Validation of FGSI Scores in Predicting Fournier Gangrene in Tertiary Hospital

Abstract

Background and Aim

Fournier gangrene (FG) is a necrotizing fasciitis of perineal and/or genital regions that may progressively spread; necrotic tissue may cause morbidity and mortality related to sepsis and multi-organ dysfunction. Surgical intervention required for patients with Fournier gangrene may vary according to the severity of the infection. A Fournier Gangrene Severity Index (FGSI) has been devised to assess the risk of mortality in patients with Fournier gangrene. The aim of this study was to validate the implementation of the FGSI in predicting mortality of FG patients in our hospital.

Methods

A retrospective study was performed on all patients with Fournier gangrene admitted and treated in Hasan Sadikin General Hospital during 2015–2019. Data were collected from the medical records of the emergency room and outpatient clinics. Sociodemographic variables, preexisting comorbidities, outcome, management, and FGSI score were included as variables.

Results

In this study, 83 patients were included from the period 2015–2019, divided into two groups. From the Charlson Comorbidity Index, we found the first group average score was 2.5 (0–9), and the second group this was 2 (1–8). From the FGSI, in the first group, we found the average score was 5.5 (2–15), and the average was 14 (10–19) in the second group, which is significantly higher than the first group (p = 0.001).

Conclusion

We find that the FGSI score system is a good tool for predicting severity of the disease and mortality risk of the patients, which is consistent with findings in other studies.

Keywords:

• FGSI scores
• Fournier gangrene
• prognosis

Data Sharing Statement

All data generated or analyzed during this study can be requested from the corresponding author.

Ethics Approval and Consent to Participate

The Ethical Committee of Hasan Sadikin General Hospital Bandung gave approval for this study. All patient admitted to Hasan Sadikin General Hospital should sign consent to disclose medical resume for educational and research purposes.

Disclosure

The authors report no conflicts of interest in this work.

Additional information

Funding

There is no funding to report.