The Relationship Between Fluid Accumulation in Ultrasonography and the Diagnosis and Prognosis of Patients with Necrotizing Fasciitis |
| |
| Institution: | 2. Department of Medicine, Chang Gung University, Taoyuan, Taiwan;3. Department of Internal Medicine, Division of Infectious Diseases, Chang Gung Memorial Hospital, Chiayi, Taiwan;4. Department of Optometry, Shu-Zen Junior College of Medicine and Management, Kaohsiung, Taiwan;2. Rehabilitation Department, Patras University Hospital, Patras, Greece;3. Computer Vision Systems, IRIDA Labs S.A., Patras, Greece;4. Clinical Radiology Laboratory, School of Medicine, University of Patras, Patras, Greece;6. Orthopaedic and Rehabilitation Departments, Patras University Hospital, Patras, Greece;5. Department of Medical Physics, School of Medicine, University of Patras, 26504 Patras, Greece;2. Diagnostic Center for Sonography, Hokkaido University Hospital, Kita-ku, Sapporo, Japan;3. Department of Gastroenterology and Hepatology, Hokkaido University Hospital, Kita-ku, Sapporo, Japan;4. Department of Clinical Laboratory, Tomakomai City Hospital, Shimizutyou, Tomakomai, Japan;5. Department of Clinical Laboratory, Sapporo Higashi Tokushukai Hospital, Higashi-ku, Sapporo, Japan;2. Musculoskeletal Elastography and Ultrasonography Laboratory, The Jerzy Kukuczka Academy of Physical Education, Katowice, Poland;3. Rehabilitation Department, Stokrotka Health Resort, Gocza?kowice-Zdrój, Poland;1. Department of Emergency Medicine, Jahrom University of Medical Sciences, Jahrom, Iran;2. Firoozabadi Hospital, Iran University of Medical Sciences, Tehran, Iran;3. Department of Emergency Medicine, Kerman University of Medical Sciences, Kerman, Iran;1. Department of Emergency Medicine, Sanggye Paik Hospital, Inje University College of Medicine, 1342 Dongil-ro, Nowon-gu, Seoul, 01757, Republic of Korea;2. Department of Radiology, Kyung Hee University Hospital at Gangdong, Kyung Hee University School of Medicine, 892 Dongnam-ro, Gangdong-gu, Seoul, 05278, Republic of Korea |
| |
| Abstract: | Necrotizing fasciitis is a severe soft-tissue infection with a high mortality rate. There is little literature on the relationship between the ultrasonographic finding of fluid accumulation along the deep fascia and the diagnosis and prognosis of necrotizing fasciitis. This retrospective study showed that when fluid accumulation was present along the deep fascia, patients with clinically suspected necrotizing fasciitis had a higher probability of having necrotizing fasciitis. The ultrasonographic finding of fluid accumulation with a cutoff point of more than 2 mm of depth had the best accuracy (72.7%) for diagnosing necrotizing fasciitis. In regard to the prognosis of necrotizing fasciitis, when fluid accumulation was present along the deep fascia, patients with necrotizing fasciitis had a longer length of hospital stay and were at risk of amputation or mortality. Ultrasonography is a point-of-care imaging tool that facilitates the diagnosis and prognosis of necrotizing fasciitis. |
| |
| Keywords: | |
| 本文献已被 ScienceDirect 等数据库收录！ |
|
