Variable | n (%miss) | Overall (n = 132) | Antifungal prophylaxis (n = 75) | No antifungal prophylaxis (n = 57) | p | pIPTW |
---|---|---|---|---|---|---|
Demographic variables | ||||||
Age (years) | 132 (0%) | 65 [55–75] | 67 [55–74] | 63 [56–75] | 0.879 | 0.375 |
Female Gender | 132 (0%) | 48 (36%) | 24 (32%) | 24 (42%) | 0.232 | 0.632 |
BMI (kg/m2) | 127 (4%) | 28.6 [25.4–33.2] | 27.8 [24.5–32.8] | 29.6 [25.9–33.7] | 0.139 | 0.285 |
Coexisting conditions | ||||||
Number of coexisting conditions | 132 (0%) | 2 [1–4] | 2 [1–3] | 2 [1–4] | 0.629 | 0.640 |
Hypertension | 132 (0%) | 93 (71%) | 49 (65%) | 44 (77%) | 0.186 | 0.562 |
Diabetes | 132 (0%) | 31 (23%) | 20 (27%) | 11 (19%) | 0.323 | 0.454 |
Atrial fibrillation | 132 (0%) | 22 (17%) | 10 (13%) | 12 (21%) | 0.238 | 0.400 |
Coronary artery disease$ | 132 (0%) | 21 (16%) | 9 (12%) | 12 (21%) | 0.159 | 0.686 |
Congestive heart failure | 132 (0%) | 20 (15%) | 9 (12%) | 11 (19%) | 0.247 | 0.763 |
Peripheral arterial disease | 132 (0%) | 17 (13%) | 7 (9%) | 10 (17%) | 0.163 | 0.171 |
Thromboembolic disease | 132 (0%) | 19 (14%) | 10 (13%) | 9 (16%) | 0.690 | 0.230 |
Chronic kidney disease | 132 (0%) | 35 (26%) | 15 (20%) | 20 (35%) | 0.052 | 0.892 |
Dialysis | 132 (0%) | 11 (8%) | 2 (3%) | 9 (16%) | 0.007 | 0.656 |
COPD | 132 (0%) | 16 (12%) | 13 (17%) | 3 (5%) | 0.035 | 0.867 |
Asthma | 132 (0%) | 15 (11%) | 9 (12%) | 6 (11%) | 0.792 | 0.702 |
Prior cancer in complete remission | 132 (0%) | 11 (8%) | 6 (8%) | 5 (8%) | 0.874 | 0.917 |
Active malignancy | 132 (0%) | 9 (7%) | 6 (8%) | 3 (5%) | 0.537 | 0.644 |
Dementia | 132 (0%) | 4 (3%) | 2 (3%) | 2 (4%) | 0.780 | 0.844 |
Prior transplantation | 132 (0%) | 10 (8%) | 7 (9%) | 3 (5%) | 0.381 | 0.821 |
Immunosuppression † | 132 (0%) | 17 (13%) | 13 (17%) | 4 (8%) | 0.008 | 0.921 |
ICU risk stratification | ||||||
SOFA (points) | 132 (0%) | 5 [4–8] | 4 [4–7] | 5 [4–10] | 0.057 | 0.987 |
paO2/FiO2 | 128 (3%) | 95 [75–146] | 90 [75–130] | 107 [75–152] | 0.302 | 0.749 |
PEEP (mmHg)—maximum | 111 (16%) | 11 [9–12] | 10 [9–12] | 11 [10–12] | 0.599 | 0.464 |
Acute respiratory failure grade (inspired by ARDS Berlin 2015 -classification) | 132 (0%) | – | – | – | 0.660 | 0.636 |
–severe | 76 (58%) | 46 (61%) | 30 (54%) | – | ||
–moderate | 45 (34%) | 24 (32%) | 21 (37%) | – | ||
–mild | 10 (8%) | 5 (7%) | 6 (9%) | – | ||
Ventilation | 132 (0%) | – | – | – | 0.146 | 0.776 |
–Intubated | 59 (45%) | 35 (47%) | 24 (42%) | – | ||
–vvECMO | 13 (10%) | 6 (8%) | 7 (12%) | – | ||
–NIV | 49 (37%) | 31 (41%) | 18 (32%) | – | ||
