Assesment of a Novel Scoring System in Treating Necrotising Fasciitis
Journal Title: New Indian Journal of Surgery - Year 2018, Vol 9, Issue 2
Abstract
Background: Early operative debridement is a major determinant of outcome in necrotizing fasciitis which could often prove clinically difficult. The Laboratory Risk Indicator for Necrotizing Fasciitis (LRINEC) score was devised as a scoring system for necrotising fasciitis. Our study was done for the validation of the same. Methods: The study was a prospective observational and descriptive study in a tertiary care teaching hospital. This was mainly done to assess the LRINEC scoring system and validate the system Patients presenting with soft tissue infections admitted over a period of two years were clinically examined and subjected to a proforma of the LRINEC scoring system. The same was assessed statistically to interpret the outcomes with regards to the scoring. Results: A total of 152 patients with suspected necrotising fasciitis were taken for the study out of which 96 patients underwent surgical debridement. On calculating the strength of association of individual variable with the scoring system LRINEC - Age/Hb/TLC/RBS/S. Creatinine/CRP has been found to be independently significant variables. Receiver operating characteristic (ROC) curves showed a positive predictive value of 94.7%. Conclusions: LRINEC scoring system is helpful in stratifying patients into risk categories, thus appears capable of detecting early cases of necrotizing fasciitis and is simple enough for routine use.
Authors and Affiliations
Balaji Jayasankar
Keywords
Related Articles
- EP ID EP545190
- DOI 10.21088/nijs.0976.4747.9218.3
- Views 51
- Downloads 0
A Study to Evaluate the Outcome of Umbilical Hernia Anatomical Repair with both Intermittent and Continuous Polypropylene Suture
Background: About 10% of all the abdominal primary hernias consists of umbilical and para umbilical hernia [1]. Earliest literature of umbilical hernia with its complication dates back to 1500 BC. In 1915, Dr.Moschcowitz...
A Prospective Study of Clinicopathological Profile, Diagnosis & Surgical Outcome of Abdominal Tuberculosis in a Tertiary Care Center
Background: Abdominal tuberculosis denotes involvement of the gastrointestinal tract, peritoneum, lymph nodes, and solid viscera. Tuberculous bacteria reach to the gastrointestinal tract via hematogenous spread, ingestio...
Variations in the Obliteration of Processus Vaginialis in Indian Children
Background: During the intrauterine life, the testis is located just below the developing kidney within the abdomen. As the testis descends through the inguinal canal and enters into the scrotal sac it is accompanied by...
Clinical Study of EUSOL and Acetic Acid Dressing over the Infected Diabetic Ulcers for Slough Removal
Management of Infected Diabetic wounds is fundamental in surgical practice. Diabetic ulcers have variable infective etiology and many dressing agents are used for local application. EUSOL and Acetic Acid are commonly use...
Diabetic Foot Ulcer and Multidrug-Resistant Organisms: Prevalence and Bacteriological Profile
Aim: To study the prevalence and bacteriological profile of multi-drug resistant organism (MDRO) infection in diabetic foot ulcers. Methods: 150 Diabetic patients with foot ulcer were prospectively studied. Detailed cli...