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Date Published: 26/05/2023
Abstract Views: 310
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DOI: https://doi.org/10.51298/vmj.v526i1B.5484
Issue
Vol. 526 No. 1B (2023)
Section
Các bài báo
How to Cite
Ngô , V. C. ., & Trương , M. T. . (2023). INVESTIGATION ON THE PROGNOSTIC VALUE OF THE LRINEC SCORE IN PATIENTS WITH DEEP NECK INFECTIONS AT CHO RAY HOSPITAL. Vietnam Medical Journal, 526(1B). https://doi.org/10.51298/vmj.v526i1B.5484

INVESTIGATION ON THE PROGNOSTIC VALUE OF THE LRINEC SCORE IN PATIENTS WITH DEEP NECK INFECTIONS AT CHO RAY HOSPITAL

Văn Công Ngô 1,, Minh Thịnh Trương 2
1 Cho Ray hospital
2 University of Medicine and Pharmacy at Ho Chi Minh City

Main Article Content

Abstract

Background: The LRINEC score was developed to early distinguish necrotizing fasciitis from other soft tissue infections. In addition, the LRINEC score can also predict poor outcomes. Objective: To investigate the association between the LRINEC score and necrotizing fasciitis in patients with deep neck infections and the association between the LRINEC score and complications of deep neck infections. Methods: We did a retrospectively and prospectively descriptive study of 62 cases of deep neck infections treated at Cho Ray Hospital from December 2019 to July 2022, with LRINEC scores calculated at the time of hospital admission. Results: There was no statistically significant association between the LRINEC score of the necrotizing fasciitis group and the non-necrotizing fasciitis group (OR=1.21; 95% CI: 0.96–1.53; p=0.1). The prognostic value of the LRINEC score for the diagnosis of necrotizing fasciitis is poor (AUC = 0.6079; 95% CI: 0.47 - 0.75). LRINEC score was associated with complications of deep neck infections (OR=1.48; 95% CI:1.14 - 1.92, p=0.003). The prognostic value of the LRINEC score for complications of deep neck infection is fair (AUC=0.7249; 95% CI: 0.59 - 0.86), with cut-off LRINEC score  ≥7 having a sensitivity of 77.1% and specificity of 74.1%. Conclusion: The LRINEC score is a useful tool in predicting complications of deep neck infections.

Article Details

Keywords

Deep neck infections, necrotizing fasciitis, LRINEC score, complications, prognosis

References

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