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Başlık: Fournier’s gangrene: Review of 120 patients and predictors of mortality
Diğer Başlıklar: Fournier gangreni: 120 olgunun değerlendirmesi ve mortalite prediktörleri
Yazarlar: Uludağ Üniversitesi/Tıp Fakültesi/Genel Cerrahi Anabilim Dalı.
Uludağ Üniversitesi/Tıp Fakültesi/Biyoistatistik Anabilim Dalı.
0000-0002-9541-5035
0000-0003-1825-6736
0000-0002-2382-290X
Yılmazlar, Tuncay
Işık, Özgen
Öztürk, Ersin
Özer, Ali
Gülcü, Barış
Ercan, İlker
P-5779-2019
AAU-4896-2020
6701800362
36600543700
35070171400
57194509547
56618783200
6603789069
Anahtar kelimeler: Fournier's gangrene
Mortality
Severity score
Outcome prediction
Prognostic-factors
Severity-index
Emergency medicine
Yayın Tarihi: Eyl-2014
Yayıncı: Türk Travma ve Acil Cerrahi Derneği
Atıf: Yılmazlar, T. vd. (2014). "Fournier’s gangrene: Review of 120 patients and predictors of mortality". Ulusal Travma ve Acil Cerrahi Dergisi, 20(5), 333-337.
Özet: 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.
URI: https://doi.org/10.5505/tjtes.2014.06870
https://tjtes.org/jvi.aspx?pdir=travma&plng=eng&un=UTD-06870
http://hdl.handle.net/11452/28786
ISSN: 1306-696X
Koleksiyonlarda Görünür:Scopus
Web of Science

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