Fournier’s gangrene: an analysis of 80 patients and a novel scoring system

Background To create a better scoring system for outcome prediction for patients with Fournier’s gangrene in order to design more appropriate and feasible management strategies. Methods Using logistic regression, the medical records of 80 patients who underwent surgery for Fournier’s gangrene in the...

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Bibliographic Details
Published in:Techniques in coloproctology 2010-09, Vol.14 (3), p.217-223
Main Authors: Yilmazlar, T., Ozturk, E., Ozguc, H., Ercan, I., Vuruskan, H., Oktay, B.
Format: Article
Language:English
Subjects:
Abdominal Surgery
Adult
Aged
Aged, 80 and over
Anti-Bacterial Agents - administration & dosage
APACHE
Cause of Death
Colorectal Surgery
Combined Modality Therapy
Databases, Factual
Female
Follow-Up Studies
Fournier Gangrene - diagnosis
Fournier Gangrene - mortality
Fournier Gangrene - therapy
Gastroenterology
Genital Diseases, Female - diagnosis
Genital Diseases, Female - mortality
Genital Diseases, Female - therapy
Genital Diseases, Male - diagnosis
Genital Diseases, Male - mortality
Genital Diseases, Male - therapy
Humans
Logistic Models
Male
Medicine
Medicine & Public Health
Middle Aged
Multivariate Analysis
Original Article
Proctology
Retrospective Studies
ROC Curve
Severity of Illness Index
Surgery
Surgical Procedures, Operative - methods
Survival Analysis
Treatment Outcome
Young Adult
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Summary:Background To create a better scoring system for outcome prediction for patients with Fournier’s gangrene in order to design more appropriate and feasible management strategies. Methods Using logistic regression, the medical records of 80 patients who underwent surgery for Fournier’s gangrene in the last 10 years were reviewed using a prospectively maintained database, and a novel scoring system was adopted combining this data with the Fournier’s gangrene severity index (FGSI). The new system consists of a physiological score, an age score, and an extent of gangrene score. Results The mortality rate of the 80 patients was 21%. Using the new scoring system (UFGSI), at a threshold value of 9, there was a 94% probability of death with a score greater than 9 and an 81% probability of survival with a score of 9 or less ( P  
ISSN:1123-6337
1128-045X
DOI:10.1007/s10151-010-0592-1