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Necrotising soft tissue infection in the present era: an analysis of clinicopathological features and predictors of mortality
被引:0
|作者:
Anshu, Alok
[1
]
Dwivedi, Surjeet
[2
]
Murali, M.
[3
]
Harsha
[4
]
机构:
[1] 7 Air Force Hosp, Dept Surg, Kanpur, India
[2] Command Hosp Air Force, Dept Oncosurg, DNB Oncosurg, Bangalore, India
[3] Training Command, Bangalore, India
[4] Command Hosp Kolkata, Dept Surg, Kolkata, India
来源:
关键词:
FASCIITIS;
MANAGEMENT;
D O I:
10.1016/j.sipas.2023.100163
中图分类号:
R61 [外科手术学];
学科分类号:
摘要:
Background: Necrotizing soft tissue infections (NSTI) and non-NSTI are frequently difficult to distinguish based on symptoms, signs, and investigations. High morbidity related to it can only be avoided by early detection and treatment.Aim: This study examined demographic, clinicopathological, NSTI prognosis, and mortality factors.Methodology: 80 NSTI patients were retrospectively studied. Clinicopathological profile, surgical management, histological report, and LRINEC score were included. Mortality predictions were evaluated between survivors and non-survivors.Results: 73.8 percent of patients were male and the mean age was 55.4 & PLUSMN;9.6 years. Nonsurvivors averaged 11.88 & PLUSMN;0.72 LRINEC scores. Non-survivor CRP averaged 236.5 & PLUSMN;48.5 mg/l. Gp A Hemolytic Streptococci were most frequent (37.8 percent ). Diabetes was a significant mortality predictor. Total mortality was 20%.Conclusion: NSTI remains a major killer. High mortality is linked to age, diabetes, higher blood creatinine, MODS, and delayed surgery." and proceed accordingly.
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