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Table 3 Comparison of the 74 mucormycosis according to the surgical status

From: Mucormycosis in intensive care unit: surgery is a major prognostic factor in patients with hematological malignancy

 

Study population (n = 74)

Surgery (n = 27)

No surgery (n = 47)

P-value

Age, years, mean (SD)a

50.6 (16.6)

49.2 (19.6)

51.5 (14.8)

0.60

Sex-ratio (H/F)

1.96

1.1

2.92

0.08

Underlying disease

 Hematological malignancies, n (%)

41 (55.4)

12 (44.4)

29 (61.7)

0.23

 Acute myeloid leukemia, n (%)

15 (20.3)

5 (18.5)

10 (21.3)

1

 Acute lymphoblastic leukemia, n (%)

10 (13.5)

3 (11.1)

7 (14.9)

0.74

 Lymphoma, n (%)

8 (10.8)

3 (11.1)

5 (10.6)

1

 Multiple myeloma, n (%)

2 (2.7)

0

2 (4.3)

0.53

 Myelodysplastic syndrome, n (%)

2 (2.7)

0

2 (4.3)

0.53

 Other, n (%)

4 (5.4)

1 (3.7)

3 (6.4)

1

 Allogenic HSCT, n (%)

16 (21.6)

3 (11.1)

13 (27.7)

0.14

 Autologous HSCT, n (%)

7 (9.5)

1 (3.7)

6 (12.8)

0.41

 Solid malignancies, n (%)

4 (5.4)

1 (3.7)

3 (6.4)

1

 SOT, n (%)

9 (12.2)

4 (14.8)

5 (10.6)

0.72

 Inflammatory disease, n (%)

2 (2.7)

1 (3.7)

1 (2.1)

1

 Systemic steroids, n (%)

30 (40.5)

8 (29.6)

22 (46.8)

0.15

 Diabetes, n (%)

11 (14.9)

1 (3.7)

10 (21.3)

0.05

Other condition, n (%)

    

 Chronic alcoholism, n (%)

8 (10.8)

3 (11.1)

5 (10.6)

1

 Malnutrition, n (%)

24 (32.4)

10 (37.0)

14 (29.8)

0.70

 Drug addiction, n (%)

1 (1.4)

0

1 (2.1)

1

 Chronic renal failure, n (%)

7 (9.5)

3 (11.1)

4 (8.5)

1

 Respiratory disease, n (%)

15 (20.3)

2 (7.4)

13 (27.7)

0.13

 Cirrhosis, n (%)

1 (1.4)

0

1 (2.1)

1

 Trauma, n (%)

7 (9.5)

2 (7.4)

5 (10.6)

1

 Burn, n (%)

3 (4.1)

2 (7.4)

1 (2.1)

0.55

Previous antifungal therapy, n (%)

30 (40.5)

7 (25.9)

23 (48.9)

0.09

Site of infection

 Lungs, n (%)

29 (39.2)

5 (18.5)

24 (51.1)

0.01

 Skin, n (%)

15 (20.3)

8 (29.6)

7 (14.9)

0.22

 Sinus and ENT infection, n (%)

1 (1.35)

1 (1.4)

0

0.36

 Abdomen, n (%)

1 (1.35)

1 (1.4)

0

0.36

 Bones, n (%)

1 (1.35)

0

1 (2.1)

1

 Infection of contiguous sites, n (%)

13 (17.6)

7 (25.9)

6 (12.8)

0.26

 Disseminated infection, n (%)

14 (18.9)

4 (14.8)

10 (21.3)

0.55

Isolated fungi

0.02

 Rhizopus genus, n (%)

22 (29.7)

7 (25.9)

15 (31.9)

 

 Mucor genus, n (%)

10 (13.5)

2 (7.4)

8 (17.0)

 

 Rhizomucor genus, n (%)

14 (18.9)

4 (14.8)

10 (21.3)

 

 Lichtheimia genus, n (%)

19 (25.7)

7 (25.9)

12 (25.5)

 

 Cunninghamella genus, n (%)

1 (1.4)

0

1 (2.1)

 

 Unclassified mucorales, n (%)

9 (12.2)

8 (29.6)

1 (2.1)

 

Year of admission

   

0.53

Severity of infection

 SAPS2, mean (SD)a

52 (22)

44.6 (17.5)

56.6 (22.5)

0.01

 SOFA, mean (SD)a

9 (4)

7.0 (3.3)

9.9 (3.7)

0.001

 Respiratory

2.0 (1.2)

1.5 (1.3)

2.2 (1.1)

0.01

 Cardiovascular

1.7 (1.8)

1.4 (1.6)

1.9 (1.8)

0.18

 Renal

1.1 (1.2)

1.2 (1.2)

1.1 (1.2)

0.63

 Hematological

2.0 (1.4)

1.4 (1.2)

2.3 (1.5)

0.006

 Neurological

1.2 (1.5)

0.8 (1.3)

1.4 (1.6)

0.08

 Liver

0.8 (0.9)

0.6 (0.8)

0.9 (0.9)

0.17

Biological abnormalities

 TP < 50%, n (%)

13 (17.6)

2 (7.41)

11 (23.4)

0.12

 Thrombocytes < 50G/L, n (%)

27 (36.5)

5 (18.5)

22 (46.8)

0.02

 Leucocytes < 1G/L, n (%)

23 (31.1)

6 (22.2)

17 (36.2)

0.32

 Interventions

    

 Vasopressors

53 (71.6)

18 (66.7)

35 (74.5)

0.65

 Mechanical ventilation

66 (89.2)

21 (77.8)

45 (95.7)

0.05

 Renal replacement therapy

31 (41.9)

14 (51.9)

17 (36.2)

0.23

 Delay of efficient antifungal treatment, mean (SD)a

9.5 (9.9)

10.2 (8.7)

8.9 (11.2)

0.64

  1. Italic values indicate significance of P-value (P < 0.05)
  2. ENT ear-nose-throat, HSCT hematopoietic stem cell transplantation; SAPS2 simplified Acute Physiological Score 2, SOFA sequential organ failure assessment, SOT solid organ transplantation
  3. aResults are expressed as mean (SD) and compared with Student’s t test