Table 1.

Risk Factors for VOD in 249 Patients Grafted Between January 1990 and June 1995, Univariate Analysis, Logistic Regression

Factor VOD P
Yes No
Recipient sex female  14/24 (58%) 79/225 (35%)  .03  
Recipient age >17 years 21/24 (88%)  146/225 (65%)  .04  
Hematologic malignancies  21/24 (88%)  186/225 (83%)  .52  
Advanced disease* 11/24 (46%)  83/225 (37%)  .35  
Recipient CMV seropositive before BMT  18/24 (75%)  148/225 (66%)  .37 
Recipient positive herpes virus serology (3-4) 22/24 (92%) 164/225 (73%) .08  
GVHD prophylaxis with combination therapy 24/24 (100%)  210/225 (93%)  .08  
Busulphan 10/24 (42%)  63/225 (28%)  .17  
IVIG prophylaxis 12/24 (50%)  99/225 (44%)  .37  
Liver disease before BMT  4/24 (17%)  20/225 (19%)  .25  
Previous abdominal irradiation  3/24 (12%)  8/225 (4%)  .06  
Infection 1 week before BMT  1/24 (4%)  8/225 (4%)  .88  
Fever 1 week before BMT  12/24 (5%)  86/225 (38%)  .26 
Unrelated transplant  6/24 (25%)  66/225 (30%)  .66 
HLA mismatch  4/24 (17%)  7/225 (3%)  .015  
ALAT >0.7 μkat/L before BMT  9/24 (38%)  84/225 (37%)  .99 
Bilirubin >26 μmol/L before BMT  3/24 (12%) 3/225 (1%)  <.001  
Prophylaxis or treatment started within 1 week before BMT  
 Trimethoprim-sulphamethoxazole 18/24 (75%)  193/225 (86%)  .17  
 Acyklovir 13/24 (54%)  121/225 (54%)  .97  
 Vancomycin 3/24 (12%)  21/225 (9%)  .62  
 Amphotericin 2/24 (8%) 27/225 (12%) .60  
 Norethisterone 13/24 (54%)  42/225 (19%)  <.001  
 Omeprazol 4/24 (17%)  30/225 (13%)  .65 
Factor VOD P
Yes No
Recipient sex female  14/24 (58%) 79/225 (35%)  .03  
Recipient age >17 years 21/24 (88%)  146/225 (65%)  .04  
Hematologic malignancies  21/24 (88%)  186/225 (83%)  .52  
Advanced disease* 11/24 (46%)  83/225 (37%)  .35  
Recipient CMV seropositive before BMT  18/24 (75%)  148/225 (66%)  .37 
Recipient positive herpes virus serology (3-4) 22/24 (92%) 164/225 (73%) .08  
GVHD prophylaxis with combination therapy 24/24 (100%)  210/225 (93%)  .08  
Busulphan 10/24 (42%)  63/225 (28%)  .17  
IVIG prophylaxis 12/24 (50%)  99/225 (44%)  .37  
Liver disease before BMT  4/24 (17%)  20/225 (19%)  .25  
Previous abdominal irradiation  3/24 (12%)  8/225 (4%)  .06  
Infection 1 week before BMT  1/24 (4%)  8/225 (4%)  .88  
Fever 1 week before BMT  12/24 (5%)  86/225 (38%)  .26 
Unrelated transplant  6/24 (25%)  66/225 (30%)  .66 
HLA mismatch  4/24 (17%)  7/225 (3%)  .015  
ALAT >0.7 μkat/L before BMT  9/24 (38%)  84/225 (37%)  .99 
Bilirubin >26 μmol/L before BMT  3/24 (12%) 3/225 (1%)  <.001  
Prophylaxis or treatment started within 1 week before BMT  
 Trimethoprim-sulphamethoxazole 18/24 (75%)  193/225 (86%)  .17  
 Acyklovir 13/24 (54%)  121/225 (54%)  .97  
 Vancomycin 3/24 (12%)  21/225 (9%)  .62  
 Amphotericin 2/24 (8%) 27/225 (12%) .60  
 Norethisterone 13/24 (54%)  42/225 (19%)  <.001  
 Omeprazol 4/24 (17%)  30/225 (13%)  .65 
*

Acute leukemia >1 CR and chronic leukemia >1 CP.

Serologically positive for 3-4 herpes viruses before BMT.

Methotrexate + cyclosporin (n = 231), cyclosporin + prednisolon (n = 1), and T-cell–depleted bone marrow (n = 2).

Close Modal

or Create an Account

Close Modal
Close Modal