Research Article

Assessment of Steatosis and Fibrosis in Liver Transplant Recipients Using Controlled Attenuation Parameter and Liver Stiffness Measurements

Table 4

Univariate and multivariate analysis of predictors of severe steatosis (elevated CAP ≥290 dB).

VariablesUnivariateMultivariate
OR (95% CI) valueOR (95% CI) value

Age at LT, years1.02 (0.99–1.05)0.115
Age at TE, years1.03 (1.01–1.06)0.0491.01 (0.96–1.07)0.494
Donor age, years0.99 (0.97–1.02)0.574
Gender (female ref.)1.48 (0.77–2.82)0.240

Cause of liver disease
 Autoimmune liver disease0.64 (0.24–1.71)0.3721.52 (0.91–1.83)0.984
 Alcoholic liver disease1.99 (1.04–3.80)0.038
 HCV1.15 (0.23–5.88)0.863
 Others0.61 (0.33–1.11)0.108
BMI, kg/m21.10 (1.01–1.20)0.0422.77 (1.34–3.85)0.048
Donors BMI, kg/m21.01 (0.93–1.09)0.836
Hypertension0.10 (0.01–1.54)0.100
Diabetes2.64 (1.41–4.95)0.0021.48 (1.21–1.85)0.044
Thrombocytes x109/L0.99 (0.98–1.01)0.621
Glucose, mmol/L1.21 (1.02–1.45)0.0331.11 (0.95–1.30)0.368
Total bilirubin, mmol/L1.01 (0.98–1.04)0.718
ALT, U/L1.01 (0.99–1.02)0.534
AST, U/L1.01 (0.99–1.02)0.309
GGT, U/L1.01 (0.98–1.02)0.184
Triglyceride, mmol/L1.79 (1.18–2.69)0.0061.63 (1.15–2.59)0.041
Total cholesterol, mmol/L1.23 (0.93–1.63)0.146
LDL, mmol/L1.19 (0.86–1.66)0.290
HDL, mmol/L0.60 (0.27–1.34)0.209
CRP, mg/L0.99 (0.97–1.02)0.770
LSM, kPa1.02 (0.97–1.07)0.410
Time from LT to TE, years1.09 (0.98–1.23)0.104

LT, liver transplantation; NAFLD, nonalcoholic fatty liver disease; HCV, hepatitis C virus infection; BMI, body mass index; AST, serum aspartate aminotransferase; ALT, alanine aminotransferase; GGT, gamma-glutamyl transferase; CRP, C-reactive protein; LSM, liver stiffness measurement; TE, transient elastography.