Validation of FGSI Scores in Predicting Fournier Gangrene in Tertiary Hospital

Bambang Sasongko Noegroho, Safendra Siregar, Akhmad Mustafa, Muhammad Aldito Rivaldi Urology Department, Hasan Sadikin Academic Medical Center, Universitas Padjajaran Bandung, Barat, IndonesiaCorrespondence: Bambang Sasongko NoegrohoUrology Department, Hasan Sadikin Academic Medical Center, Universitas Padjajaran Bandung, Jl. Pasteur No. 38 Bandung Jawa, Barat, 40161, IndonesiaTel +022 2034953/55Fax +022 2032216Email bsn.urologi@gmail.comBackground 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, prognosi