Gutiérrez-Ochoa J, Castillo-de Lira HH, Velázquez-Macías RF, Landa-Soler M, Robles-Scott MA

Language: Spanish
References: 11
Page: 27-30
PDF size: 288.70 Kb.

ABSTRACT

Objective: To demonstrate the usefulness of Fournier’s Gangrene Severity Index (FGSI) with mortality predictive value at the Lic. Adolfo López Mateos Regional Hospital.
Materials and methods: A retrospective study of case records from the years 2003-2008 of all patients identified with Fournier’s gangrene (FG) at the authors’ hospital was carried out. The list of patients diagnosed with FG was obtained from the hospital registers. FG was clinically diagnosed based on medical history and physical examination. Perianal, periurethral and scrotal abscesses were excluded from the analysis if there was no evidence of extension to soft tissues or necrosis. To calculate FGSI, 9 hospital admission parameters were evaluated: temperature, heart rate, respiratory rate, sodium, potassium, serum creatinine, serum bicarbonate, leukocyte count and hematocrit. Deviation from the norm was gauged from 0-4 as described by Laor et al. All statistical analysis was developed using SPSS 15 software.
Results: Four of the 33 evaluated male patients (mean age 65 years) died, representing 12.2% of the total. Those 4 patients had an FGSI score above 9 with a mean 13.5.
Conclusions: Fournier’s Gangrene Severity Index is simple and objective. The threshold of 9 is sensitive and specific as a mortality predictor in this type of population.

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