SRINAGARIND MEDICAL JOURNAL

Volume 36, No. 04, Month JULY, Year 2021, Pages 389 -

Factors associated with death in patients with necrotizing fasciitis at department of surgery, roi et hospital

Chanthit Phunlap

Abstract Download PDF

Background and Objective: The necrotizing fasciitis (NF) is a severe disease, high risk of disability and death. The objective of this study was to investigate the factors associated with death in patients with NF at Department of Surgery, Roi Et Hospital. Methods: This study was hospital base case-control study. All data were retrieved from medical recorded records of patients with NF at department of Surgery, Roi Et Hospital between January 1, 2017 to December 31, 2020. Of 146 cases were NF with death and 292 controls were surviving NF. The data analyses used descriptive statistics, univariable analysis, and multiple logistics regression. Results: Of 146 cases were male 65.07%, mean age 62.79± 13.74 years, site of infection lower leg 50%. Of 292 controls were male 65.41%, mean age 60.20± 14.87 years, site of infection lower leg 44.52%. The factors associated with death in NF patients including more than 7 days admission (Adj. OR= 4.25; 95% CI: 2.64-6.23), Septicemia (Adj. OR= 2.19; 95% CI: 1.75- 6.40), Septic shock (Adj. OR= 1.44; 95% CI: 1.08-2.37), Disseminated intravascular coagulopathy (Adj. OR= 5.08; 95% CI: 1.59-16.19), Congestive heart diseases (Adj. OR= 2.35; 95% CI: 1.20-2.61), Cirrhosis of liver (Adj. OR= 2.60; 95% CI: 1.84-7.97), Chronic renal failure (Adj. OR= 3.34; 95% CI: 1.16-9.61), Hypokalaemia (Adj. OR= 3.38; 95% CI: 1.08-19.47), and Acute renal failure (Adj. OR= 2.60; 95% CI: 1.83-8.08) Conclusion: This study revealed that more than 7 days admi ssi on, septi cemi a, septi c shock, disseminated intravascular coagulopathy, Congestive heart diseases, cirrhosis of liver, chronic renal failure, hypokalaemia, and acute renal failure were factors associated with death in NF patients.

Keywords

Necroti zi ng fascii ti s; Septi cemi a; Disseminated intravascular coagulopathy; Risk factor; Death

---