Can the SIARI score be used at initial admission to predict testes involvement in patients with fournier’s gangrene; a single-centre, retrospective study

Autor: Anil Erdik, Kemal Demirhan, Haci Ibrahim Cimen, Yavuz Tarik Atik, Deniz Gul, Osman Kose, Hasan Salih Saglam
Jazyk: angličtina
Rok vydání: 2024
Předmět:
Zdroj: BMC Urology, Vol 24, Iss 1, Pp 1-7 (2024)
Druh dokumentu: article
ISSN: 1471-2490
DOI: 10.1186/s12894-024-01557-x
Popis: Abstract Background To predict testicular involvement in patients diagnosed with Fournier’s gangrene (FG) using the Laboratory Risk Indicator for Necrotizing Fasciitis (LRINEC) score and the site other than lower limb (SIARI) score. Methods The medical records of 51 patients operated for FG in our clinic between December 2012 and April 2022 were evaluated retrospectively in this study. Patients’ demographics, and laboratory test results were compared with the testisticular involvement status. Patients with testisticular involvement (n = 10) were compared with patients without testicular involvement (n = 41). The SIARI score at initial admission was analysed using logistic regression analyses for its performance in predicting testicular involvement with FG. Receiver operating characteristics (ROC) curves and the area under the receiver operating characteristic curve (AUROC) were used to evaluate its discriminating ability. Results The SIARI score had modest performance for diagnosing testicular involvement in FG patients, with ROC analysis showing an AUROC value of 0.83 (p
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