MP25-12 EVALUATION OF PROGNOSTIC FACTORS AND DEFINITION OF NEW PROGNOSTIC PARAMETER IN FOURNIER'S GANGRENE

• DOI: 10.1016/j.juro.2015.02.1215
• Publication Date: 2015-03-31T05:10:07Z
• Authors: Bulent Erol; Altug Tuncel; Adem Tok; Utku Sari; Volkan Hanci; Furkan Sendogan; Turhan Caskurlu
• Keywords: Gangrene; Fournier gangrene; Charlson comorbidity index

You have accessJournal of UrologyInfections/Inflammation the Genitourinary Tract: Prostate & Genitalia1 Apr 2015MP25-12 EVALUATION OF PROGNOSTIC FACTORS AND DEFINITION NEW PARAMETER IN FOURNIER'S GANGRENE Bulent Erol, Altug Tuncel, Adem Tok, Utku Sari, Volkan Hanci, Furkan Sendogan, and Turhan Caskurlu ErolBulent Erol More articles by this author , TuncelAltug Tuncel TokAdem Tok SariUtku Sari HanciVolkan Hanci SendoganFurkan Sendogan CaskurluTurhan View All Author Informationhttps://doi.org/10.1016/j.juro.2015.02.1215AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION OBJECTIVES We identified prognostic factors new parameters that might predict a worse outcome in nonsurvivors compared with survivors Fournier's gangrene (FG) evaluated validity Gangrene Severity Index (FGSI) UFGSI (Uludag Index) patients FG. METHODS The medical records 99 FG who were treated followed up different clinic reviewed. Data collected terms history, symptoms, physical examination findings. biochemical, hematologic, bacteriologic study results at admission final evaluation, findings, timing extent surgical debridement, antibiotic therapy also recorded. Charlson Comorbidity (CCI) FGSI stratified survival. RESULTS for 2 groups: those survived (n :82) did not (n:17). score was 3.65∓2.90 (range 0-10) 8.29∓4.95 9-15) (P <.001). CCI 3.16∓2.06 5.47∓2.03(P <.001) nonsurvivors. Individual laboratory such as hypomagnesemia, hemoglobin, hematocrit, low albumin HCO3 levels, alkaline phosphatase, heart respiratory rates associated prognosis. In addition, >9, rectal involvement high mortality. CONCLUSIONS Low magnesium levels be parameter High scores prognosis A threshold 9 predictor mortality during initial assessment. © 2015 American Urological Association Education Research, Inc.FiguresReferencesRelatedDetails Volume 193Issue 4SApril 2015Page: e289 Advertisement Copyright Permissions© Inc.MetricsAuthor Information Expand PDF downloadLoading ...