Sepsis & infection

Cirrhosis is an independent risk factor for candidemia in critically ill patients: A 6-year single-center observational study

Anaesth Crit Care Pain MedPublished Retrospective observational study

Main finding · Candidemia in the ICU (total population)Result — go to the resultOdds ratio 2.28 CI 1.14–4.53

Authors' conclusion

Cirrhosis emerged as an independent risk factor for candidemia in the ICU. Within the cirrhotic subgroup, a high Child-Pugh score emerged as the sole independent correlate.

Study context

Population
Critically ill patients in an ICU with a high volume of patients with cirrhosis, over 6 years37 developed candidemia
Participants
1,985 patients
Exposure
Cirrhosis vs no cirrhosis as risk factor for candidemia in ICU
  • Cirrhosisn = 416
Outcome
Risk factors for candidemia in the ICU
Methodological detailssingle-centre, consecutive inclusion
  • Single-centre
  • Consecutive inclusion

Main finding

Candidemia in the ICU (total population)

Odds ratio

2.28

CI 1.14–4.53

P = 0.019

Cirrhosis vs No cirrhosis
OR 2.28 (CI 1.14–4.53); P = 0.019

As reported in the abstract

Observational data: associations, not effects.

Further findings

Candidemia among patients with cirrhosis: high Child-Pugh score (subgroup)

OR (CI)P value
High Child-Pugh scoreSole independent correlate1.68 (1.10–2.67)P = 0.021
OutcomeCirrhosisP value
Candidemia-free survival by ACLF grade (post hoc)ACLF grade 2-3 vs ACLF grade 0-1 · log-rank; significantly lower · post hocP = 0.029
ICU mortality in patients with candidemia81.2%
  • ICU mortality in patients with candidemia: Total population 59.5%

ICU mortality in patients with candidemia

Candidemia associated with higher ICU mortality

Original publication

Cirrhosis is an independent risk factor for candidemia in critically ill patients: A 6-year single-center observational study. Anaesth Crit Care Pain Med. Published 10 October 2025. doi:10.1016/j.accpm.2025.101611

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