{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,14]],"date-time":"2026-09-14T18:05:01Z","timestamp":1789409101561,"version":"build-2803163510"},"reference-count":0,"publisher":"Universidad de Santander - UDES","issue":"3","license":[{"start":{"date-parts":[[2026,9,11]],"date-time":"2026-09-11T00:00:00Z","timestamp":1789084800000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["udes.edu.co"],"crossmark-restriction":true},"short-container-title":["Rev Cuid"],"published-print":{"date-parts":[[2026,9,11]]},"abstract":"<jats:p>Introducci\u00f3n: La escala LRINEC (Laboratory Risk Indicator for Necrotizing Fasciitis Score) busca predecir el riesgo de fascitis necrosante (FN), sin embargo, su rendimiento es variable entre diferentes poblaciones y existe poca informaci\u00f3n en Latinoam\u00e9rica. Objetivo: Evaluar el rendimiento diagn\u00f3stico de LRINEC en una poblaci\u00f3n colombiana con infecci\u00f3n de piel y tejidos blandos. Materiales y M\u00e9todos: Estudio de cohorte retrospectiva de pacientes hospitalizados en dos instituciones colombianas de alta complejidad entre 2016 y 2021. Se consideraron sospechosos de FN aquellos con signos de respuesta inflamatoria sist\u00e9mica. El diagn\u00f3stico se confirm\u00f3 o descart\u00f3 mediante descripci\u00f3n quir\u00fargica o patolog\u00eda. Se calcul\u00f3 el puntaje LRINEC y se evalu\u00f3 su rendimiento diagn\u00f3stico mediante sensibilidad, especificidad y curvas ROC. Resultados: De\n1546 registros cl\u00ednicos, se identificaron 29 casos confirmados de FN y 106 casos sospechosos con FN descartada. El puntaje promedio de LRINEC fue de 6 puntos en el grupo con FN. Un puntaje \u22656 present\u00f3 sensibilidad de 62,07%, especificidad de 71,70% y \u00e1rea bajo la curva ROC de 0,67. Para un puntaje \u22658, la sensibilidad fue de 34,48% y la especificidad de 89,62%. Discusi\u00f3n: Los hallazgos muestran un rendimiento diagn\u00f3stico moderado, similar al reportado en otros estudios retrospectivos latinoamericanos, con mayor utilidad para descartar FN que para confirmarla. Conclusiones: La escala LRINEC mostr\u00f3 utilidad limitada como herramienta diagn\u00f3stica aislada; un puntaje &lt;6 present\u00f3 un alto valor predictivo negativo y debe interpretarse junto con el juicio cl\u00ednico.\nPalabras Clave: Fascitis Necrotizante; Celulitis; Infecciones de los Tejidos Blandos; Predicci\u00f3n; Exactitud de las Pruebas Diagn\u00f3sticas.<\/jats:p>","DOI":"10.15649\/cuidarte.5497","type":"journal-article","created":{"date-parts":[[2026,9,12]],"date-time":"2026-09-12T00:00:50Z","timestamp":1789171250000},"page":"1-12","update-policy":"https:\/\/doi.org\/10.15649\/cuidarte.crossmark","source":"Crossref","is-referenced-by-count":0,"title":["Rendimiento diagn\u00f3stico de la escala LRINEC para el diagn\u00f3stico de fascitis necrosante en una poblaci\u00f3n latinoamericana"],"prefix":"10.15649","volume":"17","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3952-5907","authenticated-orcid":false,"given":"Cristian David","family":"Ar\u00e9valo Mojica","sequence":"first","affiliation":[{"name":"Departamento de Medicina Interna. Facultad de Medicina. Universidad Nacional de Colombia. Hospital Universitario Nacional de Colombia. Bogot\u00e1. Colombia."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2869-2339","authenticated-orcid":false,"given":"Laura Cristina","family":"Nocua-B\u00e1ez","sequence":"additional","affiliation":[{"name":"Departamento de Medicina Interna. Facultad de Medicina. Universidad Nacional de Colombia. Cl\u00ednica Universitaria Colombia. Bogot\u00e1. Colombia."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7944-6560","authenticated-orcid":false,"given":"Paula Andrea","family":"Gonz\u00e1lez Caicedo","sequence":"additional","affiliation":[{"name":"Hospital Universitario Nacional de Colombia. Bogot\u00e1. Colombia."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4593-3125","authenticated-orcid":false,"given":"Sugeich del Mar","family":"Mel\u00e9ndez Rhenals","sequence":"additional","affiliation":[{"name":"Departamento de Medicina Interna. Facultad de Medicina. Universidad Nacional de Colombia. Hospital Universitario Nacional de Colombia. Bogot\u00e1. Colombia."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0068-6631","authenticated-orcid":false,"given":"Carlos Humberto","family":"Saavedra Trujillo","sequence":"additional","affiliation":[{"name":"Departamento de Medicina Interna. Facultad de Medicina. Universidad Nacional de Colombia. Hospital Universitario Nacional de Colombia. Cl\u00ednica Universitaria Colombia. Bogot\u00e1. Colombia."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"6285","published-online":{"date-parts":[[2026,9,11]]},"container-title":["Revista Cuidarte"],"original-title":["Diagnostic performance of the LRINEC score for diagnosing necrotizing fasciitis in a Latin American population"],"link":[{"URL":"https:\/\/revistas.udes.edu.co\/cuidarte\/article\/download\/5497\/4048","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/revistas.udes.edu.co\/cuidarte\/article\/download\/5497\/4049","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/revistas.udes.edu.co\/cuidarte\/article\/download\/5497\/4050","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/revistas.udes.edu.co\/cuidarte\/article\/download\/5497\/4051","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/revistas.udes.edu.co\/cuidarte\/article\/download\/5497\/4048","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,14]],"date-time":"2026-09-14T17:23:14Z","timestamp":1789406594000},"score":1,"resource":{"primary":{"URL":"https:\/\/revistas.udes.edu.co\/cuidarte\/article\/view\/5497"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,9,11]]},"references-count":0,"journal-issue":{"issue":"3","published-online":{"date-parts":[[2026,9,11]]},"published-print":{"date-parts":[[2026,9,11]]}},"URL":"https:\/\/doi.org\/10.15649\/cuidarte.5497","relation":{},"ISSN":["2216-0973","2346-3414"],"issn-type":[{"value":"2216-0973","type":"print"},{"value":"2346-3414","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,9,11]]}}}