Template:LRINEC SCORE - Revision history

Rossdonaldson1: /* Laboratory Risk Indicator for Necrotizing Fasciitis (LRINEC) Score Wong C. "The LRINEC (Laboratory Risk Indicator for Necrotizing Fasciitis) score: a tool for distinguishing necrotizing fasciitis from other soft tissue infections". Crit Care Med. 20...

2016-06-28T21:19:56Z

/* Laboratory Risk Indicator for Necrotizing Fasciitis (LRINEC) Score Wong C. "The LRINEC (Laboratory Risk Indicator for Necrotizing Fasciitis) score: a tool for distinguishing necrotizing fasciitis from other soft tissue infections". Crit Care Med. 20...

← Older revision		Revision as of 21:19, 28 June 2016
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	#Sodium (mmol/L) <135: '''2 points'''		#Sodium (mmol/L) <135: '''2 points'''
	#Creatinine (umol/L) >141: '''2 points'''		#Creatinine (umol/L) >141: '''2 points'''
	#Glucose (mmol/L) ~~>10~~: '''1 point'''		#Glucose >180 mg/dL (10 mmol/L): '''1 point'''

	===Grouping by Scores===		===Grouping by Scores===

Kxl328 at 00:23, 30 December 2015

2015-12-30T00:23:49Z

← Older revision		Revision as of 00:23, 30 December 2015
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	===Grouping by Scores===		===Grouping by Scores===
	*Low Risk: score 5		*Low Risk: score 5 (10% of pts with score < 6 still had nec fasc)
	*Moderate Risk: score 6– 7		*Moderate Risk: score 6– 7
	*High Risk: score >8		*High Risk: score >8

	[http://www.hneed.com/storage/LRINEC%20algorithm.jpg Proposed algorithm]		[http://www.hneed.com/storage/LRINEC%20algorithm.jpg Proposed algorithm]

Rossdonaldson1 at 14:33, 19 December 2015

2015-12-19T14:33:33Z

← Older revision		Revision as of 14:33, 19 December 2015
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	*High Risk: score >8		*High Risk: score >8

	~~The scores 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. A~~ [http://www.hneed.com/storage/LRINEC%20algorithm.jpg ~~proposed~~ algorithm ~~using the LRINEC score~~]		[http://www.hneed.com/storage/LRINEC%20algorithm.jpg Proposed algorithm]

Rossdonaldson1 at 14:32, 19 December 2015

2015-12-19T14:32:29Z

← Older revision		Revision as of 14:32, 19 December 2015
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	~~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 C. "The LRINEC (Laboratory Risk Indicator for Necrotizing Fasciitis) score: a tool for distinguishing necrotizing fasciitis from other soft tissue infections". Crit Care Med. 2004. 32(7):1535-41.</ref> ~~The Score Score is based on~~ ''~~'CRP~~, ~~WBC, Hb, Na, Cr, Glucose'''~~ and a ~~Score~~ > 6 has '''PPV of 92%''' and '''NPV of 96%''' for necrotizing fasciitis.		===[[EBQ:LRINEC Score\|Laboratory Risk Indicator for Necrotizing Fasciitis (LRINEC) Score]]<ref> Wong C. "The LRINEC (Laboratory Risk Indicator for Necrotizing Fasciitis) score: a tool for distinguishing necrotizing fasciitis from other soft tissue infections". Crit Care Med. 2004. 32(7):1535-41.</ref>===
			''Has not been prospectively validated, index of suspicion is key and 10% of the patients with a score < 6 had Necrotizing Fasciitis. A score > 6 has '''PPV of 92%''' and '''NPV of 96%''' for necrotizing fasciitis.''

	#CRP (mg/L) ≥150: '''4 points'''		#CRP (mg/L) ≥150: '''4 points'''

Ostermayer at 21:21, 28 November 2015

2015-11-28T21:21:37Z

← Older revision		Revision as of 21:21, 28 November 2015
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	*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		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 C. "The LRINEC (Laboratory Risk Indicator for Necrotizing Fasciitis) score: a tool for distinguishing necrotizing fasciitis from other soft tissue infections". Crit Care Med. 2004. 32(7):1535-41.</ref> The Score Score is 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''' 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''<ref> Wong C. "The LRINEC (Laboratory Risk Indicator for Necrotizing Fasciitis) score: a tool for distinguishing necrotizing fasciitis from other soft tissue infections". Crit Care Med. 2004. 32(7):1535-41.</ref>

