Abstract
Purpose:
To create new scoring system for prediction of hospital mortality for patients with Fournier's gangrene(FG).
Material and method:
In total, 84 patients with FG were enrolled into this study. The demographic and clinical characteristics of patients were analyzed retrospectively.
Results:
The mortality rate was 11.9 %. On multivariate analyses, age >60 years, BUN >40 mg/dl, RDW >14.95 %, albumin level <20 mg/dl and presence of sepsis were significant and independent predictors of mortality. The predictive value of our score for mortality was 95.1 %.
Conclusion:
Our scoring system shows adequate discriminatory function for prediction of mortality in patients with FG. Further larger scale studies can improve the performance of our score.
Keywords:
Fournier’s gangrene; Mortality; Prediction; Scoring.
MeSH terms
-
Adult
-
Aged
-
Aged, 80 and over
-
Alanine Transaminase / blood
-
Alkaline Phosphatase / blood
-
Anti-Bacterial Agents / therapeutic use*
-
Aspartate Aminotransferases / blood
-
Bilirubin / blood
-
Biomarkers / blood
-
Colostomy / statistics & numerical data*
-
Creatinine / blood
-
Debridement / methods*
-
Early Diagnosis
-
Female
-
Fournier Gangrene / blood
-
Fournier Gangrene / diagnosis*
-
Fournier Gangrene / mortality*
-
Hospital Mortality*
-
Humans
-
Male
-
Middle Aged
-
Predictive Value of Tests
-
Prognosis
-
ROC Curve
-
Reproducibility of Results
-
Retrospective Studies
-
Severity of Illness Index
-
Survival Rate
-
Urea / metabolism
-
Young Adult
-
gamma-Glutamyltransferase / blood
Substances
-
Anti-Bacterial Agents
-
Biomarkers
-
Urea
-
Creatinine
-
gamma-Glutamyltransferase
-
Aspartate Aminotransferases
-
Alanine Transaminase
-
Alkaline Phosphatase
-
Bilirubin