Risk Factors of Jabbour et al for Mortality Associated with Necrotizing Fasciitis in Qatar

Description

Jabbour et al identified predictors for mortality in patients with necrotizing fasciitis in Qatar. These can help to identify a patient who may benefit from more aggerssive management. The authors are from Hamad General Hospital and Weill Cornell Medical School in Doha, Qatar.

Patient selection: adult with necrotizing fasciitis (27% perineum; 52% lower extremity)

Most patients were male (74%).

Risk factors for mortality in multivariate analysis:

(1) older age (61.6 +/- 14.3 vs 47 +/- 14; use > 60 years in model)

(2) higher SOFA score (range from 0 to 24; mean 12 vs 9)

Non-survivors tended to have:

(1) diabetes

(2) hypertension

(3) coronary artery disease

(4) less pain

(5) less fever

(6) a high frequency of septic shock

(7) a high serum creatinine

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Risk Factors of Jabbour et al for Mortality Associated with Necrotizing Fasciitis in Qatar

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