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J Coll Physicians Surg Pak · Mar 2023
Fournier's Gangrene: Evaluation of Patient Outcomes Using Clinical Data and Prognostic Biomarkers.
- Burak Ucaner, Sacit Altug Kesikli, Mehmet Zeki Buldanli, Mehmet Sabri Ciftci, and Oguz Hancerliogullari.
- Department of General Surgery, University of Health Sciences, Gulhane Training and Research Hospital, Ankara, Turkey.
- J Coll Physicians Surg Pak. 2023 Mar 1; 33 (3): 275280275-280.
ObjectiveTo find out the outcomes of Fournier's gangrene (FG) patients using clinical data and prognostic biomarkers based on the current literature.Study DesignDescriptive study. Place and Duration of the Study: Department of General Surgery, University of Health Sciences, Gulhane Training and Research Hospital, Ankara, Turkey, from January 2018, to January 2022.MethodologyPatients who were diagnosed with and treated for FG were included in the study. Patients younger than 18 years of age, those with missing hospital records and postoperative follow-up data, those with benign diseases related to the perianal or anal region, and those with other malignant diseases were excluded from the study. Patients' demographic, clinical, and laboratory data, including the calculated systemic immune-inflammation index (SII) and pan-immune-inflammation values (PIV) were obtained retrospectively from the medical records. Variables were analysed using SPSS statistics software, version 25.0. The value of p <0.05 was considered statistically significant.ResultsA total of twenty-four patients, 14 (58.3%) males and 10 (41.7%) females, were included in this study. No statistically significant correlations were found between the calculated indices and patients' clinical outcomes. The length of intensive care unit stay was strongly and positively correlated with age (r = 0.672 and p <0.001), and the length of hospital stay was moderately and inversely correlated with preoperative albumin levels (r = -0.584 and p = 0.003).ConclusionSII and PIV had no statistically significant interactions with FG.Key WordsFournier's gangrene, Systemic immune-inflammation index, Pan-immune-inflammation value, Colostomy, Albumin.
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