Evidence map›Paper›PMID 42343253›Full record

ArticleBMC infectious diseases2026

Risk factors and a prediction model of poor prognosis in patients with invasive aspergillosis in a general hospital.

Xin Li, Mingyue Niu, Minghuai Zhang, Qianqian Zheng, Xing Ge, Wenhui Zhang, Tingting Yu, Hong Zhang

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Article in BMC infectious diseases, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

8 authors.

Xin LiDepartment of Hospital Infection Control, Anhui Public Health Clinical Center, Hefei, 230023, China.
Mingyue NiuDepartment of Emergency Medicine, the First Affiliated Hospital of Anhui Medical University, Hefei, 230032, China.
Minghuai ZhangDepartment of Emergency Medicine, the First Affiliated Hospital of Anhui Medical University, Hefei, 230032, China.
Qianqian ZhengDepartment of Hospital Infection Control, Anhui Public Health Clinical Center, Hefei, 230023, China.
Xing GeDepartment of Hospital Infection Control, Anhui Public Health Clinical Center, Hefei, 230023, China.
Wenhui ZhangDepartment of Hospital Infection Control, Anhui Public Health Clinical Center, Hefei, 230023, China.
Tingting YuDepartment of Hospital Infection Control, Anhui Public Health Clinical Center, Hefei, 230023, China.
Hong ZhangDepartment of Emergency Medicine, the First Affiliated Hospital of Anhui Medical University, Hefei, 230032, China. yfy153558@fy.ahmu.edu.cn.

Funding

Anhui Provincial Health Research Project AHWJ2023A10095Natural Science Research Project of the Higher Education Institutions of Anhui Province 2023AH040079
6 · The paper itself

Abstract

backgroundThis study retrospectively analyzed the epidemiological trends of invasive aspergillosis (IA) at the Anhui Public Health Clinical Center. By evaluating the clinical risk factors associated with IA, an individualized nomogram prediction model was constructed. This study aims to improve early diagnosis and clinical management of severe invasive aspergillosis.

methodsA retrospective analysis was conducted on the clinical data of 307 patients diagnosed with IA between January 2019 and March 2024. Patients were categorized into two groups based on clinical outcomes: the favorable outcome group (n = 268) and the unfavorable outcome group (n = 39). Least absolute shrinkage and selection operator (LASSO) regression and multivariable logistic regression analyses were employed to identify independent risk factors associated with poor prognosis. Subsequently, a nomogram was constructed to develop a risk prediction model for IA.

resultsFour variables associated with poor prognosis were identified via LASSO regression: ICU length of stay, elevated C-reactive protein (CRP), elevated blood glucose, and renal dysfunction (all P < 0.05). Multivariable logistic regression revealed that ICU length of stay (OR = 1.049, 95%CI: 1.003-1.096, P = 0.028), C-reactive protein (OR = 1.007, 95%CI: 1.003-1.012, P = 0.001), blood glucose (OR = 1.119, 95%CI: 1.041-1.206, P = 0.003), and renal failure (yes vs. no, OR = 3.187, 95%CI: 1.412-7.048, P = 0.004) were independent risk factors for poor prognosis. The area under the receiver operating characteristic curve (AUC) was 0.810, with a bootstrap-validated AUC of 0.7962, demonstrating favourable discrimination and stability. Calibration curves indicated favourable agreement between predicted and observed probabilities, and the Hosmer-Lemeshow test showed no significant deviation (P = 0.615), confirming favorable model fit.

conclusionsIA detection increased significantly over the past two years. We developed and validated a risk-factor-based nomogram that demonstrates good predictive accuracy and robustness in identifying poor prognosis among IA patients. This individualized tool, accessible via an interactive web-based application, provides clinicians with a good basis for early risk stratification and timely therapeutic intervention, ultimately aiming to improve clinical outcomes in high-risk populations.

Indexed as

AspergillosisAgedChinaC-Reactive ProteinFemaleHospitals, GeneralHumansLogistic ModelsMaleMiddle AgedNomogramsPrognosisRetrospective StudiesRisk FactorsC-Reactive ProteinInvasive aspergillosisNomogramsPrognosisRisk factors

Identifiers

PMID42343253
PMCPMC13560129

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