Analysis of Prognostic Factors in Patients with Fournier's Gangrene / 감염과화학요법
Infection and Chemotherapy
; : 192-197, 2006.
Article
ي Ko
| WPRIM
| ID: wpr-721469
المكتبة المسؤولة:
WPRO
ABSTRACT
BACKGROUND:
To evaluate prognostic factors such as age, associated disease, laboratory and clinical data, which can affect prognosis of patients with Fournier's gangrene. MATERIALS ANDMETHODS:
27 patients were included in this study. All underwent treatment during past 15-year in our department. Medical records were reviewed with respect to age at presentation, extent of disease, laboratory data and bacteriology, associated disease, and clinical course. Also involved surface area was measured by the rule used in burn patients. Statistical analysis was made by Mann Whitney U test and Fisher's exact test.RESULTS:
Of 27 patients, 4 died and 23 survived. The mean age was 55.4+/-13.7. The most common underlying disease was diabetes mellitus. In comparison of survival and non-survival groups, there were significant differences in duration of symptom before hospitalization, total surface area involved, laboratory data including serum albumin, creatinine, and WBC count on CBC. However, there was no difference in hospital stay, age, underlying disease, serum BUN, infected organisms, and urinary or fecal diversion.CONCLUSION:
We conclude that the unfavorable factors affecting survival are duration of symptom before hospitalization, total surface area involved, serum albumin and creatinine level, and WBC count on CBC. The survival was, however, not associated with bacteriological factors, hospital stay, age, urinary or fecal diversion, and underlying diseases such as diabetes, and cancer.Key words
النص الكامل:
1
الفهرس:
WPRIM
الموضوع الرئيسي:
Prognosis
/
Bacteriology
/
Burns
/
Serum Albumin
/
Medical Records
/
Fournier Gangrene
/
Creatinine
/
Diabetes Mellitus
/
Hospitalization
/
Length of Stay
نوع الدراسة:
Prognostic_studies
المحددات:
Humans
اللغة:
Ko
مجلة:
Infection and Chemotherapy
السنة:
2006
نوع:
Article