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Case Studies | Health and Medical Sciences | India | Volume 12 Issue 12, December 2023
Laboratory Risk Indicator for Necrotizing Fasciitis Score and their Outcomes
Dr Mohd Faizal Ansari | Dr. Sukhwinder Singh [2] | Dr. R K Verma | Dr. A V Mathur
Abstract: Background: Necrotizing fasciitis (NF) poses a significant threat to life. Timely identification and surgical intervention are crucial factors associated with a higher survival rate. The Laboratory Risk Indicator for Necrotizing Fasciitis (LRINEC) score, a laboratory - based tool, holds promise in averting adverse health outcomes, yet its effectiveness is a subject of debate. Reassessment is essential to validate and establish its utility in preventing morbidity and mortality. Methods: This study was conducted in Shri Mahant Indiresh Hospital. Patients exhibiting signs and symptoms indicative of necrotizing fasciitis were admitted and provided with counselling for the investigation and treatment of necrotizing fasciitis and its associated complications. Information on patient characteristics and soft - tissue infection covariates was collected using a semi - structured pro forma. Results: Repeated surgical debridement and amputation and mortality were common in patients of NSTI with LRINEC score of ?8. These factors were found statistically significant for repeated debridements. The laboratory risk indicator for necrotizing fasciitis that showed statistically significant differences in LRINEC scores between the two groups were Total leucocyte count (p<0.05), hemoglobin (p<0.05), serum creatinine (p<0.05), serum sodium (p<0.05) and serum glucose (p<0.05). Conclusion: The LRINEC score, which relies on easily accessible laboratory data, serves as a valuable and straightforward tool for prognostic prediction and risk stratification in cases of necrotizing fasciitis. The LRINEC score proves that days of hospitalization increased, higher chances of ICU stay, higher incidence of re - debridement, higher rate of amputation and grafting with higher score.
Keywords: Necrotizing fasciitis, LRINEC score, Laboratory risk indicator for necrotizing fasciitis
Edition: Volume 12 Issue 12, December 2023,
Pages: 585 - 590