%0 Journal Article
%T Terapia de ox¨ªgeno hiperb¨¢rico complementaria al desbridamiento en el control de la gangrena de Fournier: utilidad de la puntuaci¨®n de un ¨ªndice de severidad en la predicci¨®n de la gravedad de la enfermedad y la supervivencia del paciente
%A Janane
%A A.
%A Hajji
%A F.
%A Ismail
%A T.O.
%A Chafiqui
%A J.
%A Ghadouane
%A M.
%A Ameur
%A A.
%A Abbar
%A M.
%A Albouzidi
%A A.
%J Actas Urol¨®gicas Espa£¿olas
%D 2011
%I Scientific Electronic Library Online
%R 10.4321/S0210-48062011000600004
%X introduction: hyperbaric oxygen therapy (hbot) concomitant to surgery has been reported to reduce fournier's gangrene (fg) mortality compared to exclusive surgical debridement. most report from centers with relatively few patients using only surgical procedure. to assess efficiency of aggressive debridement with adjunctive hbot. to evaluate fournier's gangrene severity score index (fgsi) predictive value. material and methods: 70 fournier's gangrene (fg) treated by surgical debridement and hbot. data were evaluated physical examination findings, admission and final laboratory tests, surgical debridement extent, and antibiotic used. patients had adjunctive (hbot). fgsi, developed to assign a score describing the acuity of disease, was used. this index presents patients' vital signs, metabolic parameters (sodium, potassium, creatinine, and bicarbonate levels, and white blood cell count) and computes a score relating to the severity of disease at that time. data were assessed according to whether the patient survived or died. all patients underwent surgical debridement. wound debridement was regularly performed in the post operative period. results: of 70 patients, 8 died (11.4%) and 62 survived (88.5%). difference in age between survivors (median age, 50.0 yr) and non survivors (median age, 54.5 yr) was not significant (p=0.321). median extent of body surface area involved in necrotizing process in patients who survived and did not survive was 2.4% and 4.9%, respectively (p=0.001). except for albumin, no significant differences were found between survivors and nonsurvivors. median admission fgsi scores for survivors and non survivors were 2.1¡À2.0 and 4.2¡À3.8, (p=0.331). conclusion: fgsi score did not predict disease severity and the patient's survival. metabolic aberrations, extent of disease seemed to be important risk factors for predicting fg severity and patient survival.
%K fournier's gangrene
%K hyperbaric oxygen therapy
%K surgical debridement
%K severity index score.
%U http://scielo.isciii.es/scielo.php?script=sci_abstract&pid=S0210-48062011000600004&lng=en&nrm=iso&tlng=en