Research Article

Donor Small-Droplet Macrovesicular Steatosis Affects Liver Transplant Outcome in HCV-Negative Recipients

Table 2

Univariable Cox regression analyses for overall graft loss according to recipient etiology of liver disease (HCV negative versus HCV positive).

HCV positiveHCV negative
HR(95% CI)PHR(95% CI)P

RECIPIENTAge (years)0.9880.951-1.0260.5170.9980.973-1.0240.892
Gender (female vs male)1.7940.954-3.3760.0701.0520.518-2.1350.888
MELD score0.9930.928-1.0630.8451.0500.993-1.1100.089
BMI (kg/m2)1.0650.967-1.1730.2041.0010.929-1.0790.979
HCC (yes vs no)1.1390.616-2.1030.6781.3380.734-2.4390.342

DONORAge (years)1.0090.993-1.0260.2841.0140.996-1.0320.119
Gender (female vs male)0.9830.530-1.8210.9551.3260.729-2.4130.355
BMI (kg/m2)1.0340.919-1.1620.5800.9540.869-1.0460.314
Cause of death  
(non trauma vs trauma)
1.0140.544-1.8910.9650.8670.456-1.6500.663
ALT (IU/L)1.0000.995-1.0050.9480.9980.992-1.0040.590
AST (IU/L)0.9960.990-1.0020.1480.9990.993-1.0050.797
Sodium (mEq/L)1.0080.979-1.0380.5940.9950.964-1.0270.742
Hemoglobin (gr/dL)0.9930.868-1.1370.9231.0490.916-1.2010.491
PaO2 (mmHg)1.0000.996-1.0040.8720.9990.995-1.0020.557
Anti-HBc status (pos vs neg)1.4240.344-5.9020.6263.1901.565-6.5010.001
Norepinephrine (yes vs no)1.5120.813-2.8110.1910.5880.315-1.0.970.095
ICU stay (days)1.1211.022-1.2290.0150.5550.954-1.0910.555

GRAFTSd-MaS categorical, n (%):
0%
1-15%0.9390.453-1.9480.8661.2840.622-2.6470.499
>15%0.5810.239-1.4150.2323.1461.525-6.4890.002
Sd-MaS, continuous variable  
(% of hepatocytes)
0.9830.958-1.0100.2121.0361.018-1.055<0.001
Ld-MaS categorical, n (%):
0% (reference)
1-15%0.8410.445-1.5860.5920.6940.360-1.3370.275
>15%0.6500.194-2.1770.4841.4300.654-3.1290.371
Ld-MaS, continuous variable  
(% of hepatocytes)
0.9830.944-1.0240.4061.0160.992-1.0400.193
Cold ischemia time (minutes)1.0071.003-1.010<0.0011.0010.998-1.0050.364
Warm ischemia time (minutes)1.0151.003-1.0270.0170.9970.982-1.0120.718
IRI score, categorical§  
(severe vs mild/moderate)
2.9321.399-6.1450.0040.9610.365-2.5270.935
IPGF (yes vs no)3.3401.694-6.584<0.0012.1521.100-4.2120.025
EAD (yes vs no)1.8391.004-3.3710.0492.3461.252-4.3960.008
Transplant year0.9540.854-1.0670.4110.9000.816-0.9930.036

MELD, model for end-stage liver disease score; HCC, hepatocellular carcinoma; BMI, body mass index; PaO2, partial pressure of oxygen in arterial blood; ICU, intensive care unit; Sd-MaS, small droplet macrovesicular steatosis; Ld-MaS, large droplet macrovesicular steatosis; IRI, histological ischemia/reperfusion injury; IPGF, initial poor graft function; EAD, early allograft dysfunction.
§Available in only 55 and 79 recipients with HCV positive and negative liver disease, respectively.