000165955 001__ 165955
000165955 005__ 20260116150737.0
000165955 0248_ $$2sideral$$a147391
000165955 037__ $$aART-2021-147391
000165955 041__ $$aeng
000165955 100__ $$aGarcía-Tarriño, R
000165955 245__ $$aNecrotizing fasciitis: Usefulness of the LRINEC score in a third-level hospital.
000165955 260__ $$c2021
000165955 5203_ $$aAim: To review patients seen in the emergency room, diagnosed with necrotizing fasciitis (NF) and the correlation of such complications with the Laboratory Risk Indicator for Necrotizing fasciitis scale (LRINEC). The purpose of this study is to assess the use of the LRINEC score for early diagnosis of NF and its prognostic use in a consecutive series of cases treated at our hospital. Methods: Retrospective observational study including patients with a diagnosis of NF in the emergency room of a tertiary hospital over 11 years. The results are shown as median, interquartile range and absolute range for quantitative variables. In the case of qualitative variables, the results are shown as absolute and relative frequency. The comparison between the categories of the LRINEC scale was performed through a post-hoc comparison from a non-parametric rank-ANOVA analysis. Comparisons be tween LRINEC groups in the qualitative variables were performed using Fisher’s exact test.
Results: A total of 45 patients with a mean age of 51 years were identified. There was a 20% mortality rate (9 cases). The highest mortality rate was registered in the high-risk group (LRINEC greater than 8) with 4 deceased individuals (44.44%), while in the low and moderate-risk groups, 3 and 2 deceased individuals (33% and 22%) were registered, respectively, without considering this result statistically significant (p=0.811). There was an amputation rate of 15.6% (7 cases). The average LRINEC score was greater in the cases that required amputation 9 (95% CI 7; 13) in comparison to the other patients, 6 (95% CI 5; 8), p=0.044. The average hospital stay lasted 32.5 days (95% CI: 25; 40); 30 days in the low-risk group, 41 days in the moderate-risk group and 40 days in the high-risk group. Mortality was associated to a smaller number of interventions (p=0.005) and was preceded by septic shock in all cases.
Conclusions: The LRINEC score may be useful to aid diagnosis. However, clinical suspicion is the most important in diagnosis. A LRINEC low score does not exclude NF. In this retrospective series, 35.71% of cases presented a low LRINEC score, making the rate of false negatives high. In view of these results, The LRINEC score cannot be used as a prognostic value since an initial low score does not rule out serious evolution.
000165955 540__ $$9info:eu-repo/semantics/closedAccess$$aAll rights reserved$$uhttp://www.europeana.eu/rights/rr-f/
000165955 590__ $$a2.687$$b2021
000165955 591__ $$aEMERGENCY MEDICINE$$b14 / 32 = 0.438$$c2021$$dQ2$$eT2
000165955 591__ $$aORTHOPEDICS$$b42 / 86 = 0.488$$c2021$$dQ2$$eT2
000165955 591__ $$aSURGERY$$b97 / 213 = 0.455$$c2021$$dQ2$$eT2
000165955 591__ $$aCRITICAL CARE MEDICINE$$b25 / 35 = 0.714$$c2021$$dQ3$$eT3
000165955 592__ $$a0.748$$b2021
000165955 593__ $$aSurgery$$c2021$$dQ1
000165955 593__ $$aEmergency Medicine$$c2021$$dQ1
000165955 594__ $$a3.7$$b2021
000165955 655_4 $$ainfo:eu-repo/semantics/article$$vinfo:eu-repo/semantics/publishedVersion
000165955 700__ $$0(orcid)0000-0003-1114-4045$$aBallesteros-Betancourt, JR$$uUniversidad de Zaragoza
000165955 700__ $$aSoriano Viladomiu, Alex
000165955 700__ $$aRíos Guillermo, José
000165955 700__ $$aLlusá Pérez, Manuel
000165955 700__ $$aCombalia Aleu, Andrés
000165955 7102_ $$11013$$2830$$aUniversidad de Zaragoza$$bDpto. Cirugía$$cÁrea Traumatología y Ortopedia
000165955 773__ $$g52, 4 (2021), s8-s15$$pInjury$$tInjury$$x0020-1383
000165955 8564_ $$s526112$$uhttps://zaguan.unizar.es/record/165955/files/texto_completo.pdf$$yVersión publicada
000165955 8564_ $$s2139709$$uhttps://zaguan.unizar.es/record/165955/files/texto_completo.jpg?subformat=icon$$xicon$$yVersión publicada
000165955 909CO $$ooai:zaguan.unizar.es:165955$$particulos$$pdriver
000165955 951__ $$a2026-01-16-15:06:20
000165955 980__ $$aARTICLE