دورية أكاديمية
Necrotizing fasciitis attended in the Emergency Department in a tertiary Hospital: Evaluation of the LRINEC scale.
| العنوان: | Necrotizing fasciitis attended in the Emergency Department in a tertiary Hospital: Evaluation of the LRINEC scale. |
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| عنوان ترانسليتريتد: | Infecciones necrosantes de partes blandas atendidas en un servicio de urgencias de tercer nivel: evolución y correlación con la escala laboratory risk indicator for necrotizing fasciitis (LRINEC). |
| المؤلفون: | Ballesteros-Betancourt JR; Servicio de Cirugía Ortopédica y Traumatología, Hospital Clínic de Barcelona, Barcelona, España. Electronic address: jrballes@clinic.ub.es., García-Tarriño R; Servicio de Cirugía Ortopédica y Traumatología, Hospital Clínic de Barcelona, Barcelona, España., Ríos-Guillermo J; Biostatistics Unit, Medical Statistics Core Facility IDIBAPS, Hospital Clínic de Barcelona, Facultad Medicina, Universidad Autónoma de Barcelona, Barcelona, España., Rodriguez-Roiz JM; Servicio de Cirugía Ortopédica y Traumatología, Hospital Clínic de Barcelona, Barcelona, España., Camacho P; Servicio de Cirugía Ortopédica y Traumatología, Hospital Clínic de Barcelona, Barcelona, España., Zumbado-Dijeres A; Servicio de Cirugía Ortopédica y Traumatología, Hospital Clínic de Barcelona, Barcelona, España., Domingo-Trepat A; Servicio de Cirugía Ortopédica y Traumatología, Hospital Clínic de Barcelona, Barcelona, España., Llusá-Pérez M; Servicio de Cirugía Ortopédica y Traumatología, Hospital Clínic de Barcelona, Barcelona, España., Combalia-Aleu A; Servicio de Cirugía Ortopédica y Traumatología, Hospital Clínic de Barcelona, Barcelona, España., García-Ramiro S; Servicio de Cirugía Ortopédica y Traumatología, Hospital Clínic de Barcelona, Barcelona, España., Soriano-Viladomiu A; Servicio de Infecciones, Hospital Clínic de Barcelona, Barcelona, España. |
| المصدر: | Revista espanola de cirugia ortopedica y traumatologia [Rev Esp Cir Ortop Traumatol] 2017 Jul - Aug; Vol. 61 (4), pp. 265-272. Date of Electronic Publication: 2017 Jun 20. |
| نوع المنشور: | Journal Article; Observational Study |
| اللغة: | English; Spanish; Castilian |
| بيانات الدورية: | Publisher: Elsevier Doyma Country of Publication: Spain NLM ID: 101477399 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1988-8856 (Electronic) Linking ISSN: 18884415 NLM ISO Abbreviation: Rev Esp Cir Ortop Traumatol Subsets: MEDLINE |
| أسماء مطبوعة: | Original Publication: Barcelona : Elsevier Doyma |
| مواضيع طبية MeSH: | Emergency Service, Hospital* , Severity of Illness Index*, Fasciitis, Necrotizing/*diagnosis, Adolescent ; Adult ; Aged ; Aged, 80 and over ; Fasciitis, Necrotizing/complications ; Fasciitis, Necrotizing/mortality ; Fasciitis, Necrotizing/therapy ; Female ; Humans ; Length of Stay/statistics & numerical data ; Male ; Middle Aged ; Prognosis ; Retrospective Studies ; Tertiary Care Centers ; Young Adult |
| مستخلص: | Aim: To describe mortality and complications of patients seen in the emergency room, diagnosed with necrotizing soft tissue infection (NSTI) and the correlation of such complications with the Laboratory Risk Indicator for Necrotizing fasciitis scale (LRINEC). Methods: 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. Results: 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 (<6), in 4 it indicated intermediate risk (6 or 7) and in 7 it indicated high risk (≥8). The amputation rate in patients with low, intermediate and high risk was 10%, 25% and 66% respectively with a mortality of 4.2%. There was an increase in hospital stay between the low and high level of the scale (p=0,007). Conclusions: In general, a change in the prognosis between the medium and high levels of the LRINEC scale could not be recorded, but was recorded in hospital stay between the low and the high level, practically tripling the median of days of hospital stay. (Copyright © 2017 SECOT. Publicado por Elsevier España, S.L.U. All rights reserved.) |
| فهرسة مساهمة: | Keywords: Amputación; Amputation; Infección necrosante de partes blandas; Mortalidad; Mortality; Necrotizing soft tissue infection |
| تواريخ الأحداث: | Date Created: 20170624 Date Completed: 20180518 Latest Revision: 20180518 |
| رمز التحديث: | 20221213 |
| DOI: | 10.1016/j.recot.2017.04.003 |
| PMID: | 28641951 |
| قاعدة البيانات: | MEDLINE |
Full Text Finder | تدمد: | 1988-8856 |
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| DOI: | 10.1016/j.recot.2017.04.003 |