Makale detayı · 2014
Fournier’s Gangrene: Review of 120 Patients and Predictors of Mortality
Dergi
Turkish Journal of Trauma and Emergency SurgeryISSN 1306-696X
ISSN kaydı başka bir dergiye işaret ediyor; ad YÖKSİS kaydından.
- Yıl
- 2014
- Tür
- article
Veri kaynağı ayrımı
- YÖKSİS YÖKSİS makale kaydı
- YÖKSİS dergi adı Turkish Journal of Trauma and Emergency Surgery
- Katalog eşleşmesi (ISSN) Ulusal Travma ve Acil Cerrahi Dergisi
- OpenAlex OpenAlex zenginleştirmesi (özet, atıf, konular)
Özet
OpenAlex · İngilizce
BACKGROUND: Fournier's gangrene (FG) is a devastating and potentially fatal disease requiring prompt and aggressive debridement. In this study, it was aimed to assess the predictors of mortality in a large cohort. METHODS: Prospectively maintained data of patients with FG were analyzed. Demographic data, duration of symptoms, Uludag Fournier's Gangrene Severity Index (UFGSI) scores, co-morbidities [particularly diabetes mellitus (DM)], etiologies, number of debridement, stoma requirements, length of intensive care unit and hospital stay, and morbidity and mortality rates were reviewed. Multivariate analysis was performed in order to determine factors affecting mortality. RESULTS: 120 patients (81 males) were included in the study. Median age was 58 (22-85) years. UFGSI score was median 9 (1-30). DM was present in 69 (57.5%) patients. Etiology of FG was perianal in fifty-nine, urogenital in 52, and skin in 9 patients. Median debridement count was 3 (1-12). Thirty-one patients required stoma. Forty-eight patients were admitted to intensive care unit and 25 patients required mechanical ventilation. Overall mortality rate was 20.8%. Multivariate analysis revealed UFGSI as the only predictor of mortality (p=0.001). Mortality rate was 13.64 times higher for patients with a UFGSI score of 9 or higher. CONCLUSION: Fournier's gangrene is a mortal disease requiring emergency surgery. UFGSI is an efficient predictor of mortality for patients with FG.
Konular
Atıflar
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66 atıf
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Yerel katalogda bu makaleye atıf yapan 42 yayın (OpenAlex referans eşleşmesi; tam dünya listesi değildir).
- Comparison of conventional dressings and vacuum-assisted closure in the wound therapy of Fournier’s gangrene 2017
- Comparison of conventional dressings and vacuum-assisted closure in the wound therapy of Fournier’s gangrene 2017
- Microbiological aspects of Fournier’xxs gangrene 2017
- Microbiological aspects of Fournier’s gangrene 2017
- Fournier’s gangrene: A retrospective analysis of 25 patients 2017
- Fournier’s gangrene: A retrospective analysis of 25 patients 2017
- Fournier's gangrene: A retrospective analysis of 25 patients 2017
- Fournier’s gangrene: A retrospective analysis of 25 patients 2017
- A different perspective for morbidity related to Fournier's gangrene: which scoring system is more reliable to predict requirement of skin graft and flaps in survivors of Fournier's gangrene? 2019
- A different perspective for morbidity related to Fournier’s gangrene: which scoring system is more reliable to predict requirement of skin graft and flaps in survivors of Fournier’s gangrene? 2019