	#CRP (mg/L) ≥150: '''4 points'''		#CRP (mg/L) ≥150: '''4 points'''
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	#Glucose (mmol/L) >10: '''1 point'''		#Glucose (mmol/L) >10: '''1 point'''

	~~'''~~Grouping by Scores~~:'''~~		===Grouping by Scores===
	*Low Risk: score 5		*Low Risk: score 5
	*Moderate Risk: score 6– 7		*Moderate Risk: score 6– 7
	*High Risk: score >8		*High Risk: score >8

	A [http://www.hneed.com/storage/LRINEC%20algorithm.jpg proposed algorithm using the LRINEC score]		The scores 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. A [http://www.hneed.com/storage/LRINEC%20algorithm.jpg proposed algorithm using the LRINEC score]

Ostermayer at 12:34, 8 September 2015

2015-09-08T12:34:42Z

← Older revision		Revision as of 12:34, 8 September 2015
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	''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 C. "The LRINEC (Laboratory Risk Indicator for Necrotizing Fasciitis) score: a tool for distinguishing necrotizing fasciitis from other soft tissue infections". Crit Care Med. 2004. 32(7):1535-41.</ref>		''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 C. "The LRINEC (Laboratory Risk Indicator for Necrotizing Fasciitis) score: a tool for distinguishing necrotizing fasciitis from other soft tissue infections". Crit Care Med. 2004. 32(7):1535-41.</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>)
	**<15: '''0 points'''		#*<15: '''0 points'''
	**15–25: '''1 point'''		#*15–25: '''1 point'''
	**>25: '''2 points'''		#*>25: '''2 points'''
	*Hemoglobin (g/dL)		#Hemoglobin (g/dL)
	**>13.5: '''0 points'''		#*>13.5: '''0 points'''
	**11–13.5: '''1 point'''		#*11–13.5: '''1 point'''
	**<11: '''2 points'''		#*<11: '''2 points'''
	*Sodium (mmol/L) <135: '''2 points'''		#Sodium (mmol/L) <135: '''2 points'''
	*Creatinine (umol/L) >141: '''2 points'''		#Creatinine (umol/L) >141: '''2 points'''
	*Glucose (mmol/L) >10: '''1 point'''		#Glucose (mmol/L) >10: '''1 point'''

	'''Grouping by Scores:'''		'''Grouping by Scores:'''

Ostermayer at 16:18, 29 December 2014

2014-12-29T16:18:35Z

← Older revision		Revision as of 16:18, 29 December 2014
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	*Moderate Risk: score 6– 7		*Moderate Risk: score 6– 7
	*High Risk: score >8		*High Risk: score >8

			A [http://www.hneed.com/storage/LRINEC%20algorithm.jpg proposed algorithm using the LRINEC score]

Ostermayer at 16:11, 29 December 2014

2014-12-29T16:11:57Z

← Older revision		Revision as of 16:11, 29 December 2014
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	*Low Risk: score 5		*Low Risk: score 5
	*Moderate Risk: score 6– 7		*Moderate Risk: score 6– 7
	*High Risk: score �8		*High Risk: score >8

Ostermayer at 16:11, 29 December 2014

2014-12-29T16:11:06Z

← Older revision		Revision as of 16:11, 29 December 2014
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	*Creatinine (umol/L) >141: '''2 points'''		*Creatinine (umol/L) >141: '''2 points'''
	*Glucose (mmol/L) >10: '''1 point'''		*Glucose (mmol/L) >10: '''1 point'''

			'''Grouping by Scores:'''
			*Low Risk: score 5
			*Moderate Risk: score 6– 7
			*High Risk: score �8

Ostermayer at 15:32, 29 December 2014

2014-12-29T15:32:55Z

← Older revision		Revision as of 15:32, 29 December 2014
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	*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''' 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''<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>		''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 C. "The LRINEC (Laboratory Risk Indicator for Necrotizing Fasciitis) score: a tool for distinguishing necrotizing fasciitis from other soft tissue infections". Crit Care Med. 2004. 32(7):1535-41.</ref>

	*CRP (mg/L) ≥150: '''4 points'''		*CRP (mg/L) ≥150: '''4 points'''