Table 2

Risk factors for sinusoidal obstruction syndrome by univariate analysis

SOS
POdds ratio (95% CI)
Yes n=88No n=339
Male:female 49:39 206:133 .38 0.81 (0.50-1.30) 
Median age, y (range) 34.5 (6-33) 30 (0-66) .62 NA 
Underlying disease, no. (%)     
    Lymphoma 7 (8) 135 (40) < .001 0.13 (0.06-0.30) 
    Acute leukemia/MDS 41 (46) 88 (26) < .001 2.49 (1.49-4.15) 
    Chronic myeloid leukemia 26 (29) 29 (8) < .001 4.48 (2.37-8.48) 
    Multiple myeloma 1 (1) 52 (15) < .001 0.06 (0.02-0.43) 
Neoplastic disease, no. (%) 79 (90) 316 (93) .27 0.64 (0.28-1.43) 
Advanced underlying disease, no. (%) 53 (60) 262 (77) .001 0.44 (0.27-0.73) 
Allogeneic HSC transplantation, no. (%) 82 (93) 164 (48) < .001 14.60 (6.20-34.30) 
Unrelated donor allogeneic HSC transplantation, no. (%) 15/82 (18) 46/164 (28) .15 1.31 (0.69-2.47) 
Matched-related donor allogeneic HSC transplantation, no. (%) 79/82 (96) 136/164 (83) .003 5.42 (1.60-18.40) 
History of hepatitis, no. (%) 4 (4) 3 (1) .04 5.33 (1.17-24.30) 
CMV-positive recipient, no. (%) 78 (89) 298 (88) .85 1.07 (0.51-2.24) 
Previous HSC transplantation, no. (%) 5 (6) 35 (10) .18 0.52 (0.20-1.38) 
Receipt of imatinib, no. (%) 15 (17) 14 (4) < .001 4.77 (2.21-10.30) 
Receipt of gemtuzumab, no. (%) 1 (1) .21 NA 
Receipt of vancomycin or acyclovir, no. (%) 2 (2) 7 (2) .999 1.10 (0.22-5.40) 
Busulfan-based conditioning regimen, no. (%) 46 (52) 73 (21) < .001 3.99 (2.44-6.53) 
TBI-based conditioning regimen, no. (%) 23 (26) 62 (18) .10 1.58 (0.91-2.74) 
Myeloablative HSC transplantation, no. (%) 81 (92) 308 (91) .73 1.16 (0.49-2.74) 
Bone marrow as the source of stem cells, no. (%) 60 (68) 108 (32) < .001 4.58 (2.69-7.83) 
Methotrexate in the prophylaxis for GVHD, no. (%) 76/82 (93) 142/164 (86) .13 1.96 (0.76-5.05) 
Hepatic dysfunction, no. (%) 26 (29) 94 (28) .73 1.09 (0.65-1.83) 
SOS
POdds ratio (95% CI)
Yes n=88No n=339
Male:female 49:39 206:133 .38 0.81 (0.50-1.30) 
Median age, y (range) 34.5 (6-33) 30 (0-66) .62 NA 
Underlying disease, no. (%)     
    Lymphoma 7 (8) 135 (40) < .001 0.13 (0.06-0.30) 
    Acute leukemia/MDS 41 (46) 88 (26) < .001 2.49 (1.49-4.15) 
    Chronic myeloid leukemia 26 (29) 29 (8) < .001 4.48 (2.37-8.48) 
    Multiple myeloma 1 (1) 52 (15) < .001 0.06 (0.02-0.43) 
Neoplastic disease, no. (%) 79 (90) 316 (93) .27 0.64 (0.28-1.43) 
Advanced underlying disease, no. (%) 53 (60) 262 (77) .001 0.44 (0.27-0.73) 
Allogeneic HSC transplantation, no. (%) 82 (93) 164 (48) < .001 14.60 (6.20-34.30) 
Unrelated donor allogeneic HSC transplantation, no. (%) 15/82 (18) 46/164 (28) .15 1.31 (0.69-2.47) 
Matched-related donor allogeneic HSC transplantation, no. (%) 79/82 (96) 136/164 (83) .003 5.42 (1.60-18.40) 
History of hepatitis, no. (%) 4 (4) 3 (1) .04 5.33 (1.17-24.30) 
CMV-positive recipient, no. (%) 78 (89) 298 (88) .85 1.07 (0.51-2.24) 
Previous HSC transplantation, no. (%) 5 (6) 35 (10) .18 0.52 (0.20-1.38) 
Receipt of imatinib, no. (%) 15 (17) 14 (4) < .001 4.77 (2.21-10.30) 
Receipt of gemtuzumab, no. (%) 1 (1) .21 NA 
Receipt of vancomycin or acyclovir, no. (%) 2 (2) 7 (2) .999 1.10 (0.22-5.40) 
Busulfan-based conditioning regimen, no. (%) 46 (52) 73 (21) < .001 3.99 (2.44-6.53) 
TBI-based conditioning regimen, no. (%) 23 (26) 62 (18) .10 1.58 (0.91-2.74) 
Myeloablative HSC transplantation, no. (%) 81 (92) 308 (91) .73 1.16 (0.49-2.74) 
Bone marrow as the source of stem cells, no. (%) 60 (68) 108 (32) < .001 4.58 (2.69-7.83) 
Methotrexate in the prophylaxis for GVHD, no. (%) 76/82 (93) 142/164 (86) .13 1.96 (0.76-5.05) 
Hepatic dysfunction, no. (%) 26 (29) 94 (28) .73 1.09 (0.65-1.83) 

SOS indicates sinusoidal obstruction syndrome; 95% CI, 95% confidence interval; NA, not applicable; MDS, myelodysplasia; HSC, hematopoietic stem cell; CMV, cytomegalovirus; TBI, total body irradiation; GVHD, graft-versus-host disease; and TPN, total parenteral nutrition.

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