Necrotizing Fasciitis Risk Factors in Elderly Taiwan Patients
Background: Necrotizing fasciitis is a surgical emergency and old age is one of the predictors to mortality. Nonetheless, no specific report has addressed necrotizing fasciitis concerning aged patients. The aim of this study was to determine risk factors of mortality in elderly patients with necroti...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Taiwan Society of Geriatric Emergency and Critical Medicine (TSGECM)
2011-03-01
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| Series: | International Journal of Gerontology |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S1873959811000081 |
| _version_ | 1811276909675282432 |
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| author | Chia-Meng Yu Wen-Chen Huang Kwang-Yi Tung Hung-Tao Hsiao |
| author_facet | Chia-Meng Yu Wen-Chen Huang Kwang-Yi Tung Hung-Tao Hsiao |
| author_sort | Chia-Meng Yu |
| collection | DOAJ |
| description | Background: Necrotizing fasciitis is a surgical emergency and old age is one of the predictors to mortality. Nonetheless, no specific report has addressed necrotizing fasciitis concerning aged patients. The aim of this study was to determine risk factors of mortality in elderly patients with necrotizing fasciitis.
Methods: A retrospective review of 65 patients with surgically confirmed necrotizing fasciitis in a tertiary medical center from January 2004 to December 2008 was conducted. Comparison between patients who survived and died was based on clinical findings, laboratory data, complications, and surgical timing.
Results: The mortality rate for the 65 patients was 32%. The average hospitalization was 33.7 days. Significant differences between the two groups were observed in surgical time, wound closure method, and admission levels of hemoglobin and albumin. Significant risk factors from binary logistic regression were liver cirrhosis, acute renal failure, and respiratory failure. Patients with more complications had a lower survival rate.
Conclusion: Early diagnosis of necrotizing fasciitis is difficult in aged patients, but in-hospital complications are the main determinants of mortality. Patients with liver cirrhosis are the high-risk group to mortality. Prevention of complications, such as acute renal failure and acute respiratory failure may be helpful in survival. |
| first_indexed | 2024-04-13T00:06:15Z |
| format | Article |
| id | doaj.art-daad0b8d4d9e4f4f9bce35d706e2a768 |
| institution | Directory Open Access Journal |
| issn | 1873-9598 |
| language | English |
| last_indexed | 2024-04-13T00:06:15Z |
| publishDate | 2011-03-01 |
| publisher | Taiwan Society of Geriatric Emergency and Critical Medicine (TSGECM) |
| record_format | Article |
| series | International Journal of Gerontology |
| spelling | doaj.art-daad0b8d4d9e4f4f9bce35d706e2a7682022-12-22T03:11:13ZengTaiwan Society of Geriatric Emergency and Critical Medicine (TSGECM)International Journal of Gerontology1873-95982011-03-0151414410.1016/j.ijge.2011.01.007Necrotizing Fasciitis Risk Factors in Elderly Taiwan PatientsChia-Meng YuWen-Chen HuangKwang-Yi TungHung-Tao HsiaoBackground: Necrotizing fasciitis is a surgical emergency and old age is one of the predictors to mortality. Nonetheless, no specific report has addressed necrotizing fasciitis concerning aged patients. The aim of this study was to determine risk factors of mortality in elderly patients with necrotizing fasciitis. Methods: A retrospective review of 65 patients with surgically confirmed necrotizing fasciitis in a tertiary medical center from January 2004 to December 2008 was conducted. Comparison between patients who survived and died was based on clinical findings, laboratory data, complications, and surgical timing. Results: The mortality rate for the 65 patients was 32%. The average hospitalization was 33.7 days. Significant differences between the two groups were observed in surgical time, wound closure method, and admission levels of hemoglobin and albumin. Significant risk factors from binary logistic regression were liver cirrhosis, acute renal failure, and respiratory failure. Patients with more complications had a lower survival rate. Conclusion: Early diagnosis of necrotizing fasciitis is difficult in aged patients, but in-hospital complications are the main determinants of mortality. Patients with liver cirrhosis are the high-risk group to mortality. Prevention of complications, such as acute renal failure and acute respiratory failure may be helpful in survival.http://www.sciencedirect.com/science/article/pii/S1873959811000081necrotizing fasciitiselderlymortalityrisk factors |
| spellingShingle | Chia-Meng Yu Wen-Chen Huang Kwang-Yi Tung Hung-Tao Hsiao Necrotizing Fasciitis Risk Factors in Elderly Taiwan Patients International Journal of Gerontology necrotizing fasciitis elderly mortality risk factors |
| title | Necrotizing Fasciitis Risk Factors in Elderly Taiwan Patients |
| title_full | Necrotizing Fasciitis Risk Factors in Elderly Taiwan Patients |
| title_fullStr | Necrotizing Fasciitis Risk Factors in Elderly Taiwan Patients |
| title_full_unstemmed | Necrotizing Fasciitis Risk Factors in Elderly Taiwan Patients |
| title_short | Necrotizing Fasciitis Risk Factors in Elderly Taiwan Patients |
| title_sort | necrotizing fasciitis risk factors in elderly taiwan patients |
| topic | necrotizing fasciitis elderly mortality risk factors |
| url | http://www.sciencedirect.com/science/article/pii/S1873959811000081 |
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