Table 3. Multivariable Cox Proportional Hazards Regression Model for Mortality After Heart Transplant.
Covariate | Hazard ratio (95% CI) | P value |
---|---|---|
Transplant after policy change | 1.29 (1.07-1.55) | .008 |
Age (increasing, per 1 y) | 1.01 (1.00-1.02) | .003 |
BMI (increasing, per 1 U) | 1.02 (1.00-1.03) | .03 |
Heart failure cause | ||
Nonischemic dilated cardiomyopathy | 1 [Reference] | NA |
Ischemic cardiomyopathy | 1.20 (1.03-1.40) | .02 |
Congenital heart disease | 2.12 (1.45-3.10) | <.001 |
Restrictive cardiomyopathy | 1.46 (1.07-1.99) | .02 |
Valvular heart disease | 0.78 (0.38-1.62) | .51 |
Failed primary heart transplant | 2.38 (1.67-3.41) | <.001 |
Hypertrophic cardiomyopathy | 0.99 (0.64-1.54) | .97 |
Diabetes | 1.18 (1.02-1.36) | .03 |
Serum total bilirubin (increasing, per 1 mg/dL) | 1.04 (1.03-1.06) | <.001 |
Serum creatinine (increasing, per 1 mg/dL) | 1.06 (1.01-1.11) | .02 |
Recipient cytomegalovirus positive | 1.12 (0.98-1.29) | .09 |
Pretransplant mechanical ventilatory support | 1.50 (0.97-2.32) | .07 |
Extracorporeal membrane oxygenation | 1.90 (1.31-2.78) | .001 |
Bridging with ventricular assist device | ||
None | 1 [Reference] | NA |
Left ventricular assist device | 1.22 (1.05-1.41) | .008 |
Right ventricular assist device | 2.63 (1.07-6.48) | .04 |
Total artificial heart | 2.71 (1.69-4.35) | <.001 |
Biventricular assist device | 1.39 (0.86-2.25) | .18 |
Donor age (increasing, per 1 y) | 1.01 (1.01-1.02) | <.001 |
Ischemic time (increasing, per 1 h) | 1.13 (1.06-1.20) | <.001 |
Abbreviations: BMI, body mass index (calculated as weight in kilograms divided by height in meters squared); NA, not applicable.