Prognostic Factors of Hua et al for a Patient with a Necrotizing Soft Tissue Infection (NSTI)

Description

Hua et al identified factors associated with increased mortality for patients with a necrotizing soft tissue infeciton (NSTI). These can help to identify a patient who may benefit from more aggressive management. The authors are from multiple institutions in France.

Patient selection: necortizing soft tissue infection

Outcome: mortality

Paramters:

(1) age in years

(2) severe peripheral vascular disease

(3) NSTI acquired in the hospital

(4) number of foci of NSTI

(5) severe sepsis or septic shock on hospital admission

Parameter	Finding	Points
age in years	<= 75 years	0
	> 75 years	1
peripheral vascular disease	none or mild/moderate	0
	severe	1
NSTI hospital-acquired	no	0
	yes	1
number of foci of NSTI	1	0
	2 or more	1
sepsis on admission	absent	0
	present	1

total score =

= SUM(points for all 5 parameters)

Interpretation:

• minimum score: 0

• maximum score: 5

• The higher the score the greater the chances of death.

• A delay in diagnosis and/or surgical debridement may further increase the risk.

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Prognostic Factors of Hua et al for a Patient with a Necrotizing Soft Tissue Infection (NSTI)

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