Fournier's gangrene: evaluation of 68 patients and analysis of prognostic variables.
J Postgrad Med
;
2008 Apr-Jun; 54(2): 102-5
Article
in English
| IMSEAR
| ID: sea-116255
ABSTRACT
CONTEXT Fournier's gangrene (FG) is a rapidly progressing acute gangrenous infection of the anorectal and urogenital area. AIMS:
The objectives of this study were to investigate patients with FG and to determine risk factors that affect mortality. SETTINGS ANDDESIGN:
Retrospective clinical study. MATERIALS ANDMETHODS:
Clinical presentations and outcomes of surgical treatments were evaluated in 68 patients with FG. Statistical Analysis Used Chi-square, Student's t -test, and logistic regression test.RESULTS:
Mean age of patients was 54 and female-to-male ratio was 959. Among the predisposing factors, diabetes mellitus (DM) was the most common ( n =24, 35.3%), and sepsis on admission was detected in 31 (45.6%) and 15 (22.1%) patients, respectively. Seven (10.3%) patients died. Using logistic regression test, Fournier's Gangrene Severity Index (FGSI)> 9, DM and sepsis on admission were found as prognostic factors.CONCLUSIONS:
FG has a high mortality rate, especially in patients with DM and sepsis. An FGSI value> 9 indicates high mortality rate.
Full text:
Available
Index:
IMSEAR (South-East Asia)
Main subject:
Prognosis
/
Time Factors
/
Severity of Illness Index
/
Aged, 80 and over
/
Aged
/
Female
/
Humans
/
Male
/
Logistic Models
/
Predictive Value of Tests
Type of study:
Etiology study
/
Observational study
/
Prognostic study
/
Risk factors
Limits:
Aged80
Language:
English
Journal:
J Postgrad Med
Year:
2008
Type:
Article
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