Fournier's gangrene: An analysis of 80 patients and a novel scoring system

dc.contributor.buuauthorYılmazlar, Tuncay
dc.contributor.buuauthorÖztürk, Ersin
dc.contributor.buuauthorÖzgüç, Halil Bülent
dc.contributor.buuauthorErcan, İlker
dc.contributor.buuauthorVuruşkan, Hakan
dc.contributor.buuauthorOktay, Bülent
dc.contributor.departmentUludağ Üniversitesi/Tıp Fakültesi/Genel Cerrahi Anabilim Dalı.tr_TR
dc.contributor.departmentUludağ Üniversitesi/Tıp Fakültesi/Biyoistatistik Anabilim Dalı.tr_TR
dc.contributor.departmentUludağ Üniversitesi/Tıp Fakültesi/Üroloji Anabilim Dalı.tr_TR
dc.contributor.orcid0000-0002-2382-290Xtr_TR
dc.contributor.scopusid6701800362tr_TR
dc.contributor.scopusid35070171400tr_TR
dc.contributor.scopusid6603867989tr_TR
dc.contributor.scopusid6603789069tr_TR
dc.contributor.scopusid6507328150tr_TR
dc.contributor.scopusid6602172127tr_TR
dc.date.accessioned2021-11-10T06:31:46Z
dc.date.available2021-11-10T06:31:46Z
dc.date.issued2010-09
dc.description.abstractTo create a better scoring system for outcome prediction for patients with Fournier's gangrene in order to design more appropriate and feasible management strategies. Using logistic regression, the medical records of 80 patients who underwent surgery for Fournier's gangrene in the last 10 years were reviewed using a prospectively maintained database, and a novel scoring system was adopted combining this data with the Fournier's gangrene severity index (FGSI). The new system consists of a physiological score, an age score, and an extent of gangrene score. The mortality rate of the 80 patients was 21%. Using the new scoring system (UFGSI), at a threshold value of 9, there was a 94% probability of death with a score greater than 9 and an 81% probability of survival with a score of 9 or less (P < 0.001). The receiver operating characteristics (ROC) analysis concluded that the new scoring system was more powerful than the FGSI (P = 0.002). The power of the novel scoring system introduced in this study proves that in patients with Fournier's gangrene, the extent of the gangrene as well as the patient's age and physiological status have a significant effect on the outcome.en_US
dc.identifier.citationYılmazlar, T. vd. (2010). "Fournier's gangrene: An analysis of 80 patients and a novel scoring system". Techniques in Coloproctology, 14(3), 217-223.en_US
dc.identifier.endpage223tr_TR
dc.identifier.issn1123-6337
dc.identifier.issue3tr_TR
dc.identifier.pubmed20559857tr_TR
dc.identifier.scopus2-s2.0-77956947462tr_TR
dc.identifier.startpage217tr_TR
dc.identifier.urihttps://doi.org/10.1007/s10151-010-0592-1
dc.identifier.urihttps://link.springer.com/article/10.1007/s10151-010-0592-1
dc.identifier.urihttp://hdl.handle.net/11452/22604
dc.identifier.volume14tr_TR
dc.identifier.wos000281167400002tr_TR
dc.indexed.pubmedPubmeden_US
dc.indexed.scopusScopusen_US
dc.indexed.wosSCIEen_US
dc.language.isoenen_US
dc.publisherSpringeren_US
dc.relation.journalTechniques in Coloproctologyen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergitr_TR
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectFournier's gangreneen_US
dc.subjectMortalityen_US
dc.subjectDisseminationen_US
dc.subjectSeverity indexen_US
dc.subjectSeverity index scoreen_US
dc.subjectNecrotizing fasciitisen_US
dc.subjectSurgical debridementen_US
dc.subjectOutcome analysisen_US
dc.subjectManagementen_US
dc.subjectExperienceen_US
dc.subjectSurvivalen_US
dc.subjectGastroenterology & hepatologyen_US
dc.subjectSurgeryen_US
dc.subject.emtreeAdulten_US
dc.subject.emtreeAgeen_US
dc.subject.emtreeAgeden_US
dc.subject.emtreeArticleen_US
dc.subject.emtreeControlled studyen_US
dc.subject.emtreeDisease classificationen_US
dc.subject.emtreeDisease severityen_US
dc.subject.emtreeFemaleen_US
dc.subject.emtreeFournier gangreneen_US
dc.subject.emtreeFournier gangrene severity indexen_US
dc.subject.emtreeHumanen_US
dc.subject.emtreeIntermethod comparisonen_US
dc.subject.emtreeMajor clinical studyen_US
dc.subject.emtreeMaleen_US
dc.subject.emtreeMedical record reviewen_US
dc.subject.emtreeMortalityen_US
dc.subject.emtreeOutcome assessmenten_US
dc.subject.emtreeScoring systemen_US
dc.subject.emtreeSensitivity and specificityen_US
dc.subject.emtreeUludag Fournier gangrene severity indexen_US
dc.subject.meshAdulten_US
dc.subject.meshAgeden_US
dc.subject.meshAged, 80 and overen_US
dc.subject.meshAnti-bacterial agentsen_US
dc.subject.meshAPACHEen_US
dc.subject.meshCause of deathen_US
dc.subject.meshCombined modality therapyen_US
dc.subject.meshDatabases, factualen_US
dc.subject.meshFemaleen_US
dc.subject.meshFollow-up studiesen_US
dc.subject.meshFournier gangreneen_US
dc.subject.meshGenital diseasesen_US
dc.subject.meshMaleen_US
dc.subject.meshHumansen_US
dc.subject.meshLogistic modelsen_US
dc.subject.meshMiddle ageden_US
dc.subject.meshMultivariate analysisen_US
dc.subject.meshRetrospective studiesen_US
dc.subject.meshROC curveen_US
dc.subject.meshSeverity of illness indexen_US
dc.subject.meshSurgical procedures, operativeen_US
dc.subject.meshSurvival analysisen_US
dc.subject.meshTreatment outcomeen_US
dc.subject.meshYoung adulten_US
dc.subject.scopusFournier Gangrene; Bouteloua; Necrotizing Fasciitisen_US
dc.subject.wosGastroenterology & hepatologyen_US
dc.subject.wosSurgeryen_US
dc.titleFournier's gangrene: An analysis of 80 patients and a novel scoring systemen_US
dc.typeArticle
dc.wos.quartileQ2 (Surgery)en_US
dc.wos.quartileQ3 (Gastroenterology & hepatology)en_US

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