LRINEC (Laboratory Risk Indicator for Necrotizing Fasciitis) Score as a Predictor of Necrosis and Perforation in Cases of Pediatric Appendicitis in Haji Adam Malik Hospital Medan

Rizki Irwansyah Sembiring, Fikri Erjan, Zulfikar Lubis

2019

Abstract

Pediatric Appendicitis Score has been used as a tool in assessing the risk of necrotizing fasciitis in cases of soft tissue infection. This study aims to determine the LRINEC (Laboratory Risk Indicator for Necrotizing Fasciitis) Score as a predictor of necrosis and perforation in cases of pediatric appendicitis in Haji Adam Malik Hospital Medan. The study was prospective with patient data collection from January 2014 to December 2014. Patient data were collected including age, LRINEC (Laboratory Risk Indicator for Necrotizing Fasciitis) Score, and postoperative histopathology. For 12 months, 30 patients with acute appendicitis who met the inclusion criteria obtained a strong correlation of Laboratory Risk Indicator for Necrotizing Fasciitis (LRINEC) Score with operating findings, Pearson correlation coefficient (r) of .551 and p-value 0.002 (0.002 <0.05, significance 0.05). With the LRINEC score cutoff ≥ 9, it has a positive predictive value of 78.5% (95% CI) and a negative predictive value of 62.5% (95% CI). The sensitivity itself is 64.7% and the specificity is 76.9%. This can be utilized in the management of preoperative and postoperative appendicitis patients in children.

Paper Citation

in Harvard Style

Sembiring R., Erjan F. and Lubis Z. (2019). LRINEC (Laboratory Risk Indicator for Necrotizing Fasciitis) Score as a Predictor of Necrosis and Perforation in Cases of Pediatric Appendicitis in Haji Adam Malik Hospital Medan.In Proceedings of the 2nd International Conference on Tropical Medicine and Infectious Disease - Volume 1: ICTROMI, ISBN 978-989-758-469-5, pages 102-105. DOI: 10.5220/0009861301020105

in Bibtex Style

@conference{ictromi19,
author={Rizki Irwansyah Sembiring and Fikri Erjan and Zulfikar Lubis},
title={LRINEC (Laboratory Risk Indicator for Necrotizing Fasciitis) Score as a Predictor of Necrosis and Perforation in Cases of Pediatric Appendicitis in Haji Adam Malik Hospital Medan},
booktitle={Proceedings of the 2nd International Conference on Tropical Medicine and Infectious Disease - Volume 1: ICTROMI,},
year={2019},
pages={102-105},
publisher={SciTePress},
organization={INSTICC},
doi={10.5220/0009861301020105},
isbn={978-989-758-469-5},
}

in EndNote Style

TY - CONF

JO - Proceedings of the 2nd International Conference on Tropical Medicine and Infectious Disease - Volume 1: ICTROMI,
TI - LRINEC (Laboratory Risk Indicator for Necrotizing Fasciitis) Score as a Predictor of Necrosis and Perforation in Cases of Pediatric Appendicitis in Haji Adam Malik Hospital Medan
SN - 978-989-758-469-5
AU - Sembiring R.
AU - Erjan F.
AU - Lubis Z.
PY - 2019
SP - 102
EP - 105
DO - 10.5220/0009861301020105