Role of SFGSI, microbial culture and qSOFA as predictive factors in determining the survival rate in Fournier Gangrene patient
To examine the simplified Fournier Gangrene Severe Index Score (SFGSI) and the number of species in culture findings for predicting death in Fournier Gangrene (FG) patients in terms of their predictive power. From January 2017 to July 2022, the medical records of individuals undergoing emergency sur...
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| Veröffentlicht in: | Saudi medical journal 2024-03, Vol.45 (3), p.230-234 |
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| container_title | Saudi medical journal |
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| creator | Warli, Syah M Pakpahan, Karimul A Nasution, Ramlan Kadar, Dhirajaya D Adhyatma, Kharisma P |
| description | To examine the simplified Fournier Gangrene Severe Index Score (SFGSI) and the number of species in culture findings for predicting death in Fournier Gangrene (FG) patients in terms of their predictive power.
From January 2017 to July 2022, the medical records of individuals undergoing emergency surgery for FG were obtained. A total of 80 patients were examined for clinical data such as age, gender, laboratory parameters, etiology, isolated bacteria, and mortality rate.
We identified a statistically significant mean difference between SFGSI ( |
| doi_str_mv | 10.15537/smj.2024.45.3.20230036 |
| format | Article |
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From January 2017 to July 2022, the medical records of individuals undergoing emergency surgery for FG were obtained. A total of 80 patients were examined for clinical data such as age, gender, laboratory parameters, etiology, isolated bacteria, and mortality rate.
We identified a statistically significant mean difference between SFGSI (
<0.0001) and quickSOFA (qSOFA) scores (
=0.002) in determining the survival rate of FG patients. The sensitivity and specificity of the SFGSI score in predicting mortality were 90.1% and 88.3% respectively, whereas the sensitivity and specificity of the qSOFA score were 88.2% and 86.2%.
comprised 56.2% of the bacteria, followed by
,
,
, and
. On the basis of bacterial culture results,
had the highest fatality rate (100%) followed by
(75%),
(30%), and
(20%), in that order.
The survival rate of FG patients can be predicted using the sensitivity and specificity of the SFGSI and qSOFA scores together.
infected patients have the greatest mortality rate (100%) compared to the other groups.</description><identifier>ISSN: 0379-5284</identifier><identifier>EISSN: 1658-3175</identifier><identifier>DOI: 10.15537/smj.2024.45.3.20230036</identifier><identifier>PMID: 38438215</identifier><language>eng</language><publisher>Saudi Arabia: Saudi Medical Journal</publisher><subject>Bacteriology ; Cultures and culture media ; Gangrene ; Medical screening ; Methods ; Original ; Patient outcomes ; Prognosis</subject><ispartof>Saudi medical journal, 2024-03, Vol.45 (3), p.230-234</ispartof><rights>Copyright: © Saudi Medical Journal.</rights><rights>COPYRIGHT 2024 Saudi Medical Journal</rights><rights>Copyright: © Saudi Medical Journal 2024</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC11115395/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC11115395/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,881,27901,27902,53766,53768</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/38438215$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Warli, Syah M</creatorcontrib><creatorcontrib>Pakpahan, Karimul A</creatorcontrib><creatorcontrib>Nasution, Ramlan</creatorcontrib><creatorcontrib>Kadar, Dhirajaya D</creatorcontrib><creatorcontrib>Adhyatma, Kharisma P</creatorcontrib><title>Role of SFGSI, microbial culture and qSOFA as predictive factors in determining the survival rate in Fournier Gangrene patient</title><title>Saudi medical journal</title><addtitle>Saudi Med J</addtitle><description>To examine the simplified Fournier Gangrene Severe Index Score (SFGSI) and the number of species in culture findings for predicting death in Fournier Gangrene (FG) patients in terms of their predictive power.
From January 2017 to July 2022, the medical records of individuals undergoing emergency surgery for FG were obtained. A total of 80 patients were examined for clinical data such as age, gender, laboratory parameters, etiology, isolated bacteria, and mortality rate.
We identified a statistically significant mean difference between SFGSI (
<0.0001) and quickSOFA (qSOFA) scores (
=0.002) in determining the survival rate of FG patients. The sensitivity and specificity of the SFGSI score in predicting mortality were 90.1% and 88.3% respectively, whereas the sensitivity and specificity of the qSOFA score were 88.2% and 86.2%.
comprised 56.2% of the bacteria, followed by
,
,
, and
. On the basis of bacterial culture results,
had the highest fatality rate (100%) followed by
(75%),
(30%), and
(20%), in that order.
