Table 2.
Results of Generalized Linear Mixed Effects (GLME) regression models for early graft failures in DMEK and DSAEK.*
Factor | DMEK | DSAEK | ||||
---|---|---|---|---|---|---|
OR | 95% CI | p-value | OR | 95% CI | p-value | |
Donor Factors | ||||||
Age (1 year unit change) | 1.03 | (1.00–1.05) | 0.06 | 1.02 | (1.00–1.05) | 0.03 |
COD: cerebrovascular accident | 0.41 | (0.17–1.02) | 0.05 | |||
COD: heart disease | 0.50 | (0.29–0.84) | <0.001 | |||
COD: respiratory disease | 0.96 | (0.48–1.95) | 0.92 | |||
COD: trauma | 0.59 | (0.24–1.43) | 0.24 | |||
COD: other | 0.515 | (0.22–1.21) | 0.13 | |||
Initial ECD** | 0.96 | (0.78–1.18) | 0.68 | 1.21 | (0.87–1.68) | 0.27 |
Post-cut ECD** | 0.849 | (0.61–1.18) | 0.34 | |||
Death time to cooling (hours) | 0.96 | (0.86–1.08) | 0.54 | |||
Recipient Factors | ||||||
Age (1-year unit change) | 1.02 | (1.00,1.04) | 0.10 | |||
Diagnosis: Ectasia/thinning § | ||||||
Diagnosis: Endothelial dystrophies | 0.63 | (0.33,1.20) | 0.156 | 0.539 | (0.30,0.96) | 0.04 |
Diagnosis: Repeat corneal transplant | 1.08 | (0.44,2.68) | 0.861 | 1.44 | (0.70,2.95) | 0.318 |
Diagnosis: Other/unknown | 0.47 | (0.18,1.24) | 0.128 | 1.17 | (0.63,2.17) | 0.614 |
Only factors achieving statistical significance of p<0.2 from the univariate analysis in Table 1 were included in the model (with factors not included in the models in gray). The reference group for Donor COD is a cause of death from cancer; the reference group for Recipient Diagnosis is a diagnosis of post-cataract surgery edema.
ECD values were standardized for this model, where the unit increase is 1 standard deviation change of ECD.
Excluded due to unstable and non-converging regression estimates obtained due to there being zero cases of recipient diagnosis of Ectasia or Thinning in the subset analysis group.
DMEK = Descemet Membrane Endothelial Keratoplasty
DSAEK = Descemet Stripping Automated Endothelial Keratoplasty
ECD = endothelial cell density
COD = Cause of Death
OR = odds ratio
CI = confidence interval
SE = standard error