [0.31 to 0.68]b | 0.46 [0.35 to 0.59] | <0.001 |
| Model 2 | Reference | 0.63 [0.42 to 0.92]c | 0.61 [0.41 to 0.91]c | 0.52 [0.39 to 0.68] | <0.001 |
| Model 3 | Reference | 0.82 [0.51 to 1.34] | 0.72 [0.43 to 1.19] | 0.56 [0.40 to 0.79] | 0.001 |
| Model 4 | Reference | 0.87 [0.51 to 1.48] | 0.72 [0.42 to 1.26] | 0.60 [0.42 to 0.85] | 0.004 |
| Model 5 | Reference | 0.79 [0.46 to 1.38] | 0.74 [0.42 to 1.29] | 0.65 [0.46 to 0.92] | 0.02 |
| Model 6 | Reference | 0.79 [0.45 to 1.38] | 0.70 [0.40 to 1.25] | 0.60 [0.42 to 0.86] | 0.007 |
Model 1: adjusted for recipient age and sex. Model 2: model 1 plus eGFR at the time of lowest phosphate. Model 3: model 2 plus donor age and sex, donor type, cold ischemia time, delayed graft function, and proteinuria (at the time of the lowest serum phosphate). Model 4: model 3 plus total number of HLA mismatches, acute rejection, induction and maintenance immunosuppressive use, and panel of reactive antibodies. Model 5: model 4 plus cardiovascular risk factors (dialysis vintage, smoking status, pretransplant diabetes mellitus, and cardiovascular history). Model 6: model 5 plus phosphate supplementation, vitamin D supplementation, vitamin D supplementation pretransplantation, and corrected calcium concentrations (before transplantation and at the time of the lowest serum phosphate). HR, hazard ratio; 95% CI, 95% confidence interval.
P<0.01.
P<0.001.
P<0.05.