Fournier’s Gangrene: Current Practices

Table 3

The Uludag Fournier’s gangrene severity index.

Physiological; variable					Normal
	+4	+3	+2	+1	0	+1	+2	+3	+4
Temperature (C)	>41	>39		38.5–; 38.9	36–38.4	34–; 35.9	32–; 33.9	<31.9	<29.9
Heart rate	>180	140–; 179	110–; 139		70–109		55–; 69	40–54	<39
Respiratory; rate	>50	35–; 49		25–34	12–24	10-; 11	6–9		<5
Na^+ (mmol/L)	>180	160–; 179	155–; 159	150–; 154	130–149		120–; 129	111–; 119	<110
K^+ (mmol/L)	>7	6–6.9		5.5–; 5.9	3.5–5.4	3–3.4	2.5–; 2.9		<2.5
Creatinine (mg/dL)	>3.5	2–3.4	1.5–; 1.9		0.6–1.4		<0.6
Hematocrit (%)	>60		50–; 59.9	46–; 49.9	30–45.9		20–; 29.9		<20
Leucocytes (×10^3/mm^3)	>40		20–; 39.9	15–; 19.9	3–14.9		1–2.9		<1
Bicarbonate (mmol/L)	>52	41–; 51.9		32–; 40.9	22–31.9		18–; 21.9	15–; 17.9	<15
Dissemination score
Fournier’s gangrene confined to the urogenital and/or anorectal region, add 1
Fournier’s gangrene confined to the pelvic region, add 2
Fournier’s gangrene extending beyond the pelvic region, add 6
Age score
Age ≥ 60 years, add 1