The survival rate of FG patients can be predicted using the sensitivity and specificity of the SFGSI and qSOFA scores together.
infected patients have the greatest mortality rate (100%) compared to the other groups.</description><subject>Bacteriology</subject><subject>Cultures and culture media</subject><subject>Gangrene</subject><subject>Medical screening</subject><subject>Methods</subject><subject>Original</subject><subject>Patient outcomes</subject><subject>Prognosis</subject><issn>0379-5284</issn><issn>1658-3175</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><recordid>eNptkV9vFCEUxYnR2LX6FZTEV2eE4c8wT2bTuGuTJk1cfSbMcNnSzMAKM5v44meXdW1jE-EBAr9zuNyD0DtKaioEaz_m6b5uSMNrLmp22jFCmHyGVlQKVTHaiudoRVjbVaJR_AK9yvn-REgiX6ILpjhTDRUr9OtrHAFHh3eb7e76A578kGLvzYiHZZyXBNgEi3_sbjdrbDI-JLB-mP0RsDPDHFPGPmALM6TJBx_2eL4DnJd09MfikcwMJ2ATlxQ8JLw1YZ8gAD6Y2UOYX6MXzowZ3vxdL9H3zedvV1-qm9vt9dX6pho4o3PlbN833DBjlATLJbVGUNYRJS0VruPWOKrapnE9dYrIjhSUSUJcK6hVPWOX6NPZ97D0E9ihPJ3MqA_JTyb91NF4_fQm-Du9j0dNyxCsE8Xh_dlhb0bQPrhYuGHyedDrVknVlXpUoer_UGVaKJ2NAZwv508E7VlQ2p5zAvdYEyX6T9S6RK1PUWsuNNMPURfl23-_9Kh7yJb9Bpj3ps8</recordid><startdate>202403</startdate><enddate>202403</enddate><creator>Warli, Syah M</creator><creator>Pakpahan, Karimul A</creator><creator>Nasution, Ramlan</creator><creator>Kadar, Dhirajaya D</creator><creator>Adhyatma, Kharisma P</creator><general>Saudi Medical Journal</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>5PM</scope></search><sort><creationdate>202403</creationdate><title>Role of SFGSI, microbial culture and qSOFA as predictive factors in determining the survival rate in Fournier Gangrene patient</title><author>Warli, Syah M ; Pakpahan, Karimul A ; Nasution, Ramlan ; Kadar, Dhirajaya D ; Adhyatma, Kharisma P</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c431t-fdbb24a3aa86ed461da5139086d15f94daf18722fb1f80690a3a3600f751d8b33</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>Bacteriology</topic><topic>Cultures and culture media</topic><topic>Gangrene</topic><topic>Medical screening</topic><topic>Methods</topic><topic>Original</topic><topic>Patient outcomes</topic><topic>Prognosis</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Warli, Syah M</creatorcontrib><creatorcontrib>Pakpahan, Karimul A</creatorcontrib><creatorcontrib>Nasution, Ramlan</creatorcontrib><creatorcontrib>Kadar, Dhirajaya D</creatorcontrib><creatorcontrib>Adhyatma, Kharisma P</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Saudi medical journal</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Warli, Syah M</au><au>Pakpahan, Karimul A</au><au>Nasution, Ramlan</au><au>Kadar, Dhirajaya D</au><au>Adhyatma, Kharisma P</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Role of SFGSI, microbial culture and qSOFA as predictive factors in determining the survival rate in Fournier Gangrene patient</atitle><jtitle>Saudi medical journal</jtitle><addtitle>Saudi Med J</addtitle><date>2024-03</date><risdate>2024</risdate><volume>45</volume><issue>3</issue><spage>230</spage><epage>234</epage><pages>230-234</pages><issn>0379-5284</issn><eissn>1658-3175</eissn><abstract>To examine the simplified Fournier Gangrene Severe Index Score (SFGSI) and the number of species in culture findings for predicting death in Fournier Gangrene (FG) patients in terms of their predictive power.
From January 2017 to July 2022, the medical records of individuals undergoing emergency surgery for FG were obtained. A total of 80 patients were examined for clinical data such as age, gender, laboratory parameters, etiology, isolated bacteria, and mortality rate.
We identified a statistically significant mean difference between SFGSI (
<0.0001) and quickSOFA (qSOFA) scores (
=0.002) in determining the survival rate of FG patients. The sensitivity and specificity of the SFGSI score in predicting mortality were 90.1% and 88.3% respectively, whereas the sensitivity and specificity of the qSOFA score were 88.2% and 86.2%.
comprised 56.2% of the bacteria, followed by
,
,
, and
. On the basis of bacterial culture results,
had the highest fatality rate (100%) followed by
(75%),
(30%), and
(20%), in that order.
The survival rate of FG patients can be predicted using the sensitivity and specificity of the SFGSI and qSOFA scores together.
infected patients have the greatest mortality rate (100%) compared to the other groups.</abstract><cop>Saudi Arabia</cop><pub>Saudi Medical Journal</pub><pmid>38438215</pmid><doi>10.15537/smj.2024.45.3.20230036</doi><tpages>5</tpages><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0379-5284 |
| ispartof | Saudi medical journal, 2024-03, Vol.45 (3), p.230-234 |
| issn | 0379-5284 1658-3175 |
| language | eng |
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| source | Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; PubMed Central; PubMed Central Open Access |
| subjects | Bacteriology Cultures and culture media Gangrene Medical screening Methods Original Patient outcomes Prognosis |
| title | Role of SFGSI, microbial culture and qSOFA as predictive factors in determining the survival rate in Fournier Gangrene patient |
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