Evidence map›Paper›PMID 39261759›Full record

ArticleBMC infectious diseases2024

Prognostic factors and clinical outcomes in Fournier's Gangrene: a retrospective study of 35 patients.

Han Bee Hong, Jeong Woo Lee, Chan Hee Park

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Article in BMC infectious diseases, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed.

  1. Predicting postoperative course in Fournier's gangrene surgery: evaluation of the E-PASS score in a single-center retrospective study.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2026
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  4. Prognostic value of the shock index in Fournier's gangrene: a retrospective cohort study comparing established mortality scoring systems.Ulusal travma ve acil cerrahi dergisi = Turkish journal of trauma & emergency surgery : TJTES · 2026
    Article
  5. Comparison of FGSI and HALP scores for mortality prediction in Fournier's Gangrene: A retrospective analysis.Ulusal travma ve acil cerrahi dergisi = Turkish journal of trauma & emergency surgery : TJTES · 2026
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Han Bee HongDivision of Trauma and Critical Care Surgery, Department of Surgery, Keimyung University Dongsan Hospital, Keimyung University School of Medicine, 1035 Dalgubeoldaero, Dalseogu, Daegu, 42601, Republic of Korea.
Jeong Woo LeeDivision of Trauma and Critical Care Surgery, Department of Surgery, Keimyung University Dongsan Hospital, Keimyung University School of Medicine, 1035 Dalgubeoldaero, Dalseogu, Daegu, 42601, Republic of Korea.
Chan Hee ParkDivision of Trauma and Critical Care Surgery, Department of Surgery, Keimyung University Dongsan Hospital, Keimyung University School of Medicine, 1035 Dalgubeoldaero, Dalseogu, Daegu, 42601, Republic of Korea. domissionary@naver.com.

Funding

Keimyung University 20230377
6 · The paper itself

Abstract

backgroundFournier's gangrene is a severe form of infectious necrotizing fasciitis affecting the perineum, perianal, and genital areas; it is associated with substantial morbidity and mortality. Hence, it is important to identify prognostic factors that can predict clinical outcomes and guide treatment strategies. Thus, our study aimed to analyze patient characteristics and determine prognostic factors affecting clinical outcomes in Fournier's gangrene.

methodsThis retrospective study involved examining medical records spanning 18 years for patients with Fournier's gangrene at our institution. Considering the exclusion criteria, data from 35 patients were included in this study.

resultsA total of 35 patients were included in the analysis. The mean age of the patients showed no statistically significant difference between the survivor and non-survivor groups. The Charlson Comorbidity Index, American Society of Anesthesiologists score, and Acute Physiology and Chronic Health Evaluation II score were not significantly different between the two groups. Notably, the initial Sequential Organ Failure Assessment score was significantly higher in the non-survivor group than that in the survivor group. The overall in-hospital mortality rate was 17.1%. Moreover, the prevalence of multidrug resistant bacterial infection was markedly higher in the non-survivor group than that in the survivor group. Coagulation dysfunction was significantly more prevalent in the non-survivor group than that in the survivor group, and had the most significant impact on in-hospital mortality. A multivariable logistic regression analysis identified multidrug resistant bacterial infection to be independently associated with high in-hospital mortality.

conclusionsCoagulation dysfunction and multidrug resistant bacterial infection were identified as independent negative prognostic factors, highlighting the need for prompt monitoring and proactive strategies against Fournier's gangrene.

Indexed as

Fournier GangreneAdultAgedAged, 80 and overAnti-Bacterial AgentsDrug Resistance, Multiple, BacterialFemaleHospital MortalityHumansMaleMiddle AgedPrognosisRetrospective StudiesTreatment OutcomeAnti-Bacterial AgentsFournier’s gangreneMultidrug resistanceNecrotizing fasciitisOrgan dysfunctionPrognosis

Identifiers

PMID39261759
PMCPMC11391849

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LicenceCC BY-NC-ND
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.