Dennis Y Kim, Amanda Iavasile, Amy H Kaji, Jeffry Nahmias, Areg Grigorian, Kaushik Mukherjee, Liz Penaloza, Joseph Posluszny, Charles D Logan, Erika Michelin, Thomas Serena, Sheryl Sahr, Khaldoun Bekdache, Nathan Stoddard, Asad Choudhry, Ronald Zerna Encalada, Darin Saltzman, Reynaldo Padilla, Michael Truitt, Heather Grossman Verner, Darren Hunt, Victoria Purvis, Samuel Wade Ross, Mike M Mallah, Linda Dultz, Kali Kuhlenschmidt, Caleb J Mentzer, Adwait Lonkar, Grace Chang, Brittney Lemon, Christian de Virgilio
BACKGROUND: Although several risk indices have been developed to aid in the diagnosis of NSTIs, these instruments suffer from varying levels of reproducibility and failure to incorporate key clinical variables in model development. The objective of this study was to derive and validate a clinical risk index score - NECROSIS - for identifying NSTIs in emergency general surgery (EGS) patients being evaluated for severe skin and soft tissue infections. METHODS: We performed a prospective study across 16 sites in the US of adult EGS patients with suspected NSTIs over a 30-month period...
May 9, 2024: Journal of Trauma and Acute Care Surgery