Validation of the laboratory risk indicator for necrotizing fasciitis (LRINEC) score for early diagnosis of necrotizing fasciitis

Liao, Chun-I; Lee, Yi-Kung; Su, Yung-Cheng; Chuang, Chin-Hsiang; Wong, Chun-Hing

doi:10.1016/j.tcmj.2012.02.009

Cited by 54 publications

(50 citation statements)

References 10 publications

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“…11,12 In this study most common predisposing factor for NF was diabetes mellitus followed by hypertension which is also reported by Swain et al 13 Most common organism identified from the wound culture was Staphylococcus aureus followed by Klebisella which is also supported by others in literature. [11][12][13][14][15] The major advantage of this scoring system was its application for which routine standard investigations are required. These do not cost much thus making this scoring system applicable in all settings which help in early diagnosis and treatment.…”

Section: Discussionsupporting

confidence: 83%

LRINEC Score – A Reliable Diagnostic Tool for Early Diagnosis of Necrotizing Fasciitis

2017

J Surg Pak

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treatment. This term was first described in 1871 during the American civil war by Joseph Jones. He treated more than 2600 cases.1 NF primarily involve the fascia and the subcutaneous tissues. Furthermore, the incidence of NF is 0.4 and 0.53 cases per 1,00,000 population.3,4 NF is associated with high mortality ranging from 6% to 76%.5-7 The mortality can be reduced by prompt diagnosis and early aggressive management which include debridement and use of antibiotics.To aid the early diagnosis the laboratory risk indicator for necrotizing fasciitis (LRINEC) scoring ABSTRACT ObjectiveStudy design Retrospective review of records.

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Section: Discussionsupporting

confidence: 83%

LRINEC Score – A Reliable Diagnostic Tool for Early Diagnosis of Necrotizing Fasciitis

2017

J Surg Pak

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“…A retrospective observational study concluded that the LRINEC score is a score capable of detecting even clinically early cases of necrotising fasciitis 13. However, another study contradicted this fact, stating that 43.3% of patients with clinically early necrotising fasciitis had an LRINEC score of less than 6 14. Another study includes a patient with an LRINEC score of 0, who was later diagnosed with necrotising fasciitis at surgery 15.…”

Section: Discussionmentioning

confidence: 99%

Multifocal necrotising fasciitis and septic shock complicating varicella infection in an adult

et al. 2013

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SUMMARYA 35-year-old woman with a 3-day history of chickenpox, presented to the hospital in septic shock and with multifocal, non-adjacent lesions of necrotising fasciitis. Necrotising fasciitis is a rare yet life-threatening complication of chickenpox. Blood cultures and wound swabs confirmed the presence of Streptococcus pyogenes. The initial emergency management included oxygen, aggressive fluid resuscitation and antimicrobial therapy. Once the patient was stabilised, surgical management ensued. This included debridement and eventual grafting of the necrotic skin lesions. Intensive management and follow-up for 8 weeks were required before the patient was deemed fit for discharge. BACKGROUND

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“…Liao, et al [22] did a study in 2011 on 223 patients [22]. The study showed a sensitivity of 59.2%, specificity of 83.8%, positive predictive value of 37.9 % and negative predictive value of 92.5 %.…”

Section: Discussionmentioning

confidence: 98%

“…The developmental study by Wong et al reported that a LRINEC score ≥6 had a sensitivity of 89.9%, specificity of 96.9%, positive predictive value of 92.0% and negative predictive value of 96.0% [22]. Liao, et al [22] did a study in 2011 on 223 patients [22].…”

Section: Discussionmentioning

confidence: 99%

Reliability of the Laboratory Risk Indicator for Necrotizing Fasciitis (Lrinec) Score for Early Diagnosis of Necrotizing Fasciitis

M¹,

Shetty²,

Hegde³

2015

Journal of Diagnostics

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Objective: Necrotizing fasciitis is a surgical emergency often requiring prompt diagnosis and treatment. Delay in surgical intervention Contribution/ OriginalityThis study contributes to the existing literature on the reliability of the LRINEC score in early diagnosis of necrotizing fasciitis. It establishes the conclusion of previous studies that a universally reproducible scoring system like the LRINEC score is essential for the early and accurate management of necrotizing fasciitis.

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Validation of the laboratory risk indicator for necrotizing fasciitis (LRINEC) score for early diagnosis of necrotizing fasciitis

Cited by 54 publications

References 10 publications

LRINEC Score – A Reliable Diagnostic Tool for Early Diagnosis of Necrotizing Fasciitis

LRINEC Score – A Reliable Diagnostic Tool for Early Diagnosis of Necrotizing Fasciitis

Multifocal necrotising fasciitis and septic shock complicating varicella infection in an adult

Reliability of the Laboratory Risk Indicator for Necrotizing Fasciitis (Lrinec) Score for Early Diagnosis of Necrotizing Fasciitis

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