Higher LRINEC Scores and Escalation of Anesthesia Care in Necrotizing Soft Tissue Infection.

ABSTRACT:

Background

The Laboratory Risk Indicator for Necrotizing Fasciitis (LRINEC) score may distinguish necrotizing soft tissue infection (NSTI) from non-NSTI. The association of higher preoperative LRINEC scores with escalations of intraoperative anesthesia care in NSTI is unknown and may be useful in communicating illness severity during patient handoffs.

Materials and methods

We conducted a retrospective cohort study of first operative debridement for suspected NSTI in a single referral center from 2013 to 2016. We assessed the association between LRINEC score and vasopressors, blood products, crystalloid, invasive monitoring, and minutes of operative and anesthesia care.

Results

We captured 332 patients undergoing their first operative debridement for suspected NSTI. Fo

SUBMITTER: Tessler RA 

PROVIDER: S-EPMC6451873 | biostudies-literature | 2019 Jun

REPOSITORIES: biostudies-literature