Multidisciplinary management in Fournier's gangrene

31 2010 80 23 UFGSI ≥ 9 Sorensen et al. 3 2009 1680 39 Age, CCI score, admission via transfer, heart failure, renal failure, and coagulopathy BMI, body mass index; CCI, Charlson comorbidity index; DIC, disseminated intravascular coagulation; FG, Fournier's gangrene; SFGSI, simplified Fournier's gangrene severity index; UFGSI, Uludag Fournier's gangrene severity index; WBC, white blood cells.to mortality in FG patients include advanced age, impaired coagulation, renal failure, and congestive heart failure ( Table 1 ). 7 , 21 , 24-26 Other studies highlight that deviations in homeostasis are predictive of death among FG patients, including increase in leukocyte count, serum levels of creatinine and lactate, and reduced hematocrit and serum albumin measure. 21Moreover, the requirement for mechanical ventilation or dialysis, along with delayed patient transfer, time to initial surgical debridement, extent of surgical debridement, and treatment approach, have been shown to predict mortality in patients with FG. 21These findings collectively suggest that poorer health status, the extent of the disease, lack of access to care, and lack of experience with the management of FG contribute to adverse outcomes and mortality in FG.