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Evaluation of the LRINEC Score for Risk Stratification in Suspected Necrotising Fasciitis Patients: A Retrospective Descriptive Study |
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Srikanth Vattikonda, Sai Spandana Dandamudi, Kamalnath Reddy Lakku, Anuroop Thota, Subhashini Mayanam, Shashank Pinnamaneni 1. Assistant Professor, Department of General Surgery, NRI Medical College and General Hospital, Guntur, Andhra Pradesh, India. 2. Assistant Professor, Department of General Surgery, NRI Medical College and General Hospital, Guntur, Andhra Pradesh, India. 3. Senior Resident, Department of Neurosurgery, Amrita Institute of Medical Sciences, Kochi, Kerala, India. 4. Professor, Department of General Surgery, NRI Medical College and General Hospital, Guntur, Andhra Pradesh, India. 5. Assistant Professor, Department of General Surgery, NRI Medical College and General Hospital, Guntur, Andhra Pradesh, India. 6. Senior Resident, Department of General Surgery, NRI Medical College and General Hospital, Guntur, Andhra Pradesh, India. |
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Correspondence Address : Sai Spandana Dandamudi, Flat No. 702, Rain Tree Park, Dwaraka Krishna, Phase 2 Willow, Nambur, Guntur-522508, Andhra Pradesh, India. E-mail: spandana.sai581@gmail.com |
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| ABSTRACT |  | ||||||
: Introduction: Necrotising Fasciitis (NF) is a severe, rapidly spreading infection of the superficial layers of the body. The mortality rate is high unless treatment is started early; therefore, early detection is key. The Laboratory Risk Indicator for Necrotising Fasciitis (LRINEC) score is the based on laboratory values and aids in the early detection of cases. Aim: To assess the use of the LRINEC scoring system in risk stratification for patients presenting with soft-tissue infections. Materials and Methods: A retrospective descriptive study was conducted in the General Surgery department at NRIGH Mangalgiri, Guntur, Andhra Pradesh, India, involving 40 patients from April 2021 to April 2022. Complete epidemiological, clinical, and laboratory data were analysed, and the need for surgical intervention was compared with the LRINEC score. Results: The mean age of the study population was 58.3 years, with 27 patients being male and 13 female. The majority (98%) presented with discoloured skin. The LRINEC score of <5 was considered low risk, 6-7 as intermediate, and >8 as high risk. The LRINEC score was ≥6 in 29/40 of the patients; 19 underwent debridement, four required amputation, one needed fasciotomy, and five were managed conservatively. In the group with LRINEC score ≤6, one patient underwent debridement, and 10 were treated conservatively. Overall, 25 (63%) patients required surgical intervention. Of these, 17 (70%) were operated on within 3-24 hours and 8 (30%) between 2-5 days, based on clinical presentation. In this group, 20 (80%) underwent debridement, 4 (16%) underwent amputation, and 1 (4%) underwent fasciotomy. Out of the 25 patients who underwent surgical intervention, 5 (20%) required repeat surgery. Conclusion: The LRINEC score is a good predictor for the early diagnosis of NF. However, periodic and successive scoring is necessary, as disease progression is inevitable. Larger studies are required to strongly affirm these findings. | |||||||
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| Keywords : Amputation, Fasciotomy, Laboratory risk indicator for necrotising fasciitis, Surgical debridement | |||||||
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DOI and Others :
DOI: 10.7860/IJARS/2025/74502.3060
Date of Submission: Jul 27, 2024 Date of Peer Review: Sep 09, 2024 Date of Acceptance: Jun 23, 2025 Date of Publishing: Jul 01, 2025 AUTHOR DECLARATION: • Financial or Other Competing Interests: None • Was Ethics Committee Approval obtained for this study? Yes • Was informed consent obtained from the subjects involved in the study? Yes • For any images presented appropriate consent has been obtained from the subjects. Yes PLAGIARISM CHECKING METHODS: • Plagiarism X-checker: Jul 30, 2024 • Manual Googling: Jun 16, 2025 • iThenticate Software: Jun 21, 2025 (13%) ETYMOLOGY: Author Origin EMENDATIONS: 7 |
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