Research Article

Outcomes of Combined Heart-Kidney Transplantation in Older Recipients

Table 3

Multivariable Cox proportional hazards model for one-year mortality following combined heart and kidney transplantation.

Univariable analysisFinal multivariable model
Hazard ratio (95% CI) valueHazard ratio (95% CI) value

Age (per year)1.01 (1.00–1.02)0.2621.01 (1.00–1.02)0.236
Creatinine (per mg/dL)1.04 (0.99–1.09)0.1101.06 (1.01–1.12)0.014
Total bilirubin (per mg/dL)1.03 (1.01–1.05)0.0021.03 (1.01–1.05)0.002
Mechanical ventilation at time of transplantation3.48 (1.72–7.04)0.0012.85 (1.31–6.22)0.008
Bridging method
 NoneReferenceReferenceReferenceReference
 Inotropes0.67 (0.46–0.97)0.0330.78 (0.53–1.15)0.210
 IABP0.95 (0.61–1.47)0.8111.06 (0.67–1.66)0.807
 Durable VAD1.10 (0.78–1.56)0.5781.26 (0.87–1.83)0.872
 Temporary VAD/ECMO1.44 (0.87–2.39)0.1561.49 (0.85–2.62)0.852
Ischemic time (per hour)1.19 (1.06–1.33)0.0031.17 (1.04–1.32)0.007
Donor age (per year)1.01 (1.00–1.03)0.0111.02 (1.00–1.03)0.012

ECMO, extracorporeal membrane oxygenation; IABP, intraaortic balloon pump; VAD, ventricular assist device. Age as continuous variable. Only age and covariates associated with one-year mortality on univariable analysis are listed here.