Table 2. Risk factors for 90-day all-cause mortality among patients with blastomycosis, Quebec, Canada*.
Risk factor | Survived, n = 155 |
Died, n = 30 | Crude odds ratio (95% CI) |
p value |
Adjusted odds ratio (95% CI) |
p value |
|||||
---|---|---|---|---|---|---|---|---|---|---|---|
Study period | |||||||||||
1988–1997 | 31 (94) | 2 (6) | 1 | ||||||||
1998–2007 | 47 (82) | 10 (18) | 3.3 (0.7–16.1) | 0.1 | 2.7 (0.5–15.3) | 0.3 | |||||
2008–2017 |
77 (81) |
18 (19) |
3.6 (0.8–16.6) |
0.1 |
1.2 (0.2–6.5) |
0.8 |
|||||
Median no. days of symptoms before diagnosis (IQR) |
71 (26–141) |
37 (18–45) |
0.99 (0.99–1.00) |
0.04 |
0.99 (0.99–1.00) |
0.07 |
|||||
Median age, y (IQR) |
54 (44–64) |
62 (53–71) |
1.04 (1.01–1.07) |
0.004 |
1.04 (1.00–1.07) |
0.04 |
|||||
Sex | |||||||||||
F | 34 (81) | 8 (19) | |||||||||
M |
121 (85) |
22 (15) |
0.8 (0.3–1.9) |
0.6 |
|
|
|||||
Charlson Comorbidity Index score | |||||||||||
0 | 76 (94) | 5 (6) | |||||||||
1–2 | 43 (81) | 10 (19) | 3.5 (1.1–16.1) | 0.03 | |||||||
≥3 |
36 (71) |
15 (29) |
6.3 (2.1–18.8) |
0.001 |
|
|
|||||
Underlying condition | |||||||||||
Diabetes | 23 (72) | 9 (28) | 2.5 (1.00–6.04) | 0.05 | |||||||
COPD | 27 (79) | 7 (21) | 1.4 (0.6–3.7) | 0.5 | |||||||
Immunosuppression |
27 (61) |
17(39) |
6.2 (2.7–14.3) |
<0.001 |
4.2 (1.5–11.6) |
0.005 |
|||||
No. organs involved | |||||||||||
1–2 | 105 (87) | 16 (13) | |||||||||
>2 |
50 (78) |
14 (22) |
1.8 (0.8–4.1) |
0.1 |
|
|
|||||
Radiologic manifestations | |||||||||||
No. lobes | |||||||||||
0–2 | 112 (93) | 8 (7) | |||||||||
>2 | 43 (66) | 22 (34) | 7.2 (3.0–17.3) | <0.001 | 5.3 (1.9–14.3) | 0.001 | |||||
Miliary presentation |
6 (67) |
3 (33) |
2.8 (0.7–11.7) |
0.2 |
|
|
|||||
First antifungal received | |||||||||||
Amphotericin, lipid formulations | 20 (80) | 5 (20) | 1 | ||||||||
Amphotericin B, deoxycholate | 13 (76) | 4 (24) | 1.2 (0.3–5.5) | 0.08 | |||||||
Azole | 107 (96) | 4 (4) | 0.1 (0.04–0.61) | 0.008 | |||||||
No treatment | 15 (47) |
17 (53) | 4.5 (1.4–15.1) |
0.01 |
|
|
*Values are no. (%) except as indicated. COPD, Chronic obstructive pulmonary disease; IQR, interquartile range.