Prognostic Factors In The Evaluation Of Fournier's Gangrene Including Extended Fournier's Gangrene

Introduction: Fournier's gangrene(FG) is an acute, rapidly progressive, necrotizing fasciitis of the scrotum, perineal and perianal region causing gangrene of the skin and subcutaneous tissue. FG is associated with a high mortality rate of 14 %. Methods: Out of 101 patients were admitted from 1st may 2014 to 31st may 2019, with a diagnosis of Fournier's gangrene or extended Fournier's gangrene (eFG), 93 patients were included in the present study. Results: FG is associated with a high mortality rate of 14 %. Fournier's Gangrene Severity Index(FGSI) score at admission of more than 9 is associated with 92.8% mortality and a score lesser than 9 is associated with 100% survival. Conclusion: The study found that certain factors like delayed admissionintohospital,feverandalteredsensoriumatthetimeofadmission; cirrhosis of liver and presence of more than 1 premorbid illness, hypotension, thrombocytopenia, hypoalbuminemia, acidosis and acute kidney injury at the time of admission had impact on the outcome of FG or eFG.