Are neutrophil-lymphocyte ratio and platelet-lymphocyte ratio as effective as Fournier's gangrene severity index for predicting the number of debridements in Fourner's gangrene?
| Autor: | Tevfik Küçükpınar, Oskay Kaya, Hülagü Kargıcı, Burak İrem, Şahin Kahramanca, Gülay Özgehan, Ibrahim Dural |
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| Rok vydání: | 2014 |
| Předmět: |
Adult
Male medicine.medical_specialty Neutrophils Lymphocyte Severity of Illness Index Gangrene Predictive Value of Tests Internal medicine Severity of illness medicine Humans Lymphocytes Aged Retrospective Studies business.industry Mortality rate Retrospective cohort study Fournier gangrene Emergency department Length of Stay Middle Aged medicine.disease Surgery Anesthesiology and Pain Medicine medicine.anatomical_structure Debridement Predictive value of tests Emergency Medicine Female Emergency Service Hospital business Fournier Gangrene |
| Zdroj: | Turkish Journal of Trauma and Emergency Surgery. 20:107-112 |
| ISSN: | 1307-7945 1306-696X |
| Popis: | BACKGROUND: Fournier’s gangrene (FG) is a rapidly progressive and necrotizing infection of the subcutaneous and fascial tissues with a high mortality rate. In the present study, we aimed to investigate prognostic factors and analyze the outcomes of 68 patients in a tertiary reference hospital. METHODS: Patients admitted to the emergency department were investigated retrospectively between January 2006 and January 2013 and divided into two groups. The patients in Group I (G1) required one debridement, and Group II (G2) patients required more than one. Patient demographic and clinical characteristics were encoded. Fournier’s Gangrene Severity Index (FGSI) scores, neutrophillymphocyte ratios (NLR), and platelet-lymphocyte ratios (PLR) were calculated. Prognostic factors were compared between the groups. RESULTS: There were no statistically significant differences between the groups in terms of mean age, female-male ratio, or duration of symptoms on admission; however, there were more infection sources, predisposal factors, and positive culture results in G2. Additionally, hospital stay, total cost, and mortality rate values were high in G2. We found statistically higher NLR and PLR ratios in G2, but there was no significant difference in FGSI scores between the groups. CONCLUSION: The FGSI scoring system was not found to be valuable in determining prognosis. However, NLR and PLR were valuable, and previous use of NLR and PLR for determining Fournier’s gangrene prognosis could not be found in the English literature. |
| Databáze: | OpenAIRE |
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