{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,25]],"date-time":"2026-08-25T01:30:24Z","timestamp":1787621424728,"version":"build-2736575974"},"reference-count":33,"publisher":"Georg Thieme Verlag KG","issue":"03","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Aktuelle Urol"],"published-print":{"date-parts":[[2022,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>\n          Background We aimed to investigate the parameters that have an effect on the length of stay and mortality rates of patients with Fournier\u2019s gangrene.<\/jats:p><jats:p>\n          Material and Methods A retrospective review was performed on 80 patients who presented to the emergency department and underwent emergency debridement with the diagnosis of Fournier\u2019s gangrene between 2008 and 2017.\u200aThe demographic and clinical characteristics, length of stay, Fournier\u2019s Gangrene Severity Index score, cystostomy and colostomy requirement, additional treatment for wound healing and the mortality rates of the patients were evaluated.<\/jats:p><jats:p>\n          Results Of the 80 patients included in the study, 65 (81.2\u200a%) were male and 15 (18.7\u200a%) female. The most common comorbidity was diabetes mellitus. The mean time between onset of complaints and admission to hospital was 4.6\u200a\u00b1\u200a2.5 days. As a result of the statistical analyses, it was found that Fournier\u2019s Gangrene Severity Index score, hyperbaric oxygen therapy, negative pressure wound therapy and the presence of sepsis and colostomy were significantly positively correlated with length of stay. Also it was found that the Fournier\u2019s Gangrene Severity Index score, administration of negative pressure wound therapy and the presence of sepsis were correlated with mortality.<\/jats:p><jats:p>\n          Conclusion Fournier\u2019s gangrene is a mortal disease and an emergency condition. With the improvements in Fournier\u2019s gangrene disease management, mortality rates are decreasing, but long-term hospital stay has become a new problem. Knowing the values predicting length of stay and mortality rates can allow for patient-based treatment and may be useful in treatment choice.<\/jats:p>","DOI":"10.1055\/a-1260-2576","type":"journal-article","created":{"date-parts":[[2020,10,21]],"date-time":"2020-10-21T23:11:55Z","timestamp":1603321915000},"page":"262-268","source":"Crossref","is-referenced-by-count":10,"title":["Factors affecting length of stay in Fournier\u2019s gangrene: a retrospective analysis of 10 years\u2019 data"],"prefix":"10.1055","volume":"53","author":[{"given":"Mithat","family":"Eksi","sequence":"additional","affiliation":[{"name":"Bakirkoy Dr Sadi Konuk Training and Research Hospital, Urology, Istanbul"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yusuf","family":"Arikan","sequence":"additional","affiliation":[{"name":"Bakirkoy Dr Sadi Konuk Training and Research Hospital, Urology, Istanbul"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Abdulmuttalip","family":"Simsek","sequence":"additional","affiliation":[{"name":"Bakirkoy Dr Sadi Konuk Training and Research Hospital, Urology, Istanbul"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Osman","family":"Ozdemir","sequence":"additional","affiliation":[{"name":"Bakirkoy Dr Sadi Konuk Training and Research Hospital, Urology, Istanbul"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Serdar","family":"Karadag","sequence":"additional","affiliation":[{"name":"Bakirkoy Dr Sadi Konuk Training and Research Hospital, Urology, Istanbul"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Necati","family":"Gurbuz","sequence":"additional","affiliation":[{"name":"Bakirkoy Dr Sadi Konuk Training and Research Hospital, Urology, Istanbul"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Selcuk","family":"Sahin","sequence":"additional","affiliation":[{"name":"Bakirkoy Dr Sadi Konuk Training and Research Hospital, Urology, Istanbul"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ali Ihsan","family":"Tasci","sequence":"additional","affiliation":[{"name":"Bakirkoy Dr Sadi Konuk Training and Research Hospital, Urology, Istanbul"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2020,10,21]]},"reference":[{"key":"ref1","doi-asserted-by":"crossref","first-page":"457","DOI":"10.1159\/000342407","article-title":"Epidemiological characteristics of Fournier\u2019s gangrene: A report of 71 patients","volume":"89","author":"I A Aridogan","year":"2012","journal-title":"Urol Int"},{"key":"ref2","doi-asserted-by":"crossref","first-page":"217","DOI":"10.1007\/s10151-010-0592-1","article-title":"Fournier\u2019s gangrene: An analysis of 80 patients and a novel scoring system","volume":"14","author":"T Yilmazlar","year":"2010","journal-title":"Tech Coloproctol"},{"key":"ref3","first-page":"251","article-title":"Sur une plaie contuse qui s\u2019 est terminee par le sphacele de le scrotum","volume":"20","author":"H Baurienne","year":"1764","journal-title":"J Med Chir Pharm"},{"key":"ref4","first-page":"984","article-title":"Jean-Alfred Fournier 1832-1914. 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