Table 3.

Patient, disease, and treatment characteristics associated with risk of mortality

Characteristic at start of second-line treatmentUnivariate analysisMultivariable analysis
HR95% CIPHR95% CIP
Age at second-line treatment (per decade) 1.34 1.22-1.46 <.0001 1.22 1.10-1.35 .0002 
Weeks from transplant to first treatment (per week) 1.09 1.02-1.16 .007    
Bilirubin (per mg/dL) 1.16 1.07-1.26 .0004 1.17 1.07-1.28 .001 
Albumin (per g/dL decrease) 2.53 1.96-3.25 <.0001 1.83 1.30-2.57 .0005 
Diarrhea 2.06 1.42-3.00 .0002    
Any abdominal pain 2.54 1.80-3.58 <.0001    
Stage 4 gut 3.57 2.42-5.28 <.0001    
No abdominal pain, no stage 4 gut Ref NA NA  Ref NA NA 
Any abdominal pain, no stage 4 gut* 1.81 1.20-2.75 .005 1.17 0.71-1.91 .54 
Any abdominal pain with stage 4 gut 4.39 2.86-6.73 <.0001 2.96 1.76-4.98 <.0001 
Overt gastrointestinal hemorrhage 4.07 2.04-8.13 <.0001    
HCT-CI (per unit) 1.24 1.14-1.34 <.0001    
Steroid dose (per mg/kg prednisone equivalent) 1.74 1.22-2.47 .002    
Skin stage (per stage) 0.83 0.73-0.94 .004    
Body surface with rash (per 10%) 0.92 0.87-0.97 .001    
Number of prior transplants 1.04 0.70-1.55 .84    
Transplant year (per year) 1.04 0.99-1.09 .09    
Weeks from first treatment to second treatment (per week) 0.97 0.93-1.01 .16    
Fever 0.64 0.26-1.57 .33    
Active infection 0.81 0.51-1.26 .35    
Agent      Global P = .39 
 Extracorporeal photopheresis Ref NA NA Ref NA NA 
 α-1 antitrypsin 3.72 1.34-10.35 .01 1.45 0.51-4.14 .49 
 ATG 4.42 1.73-11.25 .002 1.74 0.66-4.58 .27 
 Infliximab 2.26 0.76-6.75 .14 1.33 0.43-4.09 .62 
 Mycophenolate mofetil (not used for prophylaxis) 1.61 0.61-4.23 .34 1.69 0.62-4.64 .31 
 Sirolimus 1.40 0.52-3.79 .50 1.47 0.54-3.98 .45 
 Other 3.37 1.29-8.75 .01 2.51 0.95-6.59 .06 
Characteristic at start of second-line treatmentUnivariate analysisMultivariable analysis
HR95% CIPHR95% CIP
Age at second-line treatment (per decade) 1.34 1.22-1.46 <.0001 1.22 1.10-1.35 .0002 
Weeks from transplant to first treatment (per week) 1.09 1.02-1.16 .007    
Bilirubin (per mg/dL) 1.16 1.07-1.26 .0004 1.17 1.07-1.28 .001 
Albumin (per g/dL decrease) 2.53 1.96-3.25 <.0001 1.83 1.30-2.57 .0005 
Diarrhea 2.06 1.42-3.00 .0002    
Any abdominal pain 2.54 1.80-3.58 <.0001    
Stage 4 gut 3.57 2.42-5.28 <.0001    
No abdominal pain, no stage 4 gut Ref NA NA  Ref NA NA 
Any abdominal pain, no stage 4 gut* 1.81 1.20-2.75 .005 1.17 0.71-1.91 .54 
Any abdominal pain with stage 4 gut 4.39 2.86-6.73 <.0001 2.96 1.76-4.98 <.0001 
Overt gastrointestinal hemorrhage 4.07 2.04-8.13 <.0001    
HCT-CI (per unit) 1.24 1.14-1.34 <.0001    
Steroid dose (per mg/kg prednisone equivalent) 1.74 1.22-2.47 .002    
Skin stage (per stage) 0.83 0.73-0.94 .004    
Body surface with rash (per 10%) 0.92 0.87-0.97 .001    
Number of prior transplants 1.04 0.70-1.55 .84    
Transplant year (per year) 1.04 0.99-1.09 .09    
Weeks from first treatment to second treatment (per week) 0.97 0.93-1.01 .16    
Fever 0.64 0.26-1.57 .33    
Active infection 0.81 0.51-1.26 .35    
Agent      Global P = .39 
 Extracorporeal photopheresis Ref NA NA Ref NA NA 
 α-1 antitrypsin 3.72 1.34-10.35 .01 1.45 0.51-4.14 .49 
 ATG 4.42 1.73-11.25 .002 1.74 0.66-4.58 .27 
 Infliximab 2.26 0.76-6.75 .14 1.33 0.43-4.09 .62 
 Mycophenolate mofetil (not used for prophylaxis) 1.61 0.61-4.23 .34 1.69 0.62-4.64 .31 
 Sirolimus 1.40 0.52-3.79 .50 1.47 0.54-3.98 .45 
 Other 3.37 1.29-8.75 .01 2.51 0.95-6.59 .06 

HR, hazard ratio; NA, not applicable.

*

This group also included the 2 patients with no abdominal pain and stage 4 gut involvement because of overt hemorrhage.

Reference groups were used as the comparison for other groups.

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