Medical Faculty, Department of Emergency Medicine, Bandirma Onyedi Eylul University, Balikesir, Turkey.
Medical Faculty, Department of Urology, Pamukkale University, Denizli, Turkey.
Int J Clin Pract. 2021 Sep;75(9):e14361. doi: 10.1111/ijcp.14361. Epub 2021 May 29.
Fournier's gangrene (FG) is a disease with high mortality rate. The first diagnosis is performed in the emergency department (ED). In this study, we investigated the importance of the time period for diagnosis in the ED.
The data of patients who were treated for FG between 1 January 2010 and 2020 were retrospectively analysed. Waiting period of the patients in ED was calculated. Risk factor score calculations were calculated to predict FG mortality and prognosis. The effects of the ED waiting period on the duration of admission to the hospital, the number of debridements and mortality status and relationship with FG mortality risk factor scores were investigated.
In a 10-year period, a total of 66 patients were included in the study. It was found that the median age of the patients was 56 years. ED waiting period median (IQR) was 105 (115) minutes. It was observed that there was a significant positive correlation between the ED waiting period, duration of admission to hospital (rs: 0.537, P < .001) and patients mortality status (rs: 0.482, P < .001). The ED waiting period was higher in patients with FG mortality. It was observed that the ED waiting period holds a diagnostic value in predicting mortality (P < .001). The cut-off limit predicted for this value was determined as 136 minutes.
FG is a urological emergency. ED waiting period affects mortality rate and length of hospital stay. The earlier the diagnosis and treatment is conducted in the ED, the lower the mortality rate and length of stay in the hospital will be.
Fournier 坏疽（FG）是一种死亡率很高的疾病。首次诊断是在急诊科（ED）进行的。在这项研究中，我们研究了 ED 中诊断时间的重要性。
回顾性分析了 2010 年 1 月至 2020 年期间因 FG 接受治疗的患者的数据。计算了患者在 ED 的等待时间。计算了风险因素评分以预测 FG 死亡率和预后。研究了 ED 等待时间对住院时间、清创次数和死亡率状况的影响，以及与 FG 死亡率风险因素评分的关系。
在 10 年期间，共有 66 名患者纳入研究。结果发现，患者的中位年龄为 56 岁。ED 等待时间中位数（IQR）为 105（115）分钟。观察到 ED 等待时间与住院时间（rs：0.537，P <.001）和患者死亡率之间存在显著正相关（rs：0.482，P <.001）。FG 死亡率患者的 ED 等待时间较高。观察到 ED 等待时间在预测死亡率方面具有诊断价值（P <.001）。预测该值的截止值确定为 136 分钟。
FG 是一种泌尿科急症。ED 等待时间会影响死亡率和住院时间。ED 中尽早进行诊断和治疗，死亡率和住院时间就会越低。
