Table 5.
Independent Risk Factors for Breakthrough Invasive Fungal and Invasive Mold Infections Identified by Multivariate Logistic Regression
Univariate, P | Multivariate | ||
---|---|---|---|
P | Odds Ratio (95% CI) | ||
Breakthrough IFI | |||
African-American race | .02 | .18 | |
Receipt of >7 RBC units transfusion | .001 | .01 | 7.5 (1.5–36.6) |
Mold-positive respiratory culture at transplant (recipient or donor) | .025 | .04 | 7.1 (1.1–44.4) |
Breakthrough IMI | |||
Receipt of >7 RBC units transfusion | .004 | <.0001 | 8.6 (2.7–26.9) |
Mold-positive respiratory culture at transplant (recipient or donor) | .02 | <.0001 | 18.5 (3.7–91.7) |
Bronchial necrosis extending >2 cm from the anastomosis | .03 | .008 | 7.05 (1.7–29.7) |
Alemtuzumab induction | .05 | .01 | 0.17 (.04–.68) |
An exact logistic regression model, which produces more accurate inference in small numbers of breakthrough IFI and breakthrough IMI, was used to compute P values and odds ratios with 95% CIs. A Bayesian regression simulation using 1000 iterative samples was also used to estimate the odds ratio, and similar results were obtained.
Abbreviations: CI, confidence interval; IFI, invasive fungal infection; IMI, invasive mold infection; RBC, red blood cell.