Factors affecting mortality of Fournier's gangrene: Review of 70 patients

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dc.contributor.authorErsay, Ahmet
dc.contributor.authorYilmaz, Gulsen
dc.contributor.authorAkgun, Yilmaz
dc.contributor.authorCelik, Yusuf
dc.date.accessioned2024-04-24T17:11:34Z
dc.date.available2024-04-24T17:11:34Z
dc.date.issued2007
dc.departmentDicle Üniversitesien_US
dc.description.abstractBackground: Fournier's disease is a potentially fatal, acute, gangrenous infection of the scrotum, penis or perineum associated with a synergistic bacterial infection of the subcutaneous fat and superficial fascia. Methods: The clinical records of 70 patients treated for Fournier's gangrene were evaluated retrospectively to determine prognostic indices and to stress Fournier's Severity Index (FSI), influencing outcome. Results: The mortality rate in this study was 22.8%. Length of the hospitalization time and FSI were detected as effective factors on mortality of Fournier's gangrene (P < 0.05) by Binary Logistic Regression analysis and the area under the receiver operating characteristic curve of these variables was also found to be significant (P < 0.001). The average FSI was determined as 4.66 +/- 2.31 in survivors and 11.56 +/- 2.68 in non-survivors and 5.11 +/- 2.83 in patients with primary genito-urinary infection but 7.56 +/- 4.35 in primary anorectal infection. The FSI was also found predictive of hospitalization time and number of debridements among survivors. Conclusion: Fournier's Severity Index is a simplified way of comparing patients with this disease and may also have some significance in predicting outcome. The FSI is a more significant and predictive tool that should be popularized to predict the prognosis in Fournier's gangrene.en_US
dc.identifier.doi10.1111/j.1445-2197.2006.03975.x
dc.identifier.endpage48en_US
dc.identifier.issn1445-1433
dc.identifier.issn1445-2197
dc.identifier.issue1-2en_US
dc.identifier.pmid17295820
dc.identifier.scopus2-s2.0-33846430052
dc.identifier.scopusqualityQ2
dc.identifier.startpage43en_US
dc.identifier.urihttps://doi.org/10.1111/j.1445-2197.2006.03975.x
dc.identifier.urihttps://hdl.handle.net/11468/17605
dc.identifier.volume77en_US
dc.identifier.wosWOS:000243634000012
dc.identifier.wosqualityQ3
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoenen_US
dc.publisherWileyen_US
dc.relation.ispartofAnz Journal of Surgery
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectFournier's Gangreneen_US
dc.subjectFournier's Severity Indexen_US
dc.subjectMortalityen_US
dc.titleFactors affecting mortality of Fournier's gangrene: Review of 70 patientsen_US
dc.titleFactors affecting mortality of Fournier's gangrene: Review of 70 patients
dc.typeArticleen_US

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