Template:LRINEC SCORE: Difference between revisions
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*May use to risk stratify patients with signs of cellulitis but concern for deep space infection | *May use to risk stratify patients with signs of cellulitis but concern for deep space infection. It is useful in context of a diagnosed or strongly suspected severe soft-tissue infection | ||
*Score based on: '''CRP, WBC, Hb, Na, Cr, Glucose''' and a Score > 6 has '''PPV of 92%''' and '''NPV of 96%''' for necrotizing fasciitis | |||
*Score based on: '''CRP, WBC, Hb, Na, Cr, Glucose''' | |||
''Be aware LRINEC score has not been prospectively validated, index of suspicion is key and 10% of the patients with a score < 6 had Necrotizing Fasciitis''<ref> Wong CH, Khin LW, Heng KS, Tan KC, Low CO (2004). "The LRINEC (Laboratory Risk Indicator for Necrotizing Fasciitis) score: a tool for distinguishing necrotizing fasciitis from other soft tissue infections.". Crit Care Med. 32 (7): 1535–41. PMID 15241098</ref> | |||
*CRP (mg/L) ≥150: '''4 points''' | *CRP (mg/L) ≥150: '''4 points''' | ||
*WBC count (×10<sup>3</sup>/mm<sup>3</sup>) | *WBC count (×10<sup>3</sup>/mm<sup>3</sup>) | ||
Revision as of 15:32, 29 December 2014
- May use to risk stratify patients with signs of cellulitis but concern for deep space infection. It is useful in context of a diagnosed or strongly suspected severe soft-tissue infection
- Score based on: CRP, WBC, Hb, Na, Cr, Glucose and a Score > 6 has PPV of 92% and NPV of 96% for necrotizing fasciitis
Be aware LRINEC score has not been prospectively validated, index of suspicion is key and 10% of the patients with a score < 6 had Necrotizing Fasciitis[1]
- CRP (mg/L) ≥150: 4 points
- WBC count (×103/mm3)
- <15: 0 points
- 15–25: 1 point
- >25: 2 points
- Hemoglobin (g/dL)
- >13.5: 0 points
- 11–13.5: 1 point
- <11: 2 points
- Sodium (mmol/L) <135: 2 points
- Creatinine (umol/L) >141: 2 points
- Glucose (mmol/L) >10: 1 point
- ↑ Wong CH, Khin LW, Heng KS, Tan KC, Low CO (2004). "The LRINEC (Laboratory Risk Indicator for Necrotizing Fasciitis) score: a tool for distinguishing necrotizing fasciitis from other soft tissue infections.". Crit Care Med. 32 (7): 1535–41. PMID 15241098