Development of a case fatality prognostic score for HIV-associated histoplasmosis

Autor: Ugo Françoise, Mathieu Nacher, Morgane Bourne-watrin, Loïc Epelboin, Camille Thorey, Magalie Demar, Jean-François Carod, Félix Djossou, Pierre Couppié, Antoine Adenis
Jazyk: angličtina
Rok vydání: 2023
Předmět:
Zdroj: International Journal of Infectious Diseases, Vol 132, Iss , Pp 26-33 (2023)
Druh dokumentu: article
ISSN: 1201-9712
DOI: 10.1016/j.ijid.2023.03.048
Popis: Objectives: The burden of histoplasmosis is as great as that of tuberculosis in Latin America and the attributable mortality is even higher. A better assessment of severity could help reduce mortality. Methods: From the French Guiana HIV-histoplasmosis database, we attempted to identify factors associated with 30-day death after antifungal drug initiation and constructed a prognostic score. We evaluated its discrimination performance using several resampling methods. Results: Of the 415 patients included, 56 (13.5%) died within 30 days of treatment. The fatality-associated factors were performance status ≥3, altered mental status, dyspnea, C-reactive protein ≥75 mg/l, hemoglobin
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