SAHIN, Meyha, Mesut YILMAZ, Ali MERT, Ahmet Naci EMECEN, Muna A Rahman S. AL MASLAMANI, Samar Mahmoud A HASHIM, Ajithkumar Valooparambil ITTAMAN, Al Ramahi Jamal WADI, Balint Gergely SZABO, Deborah KONOPNICKI, Dilsah Baskol ELIK, Botond LAKATOS, Oguz Resat SIPAHI, Reham KHEDR, Sabah JALAL, Natalia PSHENICHNAYA, Dumitru Irina MAGDALENA, Amani EL-KHOLY, Ejaz Ahmed KHAN, Sevil ALKAN, Atousa HAKAMIFARD, Gulden SINCAN, Aliye ESMAOGLU, Mateja Jankovic MAKEK, Esra GURBUZ, Anna LISKOVA, Ayse ALBAYRAK, Roman STEBEL, Tulay Unver ULUSOY, Rezaul Karim RIPON, Ruxandra MOROTI, Cosmin DASCALU, Naveed RASHID, Andrea CORTEGIANI, Zeynep BAHAD and Hakan ERDEM. Factors affecting mortality in COVID-19-associated pulmonary aspergillosis: An international ID-IRI study. Heliyon. CAMBRIDGE: CELL PRESS, 2024, vol. 10, No 14, p. 1-11. ISSN 2405-8440. Available from: https://dx.doi.org/10.1016/j.heliyon.2024.e34325.
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Basic information
Original name Factors affecting mortality in COVID-19-associated pulmonary aspergillosis: An international ID-IRI study
Authors SAHIN, Meyha, Mesut YILMAZ, Ali MERT, Ahmet Naci EMECEN, Muna A Rahman S. AL MASLAMANI, Samar Mahmoud A HASHIM, Ajithkumar Valooparambil ITTAMAN, Al Ramahi Jamal WADI, Balint Gergely SZABO, Deborah KONOPNICKI, Dilsah Baskol ELIK, Botond LAKATOS, Oguz Resat SIPAHI, Reham KHEDR, Sabah JALAL, Natalia PSHENICHNAYA, Dumitru Irina MAGDALENA, Amani EL-KHOLY, Ejaz Ahmed KHAN, Sevil ALKAN, Atousa HAKAMIFARD, Gulden SINCAN, Aliye ESMAOGLU, Mateja Jankovic MAKEK, Esra GURBUZ, Anna LISKOVA, Ayse ALBAYRAK, Roman STEBEL (203 Czech Republic, belonging to the institution), Tulay Unver ULUSOY, Rezaul Karim RIPON, Ruxandra MOROTI, Cosmin DASCALU, Naveed RASHID, Andrea CORTEGIANI, Zeynep BAHAD and Hakan ERDEM.
Edition Heliyon, CAMBRIDGE, CELL PRESS, 2024, 2405-8440.
Other information
Original language English
Type of outcome Article in a journal
Field of Study 30303 Infectious Diseases
Country of publisher United Kingdom of Great Britain and Northern Ireland
Confidentiality degree is not subject to a state or trade secret
WWW URL
Impact factor Impact factor: 4.000 in 2022
Organization unit Faculty of Medicine
Doi http://dx.doi.org/10.1016/j.heliyon.2024.e34325
UT WoS 001272308400001
Keywords in English COVID-19; COVID-19-associated aspergillosis; Intensive care unit; Mortality
Tags 14110214, rivok
Tags International impact, Reviewed
Changed by Changed by: Mgr. Tereza Miškechová, učo 341652. Changed: 5/8/2024 08:55.
Abstract
Background: This study aimed to identify factors that influence the mortality rate of patients with coronavirus disease (COVID-19)-associated pulmonary aspergillosis (CAPA). Methods: In this cross-sectional study, data from 23 centers across 15 countries, spanning the period of March 2020 to December 2021, were retrospectively collected. The study population comprised patients who developed invasive pulmonary aspergillosis while being treated for COVID-19 in the intensive care unit. Cox regression and decision tree analyses were used to identify factors associated with mortality in patients with CAPA. Results: A total of 162 patients (males, 65.4 %; median age: 64 [25th-75th: 54.0-73.8] years) were included in the study, of whom 113 died during the 90-day follow-up period. The median duration from CAPA diagnosis to death was 12 (25th-75th: 7-19) days. In the multivariable Cox regression model, an age of >= 65 years (hazard ratio [HR]: 2.05, 95 % confidence interval [CI]: 1.37-3.07), requiring vasopressor therapy at the time of CAPA diagnosis (HR: 1.80, 95 % CI: 1.17-2.76), and receiving renal replacement therapy at the time of CAPA diagnosis (HR: 2.27, 95 % CI: 1.35-3.82) were identified as predictors of mortality. Decision tree analysis revealed that patients with CAPA aged >= 65 years who received corticosteroid treatment for COVID-19 displayed higher mortality rates (estimated rate: 1.6, observed in 46 % of patients). Conclusion: This study concluded that elderly patients with CAPA who receive corticosteroids are at a significantly higher risk of mortality, particularly if they experience multiorgan failure.
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