Table 2

Univariate and age-adjusted multivariate analysis of risk factors for early-onset CTRCD after HSCT

Univariate analysisMultivariate analysis
OR (95% CI)P valueOR (95% CI)P value
Age1.00 (0.97 to 1.04)0.871
Male0.46 (0.18 to 1.15)0.095
CCr, /10 mL/min0.86 (0.75 to 1.00)0.0520.88 (0.76 to 1.03)0.098
Cardiac risk factors≥21.95 (0.56 to 6.78)0.292
Cumulative DXR dose, /10 mg/m21.03 (1.00 to 1.07)0.0581.04 (1.00 to 1.07)0.032
RAS inhibitors or beta-blockers5.09 (0.31 to 84.50)0.256
Leukaemia0.86 (0.32 to 2.30)0.770
History of prior HSCT1.95 (0.76 to 5.00)0.163
Non-CR status at HSCT2.13 (0.74 to 6.16)0.163
Source of HSCT0.783
 Bone marrow (reference)1.00
 Cord blood1.62 (0.53 to 4.95)
 PBSC1.39 (0.48 to 4.05)
Haploidentical PBSCT1.55 (0.39 to 6.12)0.536
HLA mismatch ≥one locus2.17 (0.80 to 5.91)0.130
Conditioning regimen with MAC0.40 (0.14 to 1.17)0.094
HCT-CI, /point1.56 (1.02 to 2.38)0.0421.38 (0.86 to 2.19)0.177
GVHD prophylaxis including tacrolimus0.51 (0.20 to 1.29)0.155
Acute GVHD, /grade4.42 (1.71 to 11.40)0.0021.87 (1.19 to 2.95)0.004
  • CCr, creatinine clearance; CR, complete remission; CTRCD, cancer therapy-related cardiac dysfunction; DXR, doxorubicin; GVHD, graft-versus-host disease; HCT-CI, haematopoietic cell transplantation-specific comorbidity index; HLA, human leucocyte antigen; HSCT, haematopoietic stem cell transplantation; LVEF, left ventricular ejection fraction; MAC, myeloablative conditioning; PBSC, peripheral blood stem cell; PBSCT, peripheral blood stem cell transplantation; RAS, renin-angiotensin system.