Table 3.

Univariate and Multivariate Analyses of Risk Factors for Hepatic VOD

Factor No. With VOD/ No. Evaluable (%)Univariate Analysis P Value Multivariate Analysis P Value RR (95% CI)
Patient-related factors  
 Age >20 yr  
  No 21/306 (6.9)  NS  
  Yes  66/1,346 (4.9) 
 Previous abdominal radiation  
  No  80/1,599 (5.0) .009  .03  2.9  
  Yes  7/53 (13.2)   (1.2-6.9)  
 Second BMT  
  No 84/1,617 (5.2)  NS  
  Yes  3/35 (8.6) 
 Previous liver disease  
  No  76/1,566 (4.9) .0013  
  Yes  11/86 (12.8)  
 Increased serum AST level  
  No  70/1,524 (4.6)  <.0001  .001  2.4 
  Yes  17/128 (13.3)    (1.3-4.3)  
 Karnofsky score <90%  
  No  73/1,544 (4.7)  .0002  .006 2.7  
  Yes  14/198 (13.0)    (1.4-5)   
 Fungal infection before BMT  
  No  86/1,637 (5.3) NS  
  Yes  1/15 (6.7)  
Transplant-related factors  
 Pretransplant acyclovir  
  No 71/1,381 (5.1)  NS  
  Yes  16/271 (5.9) 
 Vancomycin during CT  
  No  77/1,514 (5.1) NS  
  Yes  10/138 (7.2)  
 Dose of CT  
  Low  13/539 (2.4)  .0003  .003  2.3 
  High  74/1,113 (6.6)    (1.2-4.2)  
 Type of transplant  
  Allogeneic  56/631 (8.9)  <.0001 <.001  2.8  
  Autologous  31/1,010 (3.1)   (1.8-4.4) 
Factor No. With VOD/ No. Evaluable (%)Univariate Analysis P Value Multivariate Analysis P Value RR (95% CI)
Patient-related factors  
 Age >20 yr  
  No 21/306 (6.9)  NS  
  Yes  66/1,346 (4.9) 
 Previous abdominal radiation  
  No  80/1,599 (5.0) .009  .03  2.9  
  Yes  7/53 (13.2)   (1.2-6.9)  
 Second BMT  
  No 84/1,617 (5.2)  NS  
  Yes  3/35 (8.6) 
 Previous liver disease  
  No  76/1,566 (4.9) .0013  
  Yes  11/86 (12.8)  
 Increased serum AST level  
  No  70/1,524 (4.6)  <.0001  .001  2.4 
  Yes  17/128 (13.3)    (1.3-4.3)  
 Karnofsky score <90%  
  No  73/1,544 (4.7)  .0002  .006 2.7  
  Yes  14/198 (13.0)    (1.4-5)   
 Fungal infection before BMT  
  No  86/1,637 (5.3) NS  
  Yes  1/15 (6.7)  
Transplant-related factors  
 Pretransplant acyclovir  
  No 71/1,381 (5.1)  NS  
  Yes  16/271 (5.9) 
 Vancomycin during CT  
  No  77/1,514 (5.1) NS  
  Yes  10/138 (7.2)  
 Dose of CT  
  Low  13/539 (2.4)  .0003  .003  2.3 
  High  74/1,113 (6.6)    (1.2-4.2)  
 Type of transplant  
  Allogeneic  56/631 (8.9)  <.0001 <.001  2.8  
  Autologous  31/1,010 (3.1)   (1.8-4.4) 

Abbreviations: CT, cytoreductive therapy; AST, aspartate aminotransferase; NS, not significant.

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