MARC details
| 000 -LEADER |
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| fixed length control field |
03085nam a22004217a 4500 |
| 008 - FIXED-LENGTH DATA ELEMENTS--GENERAL INFORMATION |
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| fixed length control field |
191014s20192019 xxu||||| |||| 00| 0 eng d |
| 022 ## - INTERNATIONAL STANDARD SERIAL NUMBER |
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| International Standard Serial Number |
2223-4683 |
| 024 ## - OTHER STANDARD IDENTIFIER |
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| Standard number or code |
10.21037/tau.2019.03.09 [doi] |
| 024 ## - OTHER STANDARD IDENTIFIER |
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| Standard number or code |
PMC6732100 [pmc] |
| 024 ## - OTHER STANDARD IDENTIFIER |
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| Standard number or code |
tau-08-04-374 [pii] |
| 040 ## - CATALOGING SOURCE |
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| Original cataloging agency |
Ovid MEDLINE(R) |
| 099 ## - LOCAL FREE-TEXT CALL NUMBER (OCLC) |
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| PMID |
31555561 |
| 245 ## - TITLE STATEMENT |
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| Title |
Fournier's gangrene: a modern analysis of predictors of outcomes. |
| 251 ## - Source |
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| Source |
Translational Andrology & Urology. 8(4):374-378, 2019 Aug. |
| 252 ## - Abbreviated Source |
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| Abbreviated source |
Transl. androl. urol.. 8(4):374-378, 2019 Aug. |
| 253 ## - Journal Name |
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| Journal name |
Translational andrology and urology |
| 260 ## - PUBLICATION, DISTRIBUTION, ETC. |
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| Year |
2019 |
| 260 ## - PUBLICATION, DISTRIBUTION, ETC. |
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| Manufacturer |
FY2020 |
| 265 ## - SOURCE FOR ACQUISITION/SUBSCRIPTION ADDRESS [OBSOLETE] |
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| Publication status |
ppublish |
| 266 ## - Date added to catalog |
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| Date added to catalog |
2019-10-14 |
| 520 ## - SUMMARY, ETC. |
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| Abstract |
Background: Fournier's gangrene (FG) is a rapidly progressing necrotizing fasciitis that carries a significant morbidity and mortality. The present study sought to identify the predisposing factors related to FG and validate the Fournier's Gangrene Severity Index (FGSI) score as a prognostic tool in the care of the Fournier's patient. |
| 520 ## - SUMMARY, ETC. |
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| Abstract |
Conclusions: The FGSI score predicts a greater likelihood of more surgical interventions, longer hospitalization period, sepsis, complications and mortality within this patient population. Diabetes mellitus continues to be the most common predisposing factors in FG patients. The mortality rate of 5% is much less than the historically reported 20-30% and may reflect improved understanding and care of this aggressive disease. |
| 520 ## - SUMMARY, ETC. |
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| Abstract |
Methods: Medstar Washington Hospital Center records were searched from January 2003 to February 2015 for all patients with a diagnosis code of FG, n=42. Epidemiologic data was collected for patients and used to calculate an FGSI score. |
| 520 ## - SUMMARY, ETC. |
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| Abstract |
Results: The average age was 53.45 yrs and M/F ratio was 39:1. Patients presented with an average 2.675 predisposing factors; the most common was diabetes mellitus (n=21) followed by hypertension (n=18). The most common etiology was periscrotal (n=25) next to perirectal (n=9). Streptococcus was the most common source of infection (n=14). Patients on average required three surgical interventions. The average and median hospitalization period was 19.625 and 11.5 days respectively. Eleven patients developed sepsis. Twenty-four (60%) patients experienced a complication. The overall mortality was 5% (n=2). The average FGSI on admission was 5.368. Multivariate analysis showed FGSI score correlates with more surgical intervention, longer hospitalization, sepsis, complication and mortality. |
| 546 ## - LANGUAGE NOTE |
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| Language note |
English |
| 650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM |
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| Topical term or geographic name entry element |
IN PROCESS -- NOT YET INDEXED |
| 651 ## - SUBJECT ADDED ENTRY--GEOGRAPHIC NAME |
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| Institution |
MedStar Washington Hospital Center |
| 656 ## - INDEX TERM--OCCUPATION |
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| Department |
Urology |
| 657 ## - INDEX TERM--FUNCTION |
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| Medline publication type |
Journal Article |
| 700 ## - ADDED ENTRY--PERSONAL NAME |
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| Local Authors |
Brems, Jacob A |
| 700 ## - ADDED ENTRY--PERSONAL NAME |
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| Local Authors |
Hwang, Jonathan J |
| 700 ## - ADDED ENTRY--PERSONAL NAME |
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| Local Authors |
Sparenborg, Jeffrey D |
| 700 ## - ADDED ENTRY--PERSONAL NAME |
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| Local Authors |
Venkatesan, Krishnan |
| 700 ## - ADDED ENTRY--PERSONAL NAME |
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| Local Authors |
Wood, Andrew M |
| 790 ## - Authors |
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| All authors |
Brems JA, Hwang JJ, Sparenborg JD, Venkatesan K, Wood AM |
| 856 ## - ELECTRONIC LOCATION AND ACCESS |
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| DOI |
<a href="https://dx.doi.org/10.21037/tau.2019.03.09">https://dx.doi.org/10.21037/tau.2019.03.09</a> |
| Public note |
https://dx.doi.org/10.21037/tau.2019.03.09 |
| 942 ## - ADDED ENTRY ELEMENTS (KOHA) |
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| Koha item type |
Journal Article |
| Item type description |
Article |
