European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2015
Simple scoring system for prediction of mortality in Fournier's gangrene.
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Erdoğan A, Aydoğan I, Şenol K, Üçkan E M, Ersöz Ş, Tez M
Аннотация
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.
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.
Предметные рубрики MeSH
AdultAgedAged, 80 and overAlanine TransaminaseAlkaline PhosphataseAnti-Bacterial AgentsAspartate AminotransferasesBilirubinBiomarkersColostomyCreatinineDebridementEarly DiagnosisFemaleFournier GangreneHospital MortalityHumansMaleMiddle AgedPredictive Value of TestsPrognosisROC CurveReproducibility of ResultsRetrospective StudiesSeverity of Illness IndexSurvival RateUreaYoung Adultgamma-Glutamyltransferase