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Table 3 Analysis of factors affecting high-risk varices in the entire set of patients with PVTT (n = 206)

From: Variceal bleeding is aggravated by portal venous invasion of hepatocellular carcinoma: a matched nested case-control study

Variable

None or low-risk varices

High-risk varices

Univariate analysis

Multivariate analysis

(n = 148)

(n = 58)

OR

95% CI

P-value

OR

95% CI

P-value

Age (years)

55.3 ± 9.8

55.9 ± 8.7

1.007

0.976–1.040

0.649

   

Male

129 (87.2)

52 (89.7)

1.276

0.483–3.376

0.623

   

Hypertension

30 (20.3)

14 (24.1)

1.252

0.608–2.578

0.543

   

HBV infection

131 (88.5)

52 (89.7)

1.125

0.420–3.010

0.815

   

Child-Pugh class

    

< 0.001

   

A (reference)

139 (93.9)

45 (77.6)

1.0

   

B

9 (6.1)

13 (22.4)

4.462

1.789–11.128

< 0.001

   

PT (INR)

1.1 ± 0.1

1.2 ± 0.1

2.170

1.547–3.073

< 0.001

1.662

1.151–2.401

0.007

Creatinine (mg/dl)

0.9 ± 1.0

1.0 ± 0.8

1.027

0.758–1.393

0.863

   

Platelet count (×103/uL)

151.0 ± 65.0

109.9 ± 48.9

0.986

0.979–0.990

< 0.001

0.985

0.978–0.993

< 0.001

AST (IU/L)

59.9 ± 52.7

49.6 ± 32.0

0.995

0.987–1.002

0.175

   

ALT (IU/L)

45.2 ± 45.6

39.9 ± 21.1

0.996

0.987–1.005

0.410

   

Ascites

8 (5.4)

10 (17.2)

3.646

1.360–9.771

0.010

   

Number of tumors

 Single (reference)

84 (56.8)

31 (53.4)

1.0

   

 Multiple

64 (43.2)

27 (46.6)

1.143

0.621–2.104

0.667

   

 Tumor size (cm)

7.1 ± 3.5

7.4 ± 3.7

1.020

0.936–1.111

0.651

   

 Serum AFP (ng/ml)

12,401.0 ± 33,830.0

15,156.6 ± 63,869.8

1.001

0.995–1.008

0.689

   

 Extrahepatic metastasis

20 (13.5)

23 (39.7)

4.206

2.075–8.523

< 0.001

4.240

1.783–10.084

0.001

Degree of PVTT

 Vp2 (reference)

61 (41.2)

15 (25.8)

1.0

1.0

 Vp3

41 (27.7)

7 (12.1)

0.694

0.260–1.851

0.466

0.788

0.251–2.469

0.682

 Vp4

46 (31.1)

36 (62.1)

3.183

1.559–6.497

0.001

3.345

1.457–7.680

0.004

  1. Values are expressed as mean ± standard deviation, or frequency (percentage)
  2. PVTT portal vein tumor thrombosis, OR odds ratio, CI confidence interval, HBV hepatitis B virus, PT prothrombin time, INR international normalized ratio, AST aspartate aminotransferase, ALT alanine aminotransferase, and AFP alpha-fetoprotein