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Table 3 Univariable analysis of prognostic variables related to hospital mortality and/or ICU transfer during hospitalization in 96 patients with cryptococcal meningitis at Emilio Ribas Institute of Infectious Diseases, São Paulo, Brazil

From: Early clinical and microbiological predictors of outcome in hospitalized patients with cryptococcal meningitis

Variables

All

Death or ICU transfer (n = 37)

Survivor or no ICU transfer (n = 56)

p*

Age (years)-average (IQR)

38.7 (29–46)

41.8 (30.5–51)

36.3 (28–44.5)

0.06

Glasgow coma scale (IQR)

14 (15)

14 (14–15)

15 (15–15)

 < 0.001

Signs and symptoms at admission

 Headache

77/90 (85.56%)

25/34 (73.53%)

52/56 (92.86%)

0.03

 Mental confusion

19/90 (21.11%)

11/34 (32.35%)

8/56 (14.29%)

0.06

 Seizure

12/90 (13.33%)

7/34 (20.59%)

5/56 (8.93%)

0.2

 Nausea

28/90 (31.11%)

7/34 (20.59%)

21/56 (37.5%)

0.11

 Cough

2/90 (2.22%)

2/34 (5.88%)

0/56 (0%)

0.14

 Neck stiffness

3/90 (3.33%)

3/34 (8.82%)

0/56 (0%)

0.05

 Storpor

4/90 (4.44%)

3/34 (8.82%)

1/56 (1.79%)

0.15

Clinical-laboratory data

 Cerebral toxoplasmosis

9/90 (10%)

7/34 (20.59%)

2/56 (3.57%)

0.02

 Systemic arterial hypertension

6/90 (6.67%)

5/34 (14.71%)

1/56 (1.79%)

0.03

 Lymphoma

3/90 (3.33%)

3/34 (8.82%)

0/56 (0%)

0.05

 Pneumonia

11/90 (12.22%)

9/34 (26.47%)

2/56 (3.57%)

0.002

 Culture of Cryptococcus spp. from bloodstream

18/89 (20.22%)

12/34 (35.29%)

6/55 (10.91%)

0.007

 Culture of Cryptococcus spp. from extra neural sites

20/89 (22.47%)

12/34 (35.29%)

8/55 (14.55%)

0.03

 CSF yeasts count (yeasts/mm3) average (IQR)

749 (6–665)

1531 (73–2240)

275 (2.5–330)

0.002

 Urea level (mg/dL) average (IQR)

33.41 (21–40)

40.91 (22–48)

28.46 (21–34)

0.04

 HIV viral load average (IQR)

242,556 (1824–332,156)

280,197 (7912–3,826,251)

221,890 (495 -311,000)

0.18

 Regular antiretroviral therapy

17/90 (18.89%)

3/34 (8.82%)

14/56 (25%)

0.09

 C. neoformans VNI

77/96 (80.21%)

27/37 (72.97%)

48/56 (85.71%)

0.18

 AMB-FCZ therapy

42/89 (47.19%)

12/34 (35.29%)

30/55 (54.55%)

0.09

 FCZ MIC (mg/L) average (IQR)

9 (1–16)

8 (1–8)

10 (1–16)

0.20

 FCZ MIC ≥ 16 mg/L

27/96 (28.13%)

7/37 (18.92%)

20/56 (35.71%)

0.10

Neuroimaging-computed tomography

Cerebral edema

4/90 (4.44%)

4/34 (11.76%)

0/56 (0%)

0.02

Ventricular dilation

4/90 (4.44%)

4/34 (11.76%)

0/56 (0%)

0.02

No alterations

42/90 (46.67%)

11/34 (32.35%)

31/56 (55.36%)

0.05

Neuroimaging-magnetic resonance imaging

 Pseudocysts

4/90 (4.44%)

3/34 (8.82%)

1/56 (1.79%)

0.15

  1. *p ≤ 0.2; IQR, interquartile range 25–75%; CSF, cerebrospinal fluid; AMB, amphotericin B; FCZ, fluconazole; MIC, minimum inhibitory concentration