A contemporary analysis of Fournier gangrene using the National Surgical Quality Improvement Program

Urology
Stanley Y KimShilajit D Kundu

Abstract

To determine a nationwide contemporary description of surgical Fournier gangrene (FG) and necrotizing fasciitis of the genitalia (NFG) outcomes because historically reported mortality rates for FG and NFG are based on small single-institution studies from the 1980s and the 1990s. The National Surgical Quality Improvement Program is a risk-adjusted surgical database used by nearly 400 hospitals nationwide, which tracks preoperative, intraoperative, and 30-day postoperative clinical variables. Data are extracted from patient charts by an independent surgical clinical reviewer at each hospital. Using the National Surgical Quality Improvement Program data from 2005 to 2009, we calculated 30-day mortality rates and identified preoperative factors associated with increased mortality. A total of 650 patients were identified with surgery for FG or NFG. Fourteen patients with do not resuscitate orders placed preoperatively were excluded from analyses. For the remaining 636 patients, the overall 30-day mortality was 10.1% (64 of 636). Fifty-seven percent of patients (360 of 636) were men, 70% (446 of 636) were white, and 13% (81 of 636) were African American. Multivariate logistic regression indicated that increased age (odds ratio [OR],...Continue Reading

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Citations

Mar 17, 2015·Urology·Mitchell H Bamberger
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Jan 3, 2019·Journal of Diabetes·Zachary BloomgardenYehuda Handelsman
Apr 3, 2019·BMJ Case Reports·Basil Francis Moss, Amjad M Peracha
Sep 10, 2017·Diabetic Medicine : a Journal of the British Diabetic Association·S KumarP G Colman
Sep 13, 2017·Advances in Wound Care·Mark FerrettiJohn Phillips
May 26, 2017·The Journal of Trauma and Acute Care Surgery·Margaret Hedgecock LauermanSharon Henry
Mar 2, 2021·World Journal of Clinical Cases·Agnieszka GrabińskaTomasz Ząbkowski

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