Skip to main content
. 2022 Dec 30;22(3):786–800. doi: 10.1111/ajt.16854

TABLE 3.

Factors associated with a negative antibody response after vaccination in KT recipients

Univariate
Multivariate
OR 95% CI p-value OR 95% CI p-value
Sociodemographics
Age (years) 1.035 0.99–1.07 .06 1.03 0.98–1.074 .16
Sex (ref: female) 0.53 0.22–1.27 .15
Body mass index (kg/m2) 1.034 0.96–1.11 .36
Seasonal vaccine (ref: no) 0.85 0.33–2.22 .75
Darbepoetin treatment (ref: no) 8.80 1.74–44.46 .009 6.02 0.89–34.35 .17
Vitamin D supplementation (ref: no) 1.50 0.52–4.92 .44
Comorbidities
Hypertensiona
Diabetes mellitus 1.08 0.45–2.59 .84
Cardiovascular disease 1.05 0.43–2.58 .90
Pulmonary disease 1.50 0.52–4.29 .44
Underlying diabetic nephropathy 2.53 0.50–12.70 .25
Blood tests
White blood cells (×103 U/µl) 0.83 0.69–1.013 .12
T lymphocytes (×103 U/µl) 0.68 0.42–1.10 .11
C-reactive protein (mg/dl) 1.19 0.77–1.82 .41
Albumin (g/dl) 0.77 0.30–2.00 .60
Transplantation characteristics
Time after transplantation (months) 0.99 0.98–1.01 .10
Transplantation >1 year 0.45 0.17–1.15 .09 0.42 0.14–1.12 .11
Transplantation >6 months 0.37 0.12–1.12 .07 0.29 0.08–1.01 .05
Serum creatinine (mg/dl)b 2.17 1.12–4.22 .02 1.60 0.75–3.40 .22
eGFR (ml/min per 1.73 m2)b 0.97 0.95–0.99 .02 0.98 0.96–1.01 .30
Immunosuppression treatment
Prednisonea
Mycophenolic acid 1.48 0.62–3.54 .37
Tacrolimus or cyclosporin A 2.56 0.27–23.94 .41
Tacrolimus dose (mg/kg/day) 0.013 0.01–22.28 .38
Tacrolimus blood levels (ng/ml) 1.97 0.92–1.03 .45
Everolimus 1.98 0.36–2.66 .97
Everolimus dose (mg/kg/day) 0.11 0.01–3.99 .45
Everolimus blood levels (ng/ml) 1.65 0.74–3.66 .21

Bold values indicate statistically significant p values (p < .05).

Abbreviations: CI, confidence interval; eGFR, estimated glomerular filtration rate; KT, kidney transplant; OD, odds ratio.

a

Impossible calculation, as patients without prednisone and a negative response were = 0.

b

Different models, using either serum creatinine or eGFR.