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Background: Fournier Gangrene (FG) is a case of emergency urology with high mortality. Early and aggressive intervention can be done with a simple assessment system. Simplified Fournier Gangrene Severity Index (SFGSI) simplifies the Fournier Gangrene Severity Index (FGSI) while remaining sensitive and specific. This study aims to compare the performance of FGSI and SFGSI as predictors of FG patient mortality in H. Adam Malik General Hospital Medan. Materials and Methods: This study is an analytical study with a retrospective cross-sectional design. The research subjects were all patients of Medan Haji Adam Malik General Hospital who were diagnosed with FG in the period January 1, 2013 to December 31, 2017. Then the data that became components of the FGSI and SFGSI were age, body temperature, pulse, respiration, potassium, sodium, creatinine, hematocrit, leukocytes, and bicarbonate are recorded and compared against mortality outcomes. Data were analyzed using the Receiver Operator Curve (ROC). Results: From a total of 34 patients sampled in this study, with an average age of 60.4 (± 6.80) years in the living group and 61.5 (± 7.04) years in the deceased group. The difference in length of stay in living patients was 23.42 (± 3.59) days compared to 6.30 (± 1.95) days in patients who died in which all patients were male. There was a significant relationship between FGSI scores with a cut-off> 9 (P <0.001, sensitivity 90% specificity 95.8%). The SFGSI cut-off value was> 2 (p <0.001, sensitivity 80%, specificity 91.7%). Conclusion: FGSI results> 9 are prognostic factors for determining FG output (sensitivity 90% and specificity 95.8%). SFGSI has good sensitivity and specificity at a lower cost (80% and 91.7%).

international journal of scientific and research publications

Fournier Gangrene Severity Index (FGSI) and Simplified Fournier Gangrene Severity Index (SFGSI) as a Predictor of Mortality in H. Adam Malik General Hospital Medan