Factors Affecting Mortality in Fournier Gangrene: A Single Center Experience

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dc.contributor.authorPehlivanli, Faruk
dc.contributor.authorAydin, Oktay
dc.date.accessioned2020-06-25T18:34:42Z
dc.date.available2020-06-25T18:34:42Z
dc.date.issued2019
dc.departmentKırıkkale Üniversitesi
dc.descriptionAydin, Oktay/0000-0001-5728-0128
dc.description.abstractBackground: The objective of this study was to determine the clinical and laboratory features affecting mortality in Fournier gangrene. Patients and Methods: This retrospective case control study was designed to evaluate patients treated for Fournier gangrene in our center between 2010 and 2018. Those patients were divided into two groups: discharged patients (group 1) and deceased patients (group 2). Comparisons were made regarding clinical and demographic features; leukocyte, neutrophil and lymphocyte count results; neutrophil to lymphocyte ratio (NLR); Fournier's Gangrene Severity Index (FGSI) scores; number of debridements; complications; and mortality rates. Results: Twenty-three patients (19 males, 4 females) were evaluated; mean age was 65.9116.34 years. The most common cause of the disease and comorbidity were perianal abscess (n=14; 60.9%) and type 1 diabetes mellitus (n=11; 47.8%), respectively. Escherichia coli was the pathogen identified most often (n=17; 73.9%). The total mortality rate was 21.7% (n=5). Neutrophil to lymphocyte ratio, FGSI, number of debridements, and complication rates were higher in group 2 (p<0.05). There was a substantial difference between the groups regarding perianal abscess in group 1 and rectum cancer in group 2 (p<0.05). Conclusion: In conclusion, it was believed that the mortality rate could be predicted by combining the NLR value with the FGSI score.en_US
dc.identifier.citationclosedAccesseng_US
dc.identifier.doi10.1089/sur.2018.208
dc.identifier.endpage82en_US
dc.identifier.issn1096-2964
dc.identifier.issn1557-8674
dc.identifier.issue1en_US
dc.identifier.pmid30403562
dc.identifier.scopus2-s2.0-85059406273
dc.identifier.scopusqualityQ2
dc.identifier.startpage78en_US
dc.identifier.urihttps://doi.org/10.1089/sur.2018.208
dc.identifier.urihttps://hdl.handle.net/20.500.12587/8006
dc.identifier.volume20en_US
dc.identifier.wosWOS:000449392600001
dc.identifier.wosqualityQ2
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherMary Ann Liebert, Incen_US
dc.relation.ispartofSurgical Infections
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectFournier gangreneen_US
dc.subjectnecrotizing fasciitisen_US
dc.subjectmortalityen_US
dc.titleFactors Affecting Mortality in Fournier Gangrene: A Single Center Experienceen_US
dc.typeArticle

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