AI Summary & Key Takeaways
AI InsightThe mortality rate was 14.6%.Increased age, Fournier’s Gangrene Severity Index (FGSI) scores, prolonged operative time, presence of immunosuppressive diseases, abdominalspread of the disease, history of cystostomy, mechanical ventilation requirement, and multiple micro-organism in wound culture were found to berisk factors for mortality in patients with FG.Conclusion: Increased age, high FGSI scores, increased operative time, presence of immunosuppressive diseases, history of cystostomy, abdominalspread of the disease, mechanical ventilation requirements, and multiple micro-organism in wound culture were thought to affect mortality inpatients with FG.
📌 3 Key Takeaways
Abstract
Objective: We aimed to investigate the risk factors affecting mortality in patients with Fournier’s gangrene (FG).Materials and Methods: Records of 48 male patients, who were admitted to our urology clinic between November 2011 and June 2018, wereanalyzed. The patients were divided into two groups according to their survival status. statistical analyses were done to determine the risk factorsfor mortality.Results: The mean age was 53.9±12.61 years. 41 patients were discharged (group 1) and 7 were deceased (group 2). The mortality rate was 14.6%.Increased age, Fournier’s Gangrene Severity Index (FGSI) scores, prolonged operative time, presence of immunosuppressive diseases, abdominalspread of the disease, history of cystostomy, mechanical ventilation requirement, and multiple micro-organism in wound culture were found to berisk factors for mortality in patients with FG.Conclusion: Increased age, high FGSI scores, increased operative time, presence of immunosuppressive diseases, history of cystostomy, abdominalspread of the disease, mechanical ventilation requirements, and multiple micro-organism in wound culture were thought to affect mortality inpatients with FG.
Özet
Amaç: Fournier kangreni (FG) hastalarında mortaliteyi etkileyen risk faktörlerini araştırmayı amaçladık. Gereç ve Yöntem: Kasım 2011 ve Haziran 2018 arasında 48 erkek hastanın kayıtları analiz edildi. Hastalar sağkalım durumlarına göre iki gruba ayrıldı. Mortaliteye etki eden risk faktörlerini belirlemek için istatistiksel analizler yapıldı. Bulgular: Ortalama yaş 53,9±12,61 idi. Hastaların 41’i taburcu olmuş (grup 1) ve 7’si vefat etmişti (grup 2). Mortalite oranı %14,6 idi. Artmış yaş, artmış Fournier Gangreni Severity Indeks (FGSI) skorları, artmış operasyon süresi, immünosüpresyon hastalığı olması, sistostomi yapılması, hastalığın abdominal yayılması, mekanik ventilasyon ihtiyacı, yara kültüründe multipl mikroorganizma saptanması FG’de mortalite için risk faktörleri olarak bulundu. Sonuç: İleri yaş, artmış FGSI skorları, artmış operasyon süresi, immünosüpresyon hastalığı olması, sistostomi yapılması, hastalığın abdominal yayılımının olması, mekanik ventilasyon ihtiyacı, yara kültüründe multipl mikroorganizma saptanmasının FG’si olan hastalarda mortaliteyi etkilediği düşünülmektedir.