Univariate analysis, which consisted of chi-squared or Fisher’s exact test for categorical independent variables and

logistic regression for continuous independent variables, was used to identify factors present at the time of initial clinical Y-27632 chemical structure presentation associated with 28-day crude mortality. A multivariable Cox Proportional Hazards Regression model was built in a forward stepwise fashion using biologically plausible variables identified by univariate analysis (P < 0.1) accounting for potential confounders. Continuous variables were analysed continuously or categorically using cut-off threshold values identified by classification and regression tree (CART) partitioning. Variables retained in the multivariate model were then assigned a weighted score based on the adjusted hazard ratios rounded to the nearest whole number from the regression model, which was then added to the baseline APACHE II score calculated at the time of PM diagnosis. Receiver–operator curves (ROC) were used to analyse the ability of the risk score https://www.selleckchem.com/products/PF-2341066.html to differentiate non-survivors from surviving patients

at 28 days, and assign a breakpoint score associated with high risk of early death. Antifungal and other treatment variables occurring after diagnosis were not included in the development of the model. Time to death following the initial clinical signs of PM were then compared in patients with low- vs. high-risk scores using Kaplan–Meier curves, and mortality rates were compared among groups using the log-rank test. All analysis was performed with spss version 20 (IBM, Armonck, NY) and Medcalc Software Packages (Ostend, Belgium). We identified 75 patients with PM over the 12-year study period (13 proven/62 probable) (Table 1). The male : female ratio was 2 : 1 (50 males and 25 female patients). The median Amino acid age at diagnosis was 57 years (range, 16–76 years). The vast majority of the

patients were Caucasians (81%). Thirty patients (40%) had a diagnosis of AML or myelodysplastic syndrome. Forty-three patients (57%) had active haematological malignancy at the time of diagnosis. Moreover, 36 patients (48%) were HSCT recipients. Of these, 29 (81%) received allogeneic stem cell transplants and 19 (66%) patients had developed severe GvHD. A history of diabetes mellitus and a serum glucose level higher than 200 mg dl−1 were present in 23 (31%) and 25 (34%) patients at the time of diagnosis respectively. Neutropenia and lymphopenia were present at diagnosis in 43 (57%) and 48 (64%) patients, respectively, whereas monocytopenia was present in 39 (52%) of the study cohort. Among patients with neutropenia, 28 (65%) had an ANC count less than 100 mm−3. The median duration of neutropenia before diagnosis was 10 days (range, 1–100 days). Only 18 patients (24%) recovered from neutropenia during the infection course. In addition, among patients with lymphopenia, 34 (71%) had severe lymphopenia.