Factors effecting mortality in Fournier's gangrene

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dc.contributor.authorAkgün Y.
dc.contributor.authorYilmaz G.
dc.date.accessioned2024-04-24T17:58:35Z
dc.date.available2024-04-24T17:58:35Z
dc.date.issued2005
dc.departmentDicle Üniversitesien_US
dc.description.abstractBACKGROUND: Fournier's gangrene is the most serious and life threatening infection. The aim of this retrospective study is to describe effective factors on mortality in Fournier's gangrene. METHODS: Thirty three patients with Fournier's gangrene were investigated retrospectively. The variables such as age, gender, etiological and predisposing factors, symptoms, physical signs, intervals between symptoms and hospital admission, laboratory findings, types of microorganisms isolated from the wound scrapings, the number of surgical debridements, the length of hospitalisations were evaluated and their effects on mortality were analysed. The diagnosis of Fournier's gangrene was established with a detailed anamnesis nad physical examination. Ultrasonographic (US) and computerized tomographic examinations were performed in case of suspected involvement of adjacent tissues. RESULTS: The overall mortality rate was 33.3% in this series. The median duration of symptoms was 6.5 days in patients who survived and 10 days in patients who died (p<0.05). Only the increase in mortality in the presence of tachycardia and anaemia were was statistically significant. CONCLUSION: It was concluded that early diagnosis, stabilization of hemodynamic status, repeated debridements of whole necrotic tissue combined with antibiotherapy, before establishment of anemia and tachicardia due to multiple organ failure, might decrease mortality in patients with Fournier's gangrene.en_US
dc.identifier.endpage57en_US
dc.identifier.issn1300-6738
dc.identifier.issue1en_US
dc.identifier.pmid15688269en_US
dc.identifier.scopus2-s2.0-14144254028en_US
dc.identifier.scopusqualityN/Aen_US
dc.identifier.startpage49en_US
dc.identifier.urihttps://hdl.handle.net/11468/24006
dc.identifier.volume11en_US
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isotren_US
dc.relation.ispartofUlusal Travma ve Acil Cerrahi Dergisien_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectAnemiaen_US
dc.subjectFournier's Gangreneen_US
dc.subjectMedian Duration Of Symptomsen_US
dc.subjectMortalityen_US
dc.subjectMultiple Organ Failureen_US
dc.subjectTachycardiaen_US
dc.titleFactors effecting mortality in Fournier's gangreneen_US
dc.title.alternativeFournier kangreninde mortaliteye etkili faktörleren_US
dc.typeArticleen_US

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