Aim: To develop a clinico-pathological scoring system to determine necessity and timing of surgical intervention in cellulitis. Introduction: Cellulitis is a major cause of morbidity, however standard plan of care and treatment guidelines are far from standardized. Our study was done to determine the clinical and pathological markers indicating the need for surgical intervention and derivation of a scoring system. Materials and methods: Cross-sectional prospective observational study of 148 patients of cellulitis presenting to M.S. Ramaiah Hospitals between Jan. 2012 and 2014. Based on clinical judgement they were divided into two groups – those who required surgical intervention and those who did not. All cases were evaluated in terms of clinical and pathological characteristics. These parameters were compared in the two groups and the clinical and laboratory findings that were altered to a degree of statistical significance in those undergoing surgical intervention were noted; the relative risk ratio for surgical intervention of each was taken as a component of the final scoring system. Results: The physical and biochemical parameters found to have a statistically significant correlation with surgical intervention – percentage of area involved (p<0.001), skin necrosis (p<0.001), stretch pain (p<0.001), chronic kidney disease (p<0.002), diabetes mellitus (p<0.002), hyponatremia (p<0.006) and degree of elevation in total count (p<0.001). These were used to derive the scoring system. Low risk was <5 points and high risk >10 points. Conclusion: This scoring system may be helpful to determine necessity and timing of surgical intervention in cellulitis, especially when to end trial of conservative management. Additionally it may provide risk stratification for prognostic value.
| Published in | Journal of Surgery (Volume 3, Issue 2) |
| DOI | 10.11648/j.js.20150302.11 |
| Page(s) | 8-11 |
| Creative Commons |
This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited. |
| Copyright |
Copyright © The Author(s), 2024. Published by Science Publishing Group |
Cellulitis, Surgery, Scoring System
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APA Style
Narayana Subramaniam, Bharati V. Hiremath, Balakrishna M. Naik. (2015). Developing a Scoring System to Determine Necessity and Timing of Surgical Intervention in the Treatment of Cellulitis. Journal of Surgery, 3(2), 8-11. https://doi.org/10.11648/j.js.20150302.11
ACS Style
Narayana Subramaniam; Bharati V. Hiremath; Balakrishna M. Naik. Developing a Scoring System to Determine Necessity and Timing of Surgical Intervention in the Treatment of Cellulitis. J. Surg. 2015, 3(2), 8-11. doi: 10.11648/j.js.20150302.11
AMA Style
Narayana Subramaniam, Bharati V. Hiremath, Balakrishna M. Naik. Developing a Scoring System to Determine Necessity and Timing of Surgical Intervention in the Treatment of Cellulitis. J Surg. 2015;3(2):8-11. doi: 10.11648/j.js.20150302.11
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Download@article{10.11648/j.js.20150302.11,
author = {Narayana Subramaniam and Bharati V. Hiremath and Balakrishna M. Naik},
title = {Developing a Scoring System to Determine Necessity and Timing of Surgical Intervention in the Treatment of Cellulitis},
journal = {Journal of Surgery},
volume = {3},
number = {2},
pages = {8-11},
doi = {10.11648/j.js.20150302.11},
url = {https://doi.org/10.11648/j.js.20150302.11},
eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.js.20150302.11},
abstract = {Aim: To develop a clinico-pathological scoring system to determine necessity and timing of surgical intervention in cellulitis. Introduction: Cellulitis is a major cause of morbidity, however standard plan of care and treatment guidelines are far from standardized. Our study was done to determine the clinical and pathological markers indicating the need for surgical intervention and derivation of a scoring system. Materials and methods: Cross-sectional prospective observational study of 148 patients of cellulitis presenting to M.S. Ramaiah Hospitals between Jan. 2012 and 2014. Based on clinical judgement they were divided into two groups – those who required surgical intervention and those who did not. All cases were evaluated in terms of clinical and pathological characteristics. These parameters were compared in the two groups and the clinical and laboratory findings that were altered to a degree of statistical significance in those undergoing surgical intervention were noted; the relative risk ratio for surgical intervention of each was taken as a component of the final scoring system. Results: The physical and biochemical parameters found to have a statistically significant correlation with surgical intervention – percentage of area involved (p10 points. Conclusion: This scoring system may be helpful to determine necessity and timing of surgical intervention in cellulitis, especially when to end trial of conservative management. Additionally it may provide risk stratification for prognostic value.},
year = {2015}
}
TY - JOUR T1 - Developing a Scoring System to Determine Necessity and Timing of Surgical Intervention in the Treatment of Cellulitis AU - Narayana Subramaniam AU - Bharati V. Hiremath AU - Balakrishna M. Naik Y1 - 2015/03/13 PY - 2015 N1 - https://doi.org/10.11648/j.js.20150302.11 DO - 10.11648/j.js.20150302.11 T2 - Journal of Surgery JF - Journal of Surgery JO - Journal of Surgery SP - 8 EP - 11 PB - Science Publishing Group SN - 2330-0930 UR - https://doi.org/10.11648/j.js.20150302.11 AB - Aim: To develop a clinico-pathological scoring system to determine necessity and timing of surgical intervention in cellulitis. Introduction: Cellulitis is a major cause of morbidity, however standard plan of care and treatment guidelines are far from standardized. Our study was done to determine the clinical and pathological markers indicating the need for surgical intervention and derivation of a scoring system. Materials and methods: Cross-sectional prospective observational study of 148 patients of cellulitis presenting to M.S. Ramaiah Hospitals between Jan. 2012 and 2014. Based on clinical judgement they were divided into two groups – those who required surgical intervention and those who did not. All cases were evaluated in terms of clinical and pathological characteristics. These parameters were compared in the two groups and the clinical and laboratory findings that were altered to a degree of statistical significance in those undergoing surgical intervention were noted; the relative risk ratio for surgical intervention of each was taken as a component of the final scoring system. Results: The physical and biochemical parameters found to have a statistically significant correlation with surgical intervention – percentage of area involved (p10 points. Conclusion: This scoring system may be helpful to determine necessity and timing of surgical intervention in cellulitis, especially when to end trial of conservative management. Additionally it may provide risk stratification for prognostic value. VL - 3 IS - 2 ER -
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