ICU sedation, delirium & recovery

Critical care illness in allogeneic hematopoietic stem-cell transplantation recipients with chronic graft versus host disease

Crit CarePublished Post hoc analysis of a multicentre cohort study

Primary result · 90-day mortalityResult — go to the resultHR for 90-day mortality 1.32 95% CI 1.21–1.46

Authors' conclusion

In critically ill Allo-HSCT recipients, the presence or severity of cGVHD is not associated with survival and should not influence the decision to admit or not the patient to the ICU.

Study context

Population
Critically ill allogeneic hematopoietic stem-cell transplantation (Allo-HSCT) recipients admitted to 14 French intensive care units (ICUs), 2015–2020114 with chronic graft-versus-host disease (cGVHD)
Participants
1,164 participants
Comparison
cGVHD vs controlled acute GVHD vs no GVHD
  • cGVHDn = 114
Primary endpoint
Mortality after admission
Follow-up
90 days
Methodological details14 French ICUs
  • 14 French ICUs

Primary result

90-day mortality

HR for 90-day mortality

1.32

95% CI 1.21–1.46

P < 0.01

By group

SOFA score at ICU admission (per point)
HR for 90-day mortality 1.32 (95% CI 1.21–1.46); P < 0.01

Per point, as printed

As reported in the abstract

Further findings

Survival · 3 years

Prevalence of cGVHD
10% · 114

Prevalence of cGVHD

Severe form in half the patients

cGVHD severity and survival (cGVHD)

cGVHD severity did not significantly influence survival

Original publication

Critical care illness in allogeneic hematopoietic stem-cell transplantation recipients with chronic graft versus host disease. Crit Care. Published 20 June 2025. doi:10.1186/s13054-025-05486-5

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