Can We Predict Mortality in Patients with Fournier’s Gangrene Using Questionnaires? A Pilot Study with Eighty-seven Patients
Journal Title: Journal of Urological Surgery - Year 2019, Vol 6, Issue 2
Abstract
Objective: To investigate the validity and reliability of the Fournier’s gangrene severity index (FSGI) and Uludag Fournier’s gangrene severity index (UFGSI) scoring systems and their components in outcome prediction for patients with Fournier’s gangrene. Materials and Methods: Recods of 87 patients, who were diagnosed with Fournier’s gangrene in our clinic between March 2005 and May 2016, were retrospectively analyzed. The patients were divided into 2 groups as survivors and non-survivors. Parameters belonging to the groups were compared. Results: The overall mortality rate was 13.7%. There was no correlation between mortality and dissemination of disease to the rectum, lower abdomen or lower extremity (p>0.05). There was a significant difference in renal failure, heart rate, blood urea nitrogen, creatinine, calcium and serum bicarbonate (HCO₃) values, and FSGI and UFGSI scores between the survivor and non-survivor groups (p<0.05). In evaluation of mortality, a cut-off value of ≥9 had a positive predictive value of 77.8% and 42.9% and negative predictive value of 93.6% and 95.5% for FGSI and UFGSI, respectively. Conclusion: To predict the prognosis in Fournier’s gangrene, the FGSI and UFGSI are successful parameters especially in predicting mortality. In the light of these parameters, we assume that these scoring systems are useful in deciding which patient should receive more aggressive treatment.
Authors and Affiliations
Soner Yalçınkaya, Ali Yıldız, Mustafa Yüksel, Ekrem İslamoğlu, Nihat Ateş, Hüsnü Tokgöz, Murat Savaş
Keywords
Related Articles
- EP ID EP48986
- DOI 10.4274/jus.galenos.2018.2327
- Views 349
- Downloads 0
A Rare Variant of Urethral Duplication: Type-3 Bladder and Complete Urethral Duplication
Urethral duplication is a rare congenital anomaly with several anatomical variations. Persistence of duplicated urethra and related sphincter mechanism are mainly the reasons for the symptoms. We here present a 9-month-o...
Evaluation of Short-term Postoperative Complications According to the Clavien-Dindo Classification System in Thermocautery-assisted Circumcision Cases
Objective: Circumcision is one of the most performed surgical procedures in the world. This study is a retrospective study on the short-term postoperative complications after a thermocautery-assisted circumcision on a se...
Local Anesthetic Infiltration During Pediatric Percutaneous Nephrolithotomy Improves Postoperative Analgesia
Objective: Percutaneous nephrolithotomy is not pain-free due to the procedure itself and presence of post-operative diversion. Our purpose was to evaluate the efficacy of local anesthetic infiltration in postoperative an...
Percutaneous Removal of a Broken Malecot Nephrostomy Tube
We report a case of a broken re-entry Malecot nephrostomy tube inserted after an uneventful percutaneous nephrolithotomy (PCNL) procedure. The remained parts within the renal pelvis and around the kidney were removed usi...
Protective Effects of Oral Sirolimus Therapy against ESWL-induced Kidney Tissue Damage in Rats
Objective: In the present study, we aimed to investigate the short- and long-term protective effects of oral sirolimus therapy on extracorporeal shock wave lithotripsy (ESWL)-induced kidney tissue damage in an experiment...