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May 30, 2026Journal of Clinical Oncology

Cardiovascular complications during CAR T-cell therapy were associated with a significantly higher risk of in-hospital mortality compared to no complications (6% vs. 1.7%; OR 3.72; p<0.001).

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Why the study?

Does the presence of cardiovascular complications increase in-hospital mortality in adult patients receiving CAR T-cell therapy?

Population

10,690 hospitalized adult patients (≥18 years) who received CAR T-cell therapy from 2019–2023

Comparison

Presence of cardiovascular complications (CVc) vs Absence of cardiovascular complications

Design

Cohort

Follow-up

in-hospital

Key result

Cardiovascular complications during CAR T-cell therapy were associated with a significantly higher risk of in-hospital mortality compared to no complications (6% vs. 1.7%; OR 3.72; p<0.001).

Authors

ARAnu Priyamvadha RamakrishnanDRDaniel Cruceta ReynosoSSShruthi Sridhar

Discussion

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Overview

Cardiovascular complications occur in nearly a quarter of adults hospitalized for CAR T-cell therapy and are associated with a nearly four-fold increased risk of in-hospital mortality.

Key Points

  • This research aims to assess the incidence and impact of cardiovascular complications during CAR T-cell therapy on in-hospital outcomes.
  • Retrospective cohort study utilizing the NIS database for patients hospitalized for CAR T-cell therapy from 2019–2023.
  • Patients stratified by ICD-10 codes into groups with and without cardiovascular complications.
  • Logistic regression analysis conducted to identify factors associated with complications and mortality.
  • Out of 10,690 hospitalized patients, 2,600 (24%) experienced cardiovascular complications, with a higher incidence in males (82%) and Whites (80%).
  • In-hospital mortality was 6% in the CVc group compared to 1.7% in those without complications (OR 3.72; p < 0.001).
  • CVc was linked to significantly longer length of stay (19.8 vs. 16.3 days; Coefficient: 3.57) and higher hospital costs ($1,312,776 vs. $1,128,782; Coefficient: $183,995).

Study Design

Type

Cohort (n=10,690)

Multicenter

Yes

Structured PICO

Does the presence of cardiovascular complications increase in-hospital mortality in adult patients receiving CAR T-cell therapy?

P
Population
10,690 hospitalized adult patients (≥18 years) who received CAR T-cell therapy from 2019–2023
I
Intervention
Presence of cardiovascular complications (CVc)
C
Comparator
Absence of cardiovascular complications
O
Outcome
Inpatient mortalityhard clinical

Main Result

Effect estimate: OR 3.72

Absolute Event Rate: 6% vs 1.7%

p-value: p=<0.001

Cardiovascular complications occur in nearly a quarter of adults hospitalized for CAR T-cell therapy and are associated with a nearly four-fold increased risk of in-hospital mortality.

Cite This Study

Ramakrishnan et al. (2026) conducted a cohort in CAR T-cell therapy (n=10,690). Cardiovascular complications vs. No cardiovascular complications was evaluated on Inpatient mortality (OR 3.72, p=<0.001). Cardiovascular complications during CAR T-cell therapy were associated with a significantly higher risk of in-hospital mortality compared to no complications (6% vs. 1.7%; OR 3.72; p<0.001).

synapsesocial.com/papers/6a1a80c00307b78509432aa6https://doi.org/10.1200/jco.2026.44.16_suppl.e24031
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