Evaluation of scoring systems in predicting mortality in Fournier gangrene

Aim: We aimed to evaluate the scoring systems in predicting severity and mortality in patients with Fournier gangrene. Material and Methods: Demographic, clinical and laboratory data of 76 patients included in the study were retrospectively analyzed. Demographic characteristics, clinical and laboratory parameters including FGSI, UFGSI and NFS scores were calculated for each patient. ROC analysis of the scores was performed. P <0.05 was considered statistically significant. Results: Of the 76 patients included in the study, 65 (85.5%) were discharged and 11 (14.5%) had mortality. All patients were divided into two groups: Group-1: Discharged patients and Group-2: Mortality. In ROC (receiver operating characteristic) analysis, AUC (Area Under The Curve) for FGSI, UFGSI and NFS scores was 0.890 (95% CI: 0.785-0.994, p = 0.000), 0.895 (95% CI: 0.810-, respectively). 0.981 (p = 0.000) and 0.867 (95% CI: 0.733-1, p = 0.000). Conclusion: An ideal scoring system; to better understand this disease, to identify errors in unexpected situations and mortality should aim to be able to contribute to survival. We believe that NFS is a scoring system with simple, easy-to-evaluate parameters and may be very useful in assessing mortality in clinical practice