Necrotizing fasciitis (NF) is a severe, rapidly progressing infection characterized by necrosis of subcutaneous and deep fascial tissues, leading to signicant morbidity and high mortality rates. This study assesses the Laboratory Risk Indicator for Necrotizing Fasciitis (LRINEC) score as a predictor of mortality and outcome in patients with NF. Methods: Conducted over six months, this prospective observational study evaluated 93 patients diagnosed with NF, analyzing LRINEC scores at admission and post-debridement to determine their correlation with mortality and clinical outcomes. Result: The overall lethality during our study was 19 out of 93 (20.4%). A highly signicant LRINEC decrease was found for serial debridement. Acut off value of >6.5 (7 LRINEC points) was found to be a predictor of mortality in patients with necrotising fasciitis. Conclusion: The LRINEC signicantly decreases after surgical debridement. An initial LRINEC equal or greater than seven is an independent prognostic marker for lethality and can help to identify high-risk patients. The results emphasize the value of the LRINEC score as a prognostic tool while also highlighting its limitations as a standalone diagnostic measure.
BATRA et al. (Wed,) studied this question.