Id |
Subject |
Object |
Predicate |
Lexical cue |
T96 |
0-4 |
Sentence |
denotes |
3.4. |
T97 |
5-74 |
Sentence |
denotes |
Relevance of Various Tests and Categorization of Patients and Outcome |
T98 |
75-175 |
Sentence |
denotes |
Table 6 presents the classification of the 45 patients using original or modified AspICU algorithms. |
T99 |
176-293 |
Sentence |
denotes |
It appears that using an AspICU algorithm, nine patients were considered as having a putative IA (22% of the cohort). |
T100 |
294-527 |
Sentence |
denotes |
When including PCR, the number of patients with putative IA would increase from 9 to 15 (33%) patients, while most patients might be only colonized because all presented compatible clinical signs and abnormal chest CT scan (Table 5). |
T101 |
528-694 |
Sentence |
denotes |
Regarding Aspergillus detection, eight patients had a single detection of fungi using culture and/or PCR in respiratory samples and thus were classified as colonized. |
T102 |
695-857 |
Sentence |
denotes |
One of these patients had a concomitant GM detection in serum (index = 0.551), was not treated and is still alive, thus was considered as a false positive result. |
T103 |
858-996 |
Sentence |
denotes |
Finally, seven (16%) patients presented a heavy burden of Aspergillus in the respiratory tract with repeated positive cultures and/or PCR. |
T104 |
997-1140 |
Sentence |
denotes |
In order to rule out a chronic colonization before the episode, an anti-Aspergillus antibody testing was performed and showed negative results. |
T105 |
1141-1360 |
Sentence |
denotes |
These patients were classified as putative IA, and three of them could even be considered as probable IA because of a positive biomarker of angioinvasion (serum PCR and/or GM) in agreement with EORTC/MSG classification. |
T106 |
1361-1485 |
Sentence |
denotes |
Interestingly, following these classification criteria, CT scan abnormalities showed a gradation according to patient group. |
T107 |
1486-1751 |
Sentence |
denotes |
Diffuse reticular or alveolar opacities were observed in patients classified as probable IA (Figure 2), nodules in half of putative IA, and in colonized patients, only non-specific and hard to interpret signs in the context of COVID-19 infection could be described. |
T108 |
1752-2019 |
Sentence |
denotes |
In addition, putative/probable aspergillosis patients appeared more severely ill than patients without aspergillosis, since SOFA score at day seven was significantly higher in this group (p = 0.01) with a continuum between no infection, colonization and IA (Table 5). |
T109 |
2020-2231 |
Sentence |
denotes |
Similarly, the mean ICU length of stay increased significantly from 12 days in patients without aspergillosis to 23 days in colonized patients, and 27 days in putative/probable invasive aspergillosis (p = 0.02). |
T110 |
2232-2328 |
Sentence |
denotes |
All patients with a putative/probable IA were treated either with voriconazole or isavuconazole. |
T111 |
2329-2386 |
Sentence |
denotes |
Only one colonized patient was treated with voriconazole. |
T112 |
2387-2601 |
Sentence |
denotes |
Six patients died; there was a trend towards higher mortality in the group of putative/probable IA compared to uninfected patients, although not significant (2/7; 28.6%) versus 4/30 (13.3%), respectively (Table 7). |