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. 2012 May 3;19(1):62–68. doi: 10.1111/j.1469-0691.2012.03906.x

TABLE 4.

Predictors of the 6-week mortality in all candidaemic patients

Characteristics HR (95% CI) p Adjusted HR (95% CI) p
Mixed Candida/bacterial BSI 1.09 (0.67–1.78) 0.72 ND
 Gram-positive bacteria 0.76 (0.42–1.39) 0.37 ND
 Gram-negative bacteria 1.67 (0.86–3.25) 0.13 0.15
Co-morbidities
 Chronic kidney disease 2.03 (1.11–3.72) 0.021 0.96
 Charlson co-morbidity index ≥4 1.79 (1.13–2.85) 0.014 1.91 (1.17–3.13) 0.01
Risk factors for Candida infectiona
 ICU residence 1.77 (1.12–2.80) 0.015 0.36
 Neutropenia 1.46 (0.82–2.62) 0.20 0.08
 Chemotherapy 1.56 (0.95–2.54) 0.08 0.15
 Corticosteroids 1.59 (0.94–2.68) 0.09 0.27
 Surgery 0.46 (0.24–0.88) 0.02 0.34 (0.17–0.65) 0.001
 Hyperalimentation 1.72 (0.83–3.60) 0.15 - 0.31
Severity of illness
 SOFA score ≥10 3.78 (2.33–6.12) <0.001 3.00 (1.73–5.18) <0.001
 Pitt bacteraemia score ≥8 4.83 (2.80–8.33) <0.001 6.98 (3.32–14.70) <0.001
 Mechanical ventilation 1.90 (1.19–3.02) 0.007 0.76
 Continuous renal replacement therapy 1.90 (1.02–3.54) 0.04 0.07
Delay in initiation of antifungal therapy >72 h 1.87 (1.16–3.00) 0.01 2.03 (1.23–3.35) 0.006
Early central venous catheter removal 0.68 (0.41–1.13) 0.13 0.99
Persistent candidaemia at the last blood culture 5.87 (3.62–9.52) <0.001 7.60 (4.36–13.25) <0.001

BSI, bloodstream infection; HR, hazard ratio; ICU, intensive care unit; SOFA, sequential organ failure assessment.

a

Risk factors within 30 days prior to candidaemia.