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@article{170562,
        author = {PROF.DR.J.A.JAYALAL and JEKIN J SHARON},
        title = {NOVEL A MODIFIED SCORING SYSTEM  FOR PREDICTING FOURNIER'S GANGRENE: AN ANALYSIS OF 50 PATIENTS},
        journal = {International Journal of Innovative Research in Technology},
        year = {2024},
        volume = {11},
        number = {7},
        pages = {1274-1280},
        issn = {2349-6002},
        url = {https://ijirt.org/article?manuscript=170562},
        abstract = {Background: The aim is to enhance the scoring system for Fournier's gangrene patients, thereby facilitating the creation of more effective and feasible management strategies.
Methods: We analyzed 50 patients who underwent surgery for Fournier's gangrene in the last 5 years using logistic regression and a prospectively maintained database. We then adopted a novel scoring system that combined this data with Fournier's gangrene severity index (FGSI). We created a novel predictive scoring system based on the physiological score, age score, and the extent of gangrene.
Results: The 50 patients had a mortality rate of 21%. The new scoring system (MFGSI), with a threshold value of 9, observed a 94% probability of death with a score greater than 9. When the score is 9 or less, there is an 81% probability that death will occur. (P < 0.001). The receiver operating characteristics (ROC) analysis concluded that the new scoring system was more powerful than the FGSI (P = 0.002).
Conclusions: The power of the modified 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.},
        keywords = {Fournier’s gangrene, score, extent of gangrene},
        month = {December},
        }