2021-11-102021-11-102010-09Yılmazlar, T. vd. (2010). "Fournier's gangrene: An analysis of 80 patients and a novel scoring system". Techniques in Coloproctology, 14(3), 217-223.1123-6337https://doi.org/10.1007/s10151-010-0592-1https://link.springer.com/article/10.1007/s10151-010-0592-1http://hdl.handle.net/11452/22604To create a better scoring system for outcome prediction for patients with Fournier's gangrene in order to design more appropriate and feasible management strategies. 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. 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 < 0.001). The receiver operating characteristics (ROC) analysis concluded that the new scoring system was more powerful than the FGSI (P = 0.002). The power of the novel scoring system introduced in this study proves that in patients with Fournier's gangrene, the extent of the gangrene as well as the patient's age and physiological status have a significant effect on the outcome.eninfo:eu-repo/semantics/closedAccessFournier's gangreneMortalityDisseminationSeverity indexSeverity index scoreNecrotizing fasciitisSurgical debridementOutcome analysisManagementExperienceSurvivalGastroenterology & hepatologySurgeryAdultAgedAged, 80 and overAnti-bacterial agentsAPACHECause of deathCombined modality therapyDatabases, factualFemaleFollow-up studiesFournier gangreneGenital diseasesMaleHumansLogistic modelsMiddle agedMultivariate analysisRetrospective studiesROC curveSeverity of illness indexSurgical procedures, operativeSurvival analysisTreatment outcomeYoung adultArticle0002811674000022-s2.0-7795694746221722314320559857Gastroenterology & hepatologySurgeryFournier Gangrene; Bouteloua; Necrotizing FasciitisAdultAgeAgedArticleControlled studyDisease classificationDisease severityFemaleFournier gangreneFournier gangrene severity indexHumanIntermethod comparisonMajor clinical studyMaleMedical record reviewMortalityOutcome assessmentScoring systemSensitivity and specificityUludag Fournier gangrene severity index