A 5-Year Evaluation of the Implementation of Triple Diagnostics for Early Detection of Severe Necrotizing Soft Tissue Disease: A Single-Center Cohort Study.
Femke NawijnRoderick M HouwertKarlijn P J van WessemRogier K J SimmermacherGeertje A M GovaertMarijke R van DijkMirjam B de JongIvar G J de BruinLuke P H LeenenFalco HietbrinkPublished in: World journal of surgery (2019)
Diagnosing SNSTD using the approach with triple diagnostics resulted in a low mortality rate and only a single amputation in a pre-terminal patient in the first 5 years after implementation. All deceased patients had multiple preexisting comorbidities consisting of severe systemic diseases, such as end-stage heart failure. Early detection proved to facilitate faster recovery with shorter ICU stay.
Keyphrases
- heart failure
- primary care
- end stage renal disease
- soft tissue
- healthcare
- newly diagnosed
- ejection fraction
- early onset
- quality improvement
- intensive care unit
- peritoneal dialysis
- risk factors
- cardiovascular events
- drug induced
- left ventricular
- mechanical ventilation
- kidney transplantation
- acute respiratory distress syndrome
- extracorporeal membrane oxygenation