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The role of quick Sepsis-related Organ Failure Assessment score as simple scoring system to predict Fournier gangrene mortality and the correlation with Fournier’s Gangrene Severity Index: Analysis of 69 patients

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Asian Journal of Urology 2023年第2期10卷 201-207页

作者： Bambang S.Noegroho Kuncoro Adi Akhmad Mustafa Rais Syaeful Haq zola wijayanti Jason Liarto Urology Department Hasan Sadikin Academic Medical CenterUniversitas PadjadjaranBandungIndonesia

Objective:Fournier’s gangrene is a rare but life-threatening infection disease with high mortality *** quick Sepsis-related Organ Failure Assessment(qSOFA)is a new and simpler scoring system that may identify patients with suspected infection who are at greater risk for a poor *** purpose of this study was to find out role of qSOFA in determining prognosis of Fournier’s gangrene ***:This study is a case control with retrospective review of Fournier’s gangrene patients treated at Hasan Sadikin Hospital from January 2013 to December 2017 who met inclusion *** were divided into two groups according to qSOFA score as high qSOFA(2-3)and low qSOFA(0-1).Results:From 69 patients,the mortality rate was 24.6%.The sensitivity of qSOFA score to predict mortality was 88.2%;the specificity was 94.2%;positive predictive value was 83.3%;negative predictive value was 96.1%;positive likelihood ratio was 15.2;negative likelihood ratio was 0.12;and the area under the receiver operating characteristic curve of qSOFA was 94.2%.There was significant association between qSOFA scale and mortality with p-value of *** qSOFA score has strong positive correlation with Fournier’s Gangrene Severity Index(p<0.0001,r=0.704).Conclusion:qSOFA scoring system has a high prognostic value and can be used to determine prognosis of Fournier’s gangrene patients.

关键词： Fournier gangrene Quick Sepsis-related Organ Failure Assessment Prognosis Organ failure Severity index

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