Table 2. Multivariable Cox Proportional Hazards Analysis of 1-Year Mortality After Heart Transplantation (N = 18,396).
| Covariate | HR | 95% CI | P value |
|---|---|---|---|
| Pre-transplant ICU staya | 1.5 | 1.2, 2.0 | 0.003 |
| Age group (years) | |||
| < 1 | 0.8 | 0.5, 1.3 | 0.434 |
| 2 - 11 | 0.5 | 0.3, 0.8 | 0.002 |
| 12 - 18 | 0.4 | 0.3, 0.7 | 0.001 |
| 19 - 29 | 0.9 | 0.7, 1.3 | 0.685 |
| 30 - 39 | 1.2 | 0.9, 1.6 | 0.153 |
| 40 - 49 | Ref. | - | - |
| 50 - 59 | 1.3 | 1.0, 1.6 | 0.025 |
| 60 - 69 | 1.8 | 1.5, 2.2 | < 0.001 |
| ≥ 70 | 2.1 | 1.5, 3.0 | < 0.001 |
| Interaction of ICU stay with age group (years) | |||
| < 1 | 0.7 | 0.4, 1.1 | 0.139 |
| 2 - 11 | 0.6 | 0.3, 1.1 | 0.110 |
| 12 - 18 | 0.8 | 0.4, 1.6 | 0.536 |
| 19 - 29 | 0.8 | 0.5, 1.4 | 0.472 |
| 30 - 39 | 0.8 | 0.5, 1.2 | 0.276 |
| 40 - 49 | Ref. | - | - |
| 50 - 59 | 0.9 | 0.6, 1.3 | 0.536 |
| 60 - 69 | 0.7 | 0.5, 1.0 | 0.067 |
| ≥ 70 | 0.6 | 0.3, 1.2 | 0.171 |
| Female gender | 1.1 | 1.0, 1.3 | 0.025 |
| Race | |||
| Non-Hispanic White | Ref. | - | - |
| Non-Hispanic Black | 1.4 | 1.2, 1.5 | < 0.001 |
| Hispanic | 1.1 | 0.9, 1.3 | 0.310 |
| Other | 1.1 | 0.8, 1.3 | 0.657 |
| BMI category | |||
| Underweight | 0.8 | 0.7, 1.1 | 0.163 |
| Normal weight | Ref. | - | - |
| Overweight | 1.1 | 1.0, 1.3 | 0.015 |
| Indication for transplant | |||
| Congenital heart disease | Ref. | - | - |
| Hypertrophic cardiomyopathy | 0.5 | 0.3, 0.7 | < 0.001 |
| Ischemic cardiomyopathy | 0.4 | 0.4, 0.5 | < 0.001 |
| Non-ischemic cardiomyopathy | 0.4 | 0.3, 0.4 | < 0.001 |
| Restrictive cardiomyopathy | 0.6 | 0.5, 0.8 | < 0.001 |
| Valvular heart disease | 0.4 | 0.2, 0.6 | < 0.001 |
| Other | 0.3 | 0.2, 0.5 | < 0.001 |
| Mechanical ventilation | 1.8 | 1.5, 2.2 | < 0.001 |
| Mechanical circulatory support | |||
| None | Ref. | - | - |
| Extracorporeal membrane oxygenation | 3.1 | 2.4, 4.0 | < 0.001 |
| Ventricular assist device | 1.4 | 1.2, 1.6 | < 0.001 |
| Inotrope use | 1.0 | 0.9, 1.1 | 0.567 |
| Dialysis on waitlist | 2.2 | 1.8, 2.8 | < 0.001 |
| Bilirubin > 2 mg/dL | 1.6 | 1.4, 1.9 | < 0.001 |
| Infection requiring intravenous antibiotics | 1.2 | 1.1, 1.4 | 0.001 |
| Allograft ischemia time (h) | |||
| < 2 | Ref. | - | - |
| 2 - 4 | 1.0 | 0.8, 1.2 | 0.878 |
| > 4 | 1.3 | 1.1, 1.6 | 0.001 |
aHazard ratio (HR) reflects estimate for ages 40 - 49 years. The interaction terms estimate how this HR is modified in other age groups. BMI: body mass index.