The prognostic variables used in the outcome analysis were the patient’s age, female gender, history of diabetes, the interval between the onset of symptoms and the initial debridement, renal failure,

need for postoperative mechanical ventilation and occurrence AZD1080 datasheet of septic shock. Statistical analysis was performed using SPSS® 10.0 for Windows®. Mortality was accepted as disease-related death Selleckchem Emricasan during the hospitalization period. The correlation of prognostic variables and mortality were studied by univariate analysis using chi-squared test and Fisher’s exact probability test. Statistically significant variables were entered into multivariate regression analysis using logistic regression. P values were reported as the result of two-tailed testing and P values less than 0.05 were considered as statistically significant. The study was performed according to the declaration of Helsinki and approved by the Local Ethical Committee. Results Of the 50 patients studied, 12 died and 38 survived; the overall mortality rate was 24%. There were 44 men and 6 women with a mean age of 48 ± 16.81 years (range 18–85 years). The survivors (mean

age 44.36 + 16.05 years) were significantly younger than the non-survivors (mean age 57.5 + 19.24 years) (p < 0.001). Sex was not a factor affecting mortality, even if the selleck kinase inhibitor mortality among women was slightly higher (33.33%) compared to men (29.41%), but it did not reach

statistical significance (p = 0.14). The source of infection was identified in 72 percent of the patients. The commonest source of sepsis was the anorectum (Table 1). Twenty one patients had at least one comorbidity. Diabetes mellitus (DM) was the most common comorbidity associated with FG and was present in 17 patients (34%) at the time of admission. In 29 patients (58%), predisposing factors could not be identified. Diabetes mellitus was not a factor affecting mortality as the mortality rate among non-diabetic patients was higher (49%) than patient with DM (41%) (p = 0.3). Furthermore DM did not influence hospital stay or number of debridments (Table 2). Table 1 Etiology in 50 patients with Arachidonate 15-lipoxygenase Fournier’s gangrene Etiology Patients % Anal Abscess 31 62 Thrombosed hemorrhoid 4 8 Strangulated inguinal hernia 1 2 Unknown 14 28 Table 2 Impact of diabetes on the outcome variables in patients with Fournier’s gangrene   Diabetic patients n =17 Non-diabetic patients n =33 p Number of debridements (median values) 2.5 1.8 0.08 Length of hospital stay (median values) 15 12 0.5 Fecal diversion 2/17 (11.76%) 3/33 (9.09%) 0.7 The most common symptoms at the time of admission were deterioration of the generally state (44%), perineal necrosis (92%), fever (60%), perineal or genital pain (76%), septic shock (22%). the average time of symptoms prior to referral to treatment was 11 days, ranging from 4 to 25 days.