Use of Simplified Prognostic Scoring System to evaluate prognostic factors for the survival in patients with Fournier’s gangrene (FG)
Journal Title: IOSR Journal of Pharmacy and Biological Sciences (IOSR-JPBS) - Year 2017, Vol 12, Issue 5
Abstract
Objectives: to evaluate prognostic factors for the survival in patients with Fournier’s gangrene (FG), and applying a prognostic scoring systems to assess the outcomes of survival. Aim of the study: To evaluate prognostic factors for the survival in patients with Fournier’s gangrene (FG), and applying a prognostic scoring systems for to assess the outcomes of survival. Settings and Design: A prospective study was conducted in the department of Urology, Surgical Sub-Specialties Hospital, and Medical City Complex in Baghdad. Patients and Methods: Starting from January 2015, till December 2016; a total of 40 male patients who were between age group of 40–70 years, who had clinical picture of Fournier's gangrene, were enrolled in a prospective study and they were classified according to age, body mass index, early detection, area involved and comorbidity. We apply simplified prognostic scoring system for evaluation of highest risk of mortality. Main outcomes and Measures: The primary endpoint was the disease-related death, and the secondary endpoint was risk factors of mortality. Statistical Analysis: all patient data entered using computerized statistical package for social sciences (SPSS),and the level of significance (p value) set at < 0.05, the Chi-square test was used for categorical variables. Results: There were three grades according out simplified prognostic scoring system; grade I from 8-10 points, grade II from 11-14 points and grade III from 15-18 points. Patients with grade III carried a higher mortality rate than those with grade I and gradeII Conclusion: the simplified clinical scoring system is a reliable tool to predict severity of Fournier's gangrene to identify patients at highest risk of death or major complications.
Authors and Affiliations
Dr. Mohammed Bassil Ismail, Dr. Saad Dakhil Farhan, Dr. Mayan Ihsan Mohammed Tahir, Dr. Ragib Jassam Hameed, Dr. Abbas Fadhil Obaid
Keywords
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- EP ID EP392084
- DOI 10.9790/3008-1205076572
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