Fournier's Gangrene: Analysis of Risk Factors Affecting Mortality in a Tertiary Urology Referral Center/Fournier Gangreni: Tersiyer Bir Uroloji Referans Merkezinde Mortaliteye Etki Eden Risk Faktorlerinin Analizi

• Published in: Journal of urological surgery 2019-09, Vol.6 (3), p.196
• Main Authors: Citgez, Sinharib, Demirdag, Cetin, Ozkaya, Mustafa, Selcuk, Berin, Erozenci, Ahmet
• Format: Article
• Language: English
• Subjects: Disease transmission; Gangrene; Health aspects; Imipenem; Medical research; Mortality; Risk factors; Wounds
• ISSN: 2148-9580; 2148-9580
• DOI: 10.4274/jus.galenos.2019.2642

Objective: We aimed to investigate the risk factors affecting mortality in patients with Fournier's gangrene (FG). Materials and Methods: Records of 48 male patients, who were admitted to our urology clinic between November 2011 and June 2018, were analyzed. The patients were divided into two groups according to their survival status. statistical analyses were done to determine the risk factors for mortality. Results: The mean age was 53.9[+ or -]12.61 years. 41 patients were discharged (group 1) and 7 were deceased (group 2). The mortality rate was 14.6%. Increased age, Fournier's Gangrene Severity Index (FGSI) scores, prolonged operative time, presence of immunosuppressive diseases, abdominal spread of the disease, history of cystostomy, mechanical ventilation requirement, and multiple micro-organism in wound culture were found to be risk factors for mortality in patients with FG. Conclusion: Increased age, high FGSI scores, increased operative time, presence of immunosuppressive diseases, history of cystostomy, abdominal spread of the disease, mechanical ventilation requirements, and multiple micro-organism in wound culture were thought to affect mortality in patients with FG. Keywords: Fournier's gangrene, Mortality, Risk factor Amac: Fournier kangreni (FG) hastalarinda mortaliteyi etkileyen risk faktorlerini arastirmayi amacladik. Gerec ve Yontem: Kasim 2011 ve Haziran 2018 arasinda 48 erkek hastanin kayitlari analiz edildi. Hastalar sagkalim durumlarina gore iki gruba ayrildi. Mortaliteye etki eden risk faktorlerini belirlemek icin istatistiksel analizler yapildi. Bulgular: Ortalama yas 53,9[+ or -]12,61 idi. Hastalarin 41'i taburcu olmus (grup 1) ve 7'si vefat etmisti (grup 2). Mortalite orani %14,6 idi. Artmis yas, artmis Fournier Gangreni Severity Indeks (FGSI) skorlari, artmis operasyon siiresi, immunosupresyon hastaligi olmasi, sistostomi yapilmasi, hastaligin abdominal yayilmasi, mekanik ventilasyon ihtiyaci, yara kulturunde multipl mikroorganizma saptanmasi FG'de mortalite icin risk faktorleri olarak bulundu. Sonuc: Ileri yas, artmis FGSI skorlari, artmis operasyon suresi, immunosupresyon hastaligi olmasi, sistostomi yapilmasi, hastaligin abdominal yayiliminin olmasi, mekanik ventilasyon ihtiyaci, yara kulturunde multipl mikroorganizma saptanmasinin FG'si olan hastalarda mortaliteyi etkiledigi dusunulmektedir. Anahtar Kelimeler: Fournier gangreni, Mortalite, Risk faktoru