Factors affecting the mortality of necrotizing XXXX involving the upper extremities.

@entity1 @entity137 @entity6 @entity3140 @entity281 @entity158 @entity1662 @entity9156 @entity221
PURPOSE: Necrotizing @entity9156 involving the upper extremities is an uncommon, but potentially life-threatening @entity281 . Surgical records were reviewed to identify its mortality risk factors. METHODS: A 10-year retrospective review was conducted of all @entity1 with @entity3140 treated in a tertiary care hospital in northern Taiwan. The demographic data, physical and laboratory findings and salient information with respect to the treatment and clinical outcome were collected and analyzed. RESULTS: Fourteen @entity1 were identified. The mean age of the all-male cohort was 60.2 years (range, 44-83 years). Five of the @entity1 died, yielding a mortality rate of 35.7%. At the time of presentation, all 14 @entity1 had @entity158 and swelling, but @entity221 occurred in only 7 @entity1 . Associated chronic debilitating diseases, of which @entity6 was the most common, were present in 9 individuals. @entity1 underwent an average of two surgical debridements. The initial presentation in a state of altered @entity1662 or respiratory distress was found to be a statistically significant factors for eventual mortality (P < 0.05). CONCLUSION: The results showed that necrotizing @entity9156 of the upper extremity is associated with a high mortality rate. Early diagnosis and referral for aggressive surgical treatment before the development of @entity137 signs are therefore considered to be essential for survival.
