A different perspective for morbidity related to Fournier’s gangrene: which scoring system is more reliable to predict requirement of skin graft and flaps in survivors of Fournier’s gangrene?

Selvi, İsmail; Aykaç, Aykut; Baran, Özer; Bürlukkara, Salih; Özok, Uğur; Sunay, Mehmet Melih

doi:10.1007/s11255-019-02188-0

Cited by 11 publications

(8 citation statements)

References 25 publications

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“…The male‐female ratio has been determined as 9‐10/1 1,11 . FG mortality varies between 10% and 40% 4‐6 . Diabetes was stated as the most important predisposing factor 12,13 .…”

Section: Discussionmentioning

confidence: 99%

“…1,11 FG mortality varies between 10% and 40%. [4][5][6] Diabetes was stated as the most important predisposing factor. 12,13 Hong et al 11 found that 65% of patients with FG are consorted by diabetes.…”

Section: Discussionmentioning

confidence: 99%

“…Its rapid progression after the emergence of necrosis and gangrene also causes mortality. FG mortality is observed between 10% and 40% despite modern medical developments 4‐6 . Charlson comorbidity index score, FG Severity Index score (FGSI), The Laboratory Risk Indicator for Necrotizing Fasciitis score (LRINEC) point‐scoring systems are developed and used to predict mortality 7 .…”

Section: Introductionmentioning

confidence: 99%

“…FG mortality is observed between 10% and 40% despite modern medical developments. [4][5][6] Charlson comorbidity index score, FG Severity Index score (FGSI), The Laboratory Risk Indicator for Necrotizing Fasciitis score (LRINEC) point-scoring systems are developed and used to predict mortality. 7 Since the effective treatment of FG, which is usually first diagnosed in the ED, is early debridement and broad-spectrum antibiotherapy.…”

Section: Introductionmentioning

confidence: 99%

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Importance of emergency department waiting period in Fournier's Gangrene; 10 years of experience

et al. 2021

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Background Fournier's gangrene (FG) is a disease with high mortality rate. The first diagnosis is performed in the emergency department (ED). In this study, we investigated the importance of the time period for diagnosis in the ED. Methods The data of patients who were treated for FG between 1 January 2010 and 2020 were retrospectively analysed. Waiting period of the patients in ED was calculated. Risk factor score calculations were calculated to predict FG mortality and prognosis. The effects of the ED waiting period on the duration of admission to the hospital, the number of debridements and mortality status and relationship with FG mortality risk factor scores were investigated. Results In a 10‐year period, a total of 66 patients were included in the study. It was found that the median age of the patients was 56 years. ED waiting period median (IQR) was 105 (115) minutes. It was observed that there was a significant positive correlation between the ED waiting period, duration of admission to hospital (rs: 0.537, P < .001) and patients mortality status (rs: 0.482, P < .001). The ED waiting period was higher in patients with FG mortality. It was observed that the ED waiting period holds a diagnostic value in predicting mortality (P < .001). The cut‐off limit predicted for this value was determined as 136 minutes. Conclusion FG is a urological emergency. ED waiting period affects mortality rate and length of hospital stay. The earlier the diagnosis and treatment is conducted in the ED, the lower the mortality rate and length of stay in the hospital will be.

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“…The male‐female ratio has been determined as 9‐10/1 1,11 . FG mortality varies between 10% and 40% 4‐6 . Diabetes was stated as the most important predisposing factor 12,13 .…”

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Importance of emergency department waiting period in Fournier's Gangrene; 10 years of experience

et al. 2021

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“…FGSI and NLR have also been used by urological services as reliable parameters for predicting skin reconstruction method between primary skin closure versus graft and flap. 77 MLR has been used to predict necessity of repeat surgical debridement in FG, with higher MLR indicative of more debridement in a retrospective study. 78 The PMI is calculated by multiplying the platelet count by the mean platelet volume.…”

Section: Dovepressmentioning

confidence: 99%

<p>Fournier Gangrene in the Emergency Department: Diagnostic Dilemmas, Treatments and Current Perspectives</p>

Auerbach¹,

Bornstein²,

Ramzy³

et al. 2020

OAEM

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Fournier gangrene (FG) is a rare and life-threatening urosurgical emergency characterized most often by a polymicrobial infection of the perineal, genital, or perianal region. FG has an increased incidence in male patients, patients with alcoholism, and patients with immunocompromise including human immunodeficiency virus (HIV) and uncontrolled diabetes. FG often begins as a simple abscess or cellulitis with progression to necrotizing soft tissue infection (NSTI). Delays in diagnosis and treatment confer high mortality. Early recognition and high clinical suspicion are important in making a timely diagnosis, as early manifestations are often subtle. The most significant modifiable risk factor associated with NSTI mortality is delay to surgical intervention. Coordination of both inpatient medical and surgical teams to implement appropriate therapy is vital to successful outcomes. The emergency medicine clinician must be vigilant for this condition and be aware of risk factors, prognostic indicators, and proper treatment protocols to recognize FG early and initiate appropriate management. The objective of this review is to provide updated and relevant information regarding recognition, diagnosis, and management of FG for the emergency medicine provider.

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Vacuum-assisted closure device in the postoperative wound care for Fournier's gangrene: a systematic review

Franco-Buenaventura

García‐Perdomo

2020

Int Urol Nephrol

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A different perspective for morbidity related to Fournier’s gangrene: which scoring system is more reliable to predict requirement of skin graft and flaps in survivors of Fournier’s gangrene?

Cited by 11 publications

References 25 publications

Importance of emergency department waiting period in Fournier's Gangrene; 10 years of experience

Importance of emergency department waiting period in Fournier's Gangrene; 10 years of experience

<p>Fournier Gangrene in the Emergency Department: Diagnostic Dilemmas, Treatments and Current Perspectives</p>

Vacuum-assisted closure device in the postoperative wound care for Fournier's gangrene: a systematic review

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