The prognostic factors and severity index in Fournier's gangrene

Kwang Min Kim, Seung Hoon Seong, Dal Yeon Won, Hoon Ryu, Ik Yong Kim

Research output: Contribution to journalArticle

4 Citations (Scopus)

Abstract

Purpose: Fournier's disease is polymicrobial necrotizing fasciitis of the perineal, perianal, or genital areas. The objective of this study was to investigate patients with Fournier's gangrene and to determine risk factors that affect mortality. Methods: This study was a retrospective clinical study. Clinical presentations and outcomes of surgical treatments were evaluated in 27 patients with Fournier's gangrene that were treated in a single institution from January 2000 to March 2009. Results: The mean age of patients was 52.8±14.4 yr, and the male-to-female ratio was 25:2. Among the predisposing factors, diabetes mellitus was the most common (n=8, 29.6%). The most common infection source was anorectal (n=16, 59.3%). Sepsis on admission was detected in 16 cases (59.3%). Four patients died during treatment, for an overall mortality of 14.8%. A logistic regression test showed a Fournier's gangrene severity index greater than 9 and sepsis on admission to be prognostic factors. Conclusion: The mortality rate was higher in patients with sepsis on admission and with a Foumier's gangrene severity index greater than nine.

Original languageEnglish
Pages (from-to)29-33
Number of pages5
JournalJournal of the Korean Society of Coloproctology
Volume26
Issue number1
DOIs
Publication statusPublished - 2010 Feb 1

Fingerprint

Fournier Gangrene
Sepsis
Mortality
Necrotizing Fasciitis
Gangrene
Causality
Diabetes Mellitus
Retrospective Studies
Logistic Models
Infection

All Science Journal Classification (ASJC) codes

  • Gastroenterology

Cite this

Kim, Kwang Min ; Seong, Seung Hoon ; Won, Dal Yeon ; Ryu, Hoon ; Kim, Ik Yong. / The prognostic factors and severity index in Fournier's gangrene. In: Journal of the Korean Society of Coloproctology. 2010 ; Vol. 26, No. 1. pp. 29-33.
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The prognostic factors and severity index in Fournier's gangrene. / Kim, Kwang Min; Seong, Seung Hoon; Won, Dal Yeon; Ryu, Hoon; Kim, Ik Yong.

In: Journal of the Korean Society of Coloproctology, Vol. 26, No. 1, 01.02.2010, p. 29-33.

Research output: Contribution to journalArticle

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N2 - Purpose: Fournier's disease is polymicrobial necrotizing fasciitis of the perineal, perianal, or genital areas. The objective of this study was to investigate patients with Fournier's gangrene and to determine risk factors that affect mortality. Methods: This study was a retrospective clinical study. Clinical presentations and outcomes of surgical treatments were evaluated in 27 patients with Fournier's gangrene that were treated in a single institution from January 2000 to March 2009. Results: The mean age of patients was 52.8±14.4 yr, and the male-to-female ratio was 25:2. Among the predisposing factors, diabetes mellitus was the most common (n=8, 29.6%). The most common infection source was anorectal (n=16, 59.3%). Sepsis on admission was detected in 16 cases (59.3%). Four patients died during treatment, for an overall mortality of 14.8%. A logistic regression test showed a Fournier's gangrene severity index greater than 9 and sepsis on admission to be prognostic factors. Conclusion: The mortality rate was higher in patients with sepsis on admission and with a Foumier's gangrene severity index greater than nine.

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