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20 June 2023: Original Paper

Survival Analysis of Transplant-Associated Thrombotic Microangiopathy Under Different Diagnostic Criteria and Efficacy of Plasma Exchange

Yifan Xu 12ABCDEF , Yan Wei 12BF , Lijun Wang 2BC , Ning Lu 2BD , Yongli Wu 2BD , Liping Dou 2AF , Daihong Liu 2AF , Meng Li 2ADEF* , Chunji Gao 2ADEFG*

DOI: 10.12659/AOT.939890

Ann Transplant 2023; 28:e939890

Table 3 Survival group vs deceased group.

CharacteristicsSurvived (n=16)Dead (n=16)P value
33.5 (3–60)33.5 (15–60)0.227
0.126
 Male9 (56.2%)13 (81.2%)
 Female7 (43.8%)3 (18.8%)
0.252
 AA2 (12.4%)0 (0.0%)
 MDS/AML/CML7 (43.8%)11 (68.8%)
 ALL7 (43.8%)5 (31.2%)
>0.99
 BU/CY+ATG14 (87.4%)15 (93.8%)
 FluCY-ATG1 (6.3%)0 (0.0%)
 TBI/CY/ATG1 (6.3%)1 (6.2%)
>0.99
 MUD2 (12.5%)2 (12.5%)
 Haplo13 (81.3%)13 (81.3%)
 MRD1 (6.2%)1 (6.2%)
>0.99
 Yes10 (62.5%)9 (56.2%)
 No6 (37.5%)7 (43.8%)
>0.99
 ABO mismatch5 (31.3%)4 (25.0%)
 ABO matched11 (68.8%)12 (75.0%)
0.172
 HLA matched1 (6.2%)5 (31.2%)
 HLA mismatch15 (93.8%)11 (68.8%)
 Yes2 (12.5%)11 (68.8%)
 No14 (87.5%)5 (31.2%)
0.333
 Yes15 (93.8%)12 (75.0%)
 No1 (6.2%)4 (25.0%)
47 (22–95)139.5 (29–591)
 Early TA-TMA16 (100.0%)7 (43.8%)
 Late TA-TMA0 (0.0%)9 (56.2%)
 Yes2 (12.5%)10 (62.5%)
 No14 (87.5%)6 (37.5%)
0.473
 Ye8 (50.0%)11 (68.8%)
 No8 (50.0%)5 (31.2%)
0.458
 Yes12 (75.0%)9 (56.2%)
 No4 (25.0%)7 (43.8%)
 Yes2 (12.5%)10 (62.5%)
 No14 (87.5%)6 (37.5%)
0.285
 Yes9 (56.2%)5 (31.2%)
 No7 (43.8%)11 (68.8%)
 Yes7 (43.8%)14 (87.5%)
 No9 (56.3%)2 (12.5%)
>0.99
 Yes15 (93.8%)16 (100.0%)
 No1 (6.2%)0 (0.0%)
 Yes14 (87.5%)4 (25.0%)
 No2 (12.5%)12 (75.0%)
0.135
 Yes3 (18.8%)8 (50.0%)
 No13 (81.3%)8 (50.0%)
0.011
 Yes5 (31.2%)13 (81.2%)
 No11 (68.8%)3 (18.8%)
 TBIL (μmol/L), median10.9 (4.7–65.6)36.4 (6.5–329.0)
 PLT (×10/L), median30.5 (7–165)13.5 (3–72)
 Hb (g/L), mean75.3±12.064.0±12.3
 Schistocyte (%), median1.0 (0.0–2.6)1.8 (0.0–4.0)0.166
 LDH (U/L), median333.4 (260.3–505.0)465.2 (196.6–1790.4)0.474
Data are presented as the mean±SD, median (range, minimum-maximum), or n (%). Significant P values are in bold type. HLA – human leukocyte antigen; TBI – total body irradiation; aGVHD – acute graft-versus-host disease; CMV – cytomegalovirus; EBV – Epstein-Barr virus; LDH – lactate dehydrogenase; TBIL – total bilirubin; AML – acute myeloblastic leukemia; ALL – acute lymphoblastic leukemia; CML – chronic myelogenous leukemia; MDS – myelodysplastic syndrome; AA – aplastic anemia; BU – busulfan; CY – cyclophosphamide; ATG – anti-thymocyte globulin; Flu – fludarabine; Haplo – haploidentical; MRD – matched related donor; MUD – matched unrelated donor; GI – gastrointestinal; Hb – hemoglobin; PLT – platelet.

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Annals of Transplantation eISSN: 2329-0358
Annals of Transplantation eISSN: 2329-0358