–HFNC | 4 (3%) | 2 (3%) | 2 (3%) | – | ||
–Mask oxygen supply | 7 (5%) | 1 (1%) | 6 (11%) | – | ||
Any invasive ventilation | 72 (56%) | 41 (55%) | 31 (54%) | 0.974 | 0.947 | |
Antimycotic substances | ||||||
Duration form diagnosis to initiation (days) | 75 (0%) | – | 4 [1–7] | – | – | |
Antimycotic drug used | 75 (0%) | – | – | – | – | |
–Posaconazole | – | 73 (98%) | – | – | ||
–Isavuconazole | – | 1(1%) | – | – | ||
–Caspofungin | – | 1(1%) | – | – | ||
Laboratory values | ||||||
Lactate (mmol/l) | 127 (4%) | 1.2 [0.9–1.9] | 1.2 [0.9–1.9] | 1.4 [0.9–1.9] | 0.980 | 0.462 |
IL-6 (pg/ml) | 114 (14%) | 83 [28–258] | 76 [28–185] | 89 [29–258] | 0.448 | 0.907 |
CRP (mg/l) | 130 (2%) | 112 [70–177] | 113 [76–196] | 112[58–151] | 0.237 | 0.573 |
Ferritin (ng/ml) | 113 (13%) | 1334 [635–2196] | 1459 [755–2164] | 1128 [493–2306] | 0.361 | 0.240 |
hs-TnT (pg/ml) | 119 (10%) | 24 [11–61] | 22 [11–58] | 27 [11–92] | 0.488 | 0.889 |
D-Dimer (mg/l) | 121 (8%) | 1.8 [0.9–4.7] | 1.5 [0.9–3.4] | 2.4 [1.1–7.7] | 0.134 | 0.343 |
Creatine (mg/dl) | 132 (0%) | 1.1 [0.81–1.42] | 1.0 [0.8–1.4] | 1.2 [0.8–1.7] | 0.139 | 0.998 |
Bilirubin total (mg/dl) | 132 (0%) | 0.5 [0.4–0.7] | 0.5 [0.4–0.7] | 0.5 [0.4–0.7] | 0.774 | 0.784 |
SARS-CoV-2-Antibody status at ICU admission | 132 (0%) | – | – | – | 0.612 | 0.617 |
–positive | 35 (27%) | 20 (27%) | 15 (26%) | – | – | |
–negative | 33 (25%) | 21 (27%) | 12 (21%) | – | – | |
–not available | 64 (48%) | 34 (46%) | 30 (52%) | – | – | |
Blood counts | ||||||
Leukocytes [G/l] | 132 (0%) | 9.4 [6.8–13.3] | 9.4 [7.0–13.4] | 9.2 [6.4–13.3] | 0.646 | 0.606 |
Neutrophils [G/l] | 132 (0%) | 8.4 [6.0–11.6] | 8.3 [6.0–11.6] | 9.2 [6.0–11.9] | 0.834 | 0.322 |
Lymphocytes [G/l] | 131 (1%) | 0.7 [0.5–0.9] | 0.8 [0.5–1.0] | 0.6 [0.5–0.9] | 0.299 | 0.340 |
Thrombocytes [G/l] | 132 (0%) | 221 [158–309] | 240 [161–335] | 208 [152–293] | 0.164 | 0.834 |
Specific Medication | ||||||
Glucocorticoids § | 132 (0%) | 132 (100%) | 75 (100%) | 57 (100%) | 1.000 | 1.000 |
Remdesivir | 132 (0%) | 53 (40%) | 36 (48%) | 17 (30%) | 0.035 | 0.555 |
Tocilizumab | 132 (0%) | 1 (1%) | 1 (1%) | 0 (0%) | 0.382 | 0.326 |
Convalescent Plasma | 132 (0%) | 50 (38%) | 32 (43%) | 18 (32%) | 0.193 | 0.871 |
Outcomes | ||||||
CAPA | 132 (0%) | 0.008 | 0.015 | |||
–probable CAPA | – | 9 (7%) | 1 (1%) | 8 (14%) | ||
–possible CAPA | – | 1 (1%) | 0 (0%) | 1 (2%) | ||
Deceased at data cut off | 132 (0%) | 65 (49%) | 39 (52%) | 26 (46%) | 0.467 | – |
Length of ICU stay | 132 (0%) | 13 [5–25] | 13 [6–24] | 12 [4–25] | 0.700 | – |