Necrotising fasciitis attended in the Emergency Department in a tertiary hospital: Evaluation of the LRINEC scale

• Published in: Revista española de cirugía ortopédica y traumatología 2017-07, Vol.61 (4), p.265-272
• Main Authors: Ballesteros-Betancourt, J.R., García-Tarriño, R., Ríos-Guillermo, J., Rodriguez-Roiz, J.M., Camacho, P., Zumbado-Dijeres, A., Domingo-Trepat, A., Llusá-Pérez, M., Combalia-Aleu, A., García-Ramiro, S., Soriano-Viladomiu, A.
• Format: Article
• Language: English
• Subjects: Amputación; Amputation; Infección necrosante de partes blandas; Mortalidad; Mortality; Necrotising soft tissue infection
• ISSN: 1988-8856; 1988-8856
• DOI: 10.1016/j.recote.2017.04.005

To describe mortality and complications of patients seen in the emergency room, diagnosed with necrotising soft tissue infection (NSTI) and the correlation of such complications with the Laboratory Risk Indicator for Necrotising fasciitis scale (LRINEC). Retrospective observational study including patients with a diagnosis of NSTI in the emergency room of a tertiary hospital over 7 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 ANOVA analysis. Comparisons between LRINEC groups in the qualitative variables were performed using Fisher's Exact test. 24 patients with a mean age of 51.9 years were identified. The LRINEC scale was used on 21 patients: in 10, the value indicated low risk (