Evidence map›Paper›PMID 41148308›Full record

ArticleEuropean journal of trauma and emergency surgery : official publication of the European Trauma Society2025

Characteristics, treatments, and outcomes of patients with necrotizing soft tissue infections: a Dutch multicenter cohort study.

Jesse de Haan, Lidewij M F H Neeter, Jaco Suijker, Paul P M van Zuijlen, Anouk Pijpe, Annebeth Meij-de Vries, NSTI Knowledge Collaborative Group

Abstract readMulticenter Study
In one paragraph

Article in European journal of trauma and emergency surgery : official publication of the European Trauma Society, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Multifocal necrotizing fasciitis: what makes it different? A German trauma center experience.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2026
    Article
  2. A Case ofClinical case reports · 2026
    Article
  3. Factors associated with in-hospital mortality in necrotising soft tissue infections. a multicentre retrospective cohort study.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2026
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Jesse de HaanAlliance of Dutch Burn Care (ADBC), Burn Centre, Red Cross Hospital, Beverwijk, 1942 LE, The Netherlands. j.dehaan1@amsterdamumc.nl.
Lidewij M F H NeeterAlliance of Dutch Burn Care (ADBC), Burn Centre, Red Cross Hospital, Beverwijk, 1942 LE, The Netherlands.
Jaco SuijkerAlliance of Dutch Burn Care (ADBC), Burn Centre, Red Cross Hospital, Beverwijk, 1942 LE, The Netherlands.
Paul P M van ZuijlenAlliance of Dutch Burn Care (ADBC), Burn Centre, Red Cross Hospital, Beverwijk, 1942 LE, The Netherlands.
Anouk PijpeAlliance of Dutch Burn Care (ADBC), Burn Centre, Red Cross Hospital, Beverwijk, 1942 LE, The Netherlands.
Annebeth Meij-de VriesAlliance of Dutch Burn Care (ADBC), Burn Centre, Red Cross Hospital, Beverwijk, 1942 LE, The Netherlands. adevries@rkz.nl.
NSTI Knowledge Collaborative Group

Funding

Nederlandse Brandwonden Stichting 17.109Nederlandse Brandwonden Stichting 22.111Nederlandse Brandwonden Stichting 24.101
6 · The paper itself

Abstract

purposeNecrotizing Soft Tissue Infections (NSTI) are associated with high mortality and morbidity. This study aimed to gain insights into the patient-, disease-, and treatment characteristics, as well as the clinical outcomes of NSTI patients in the Netherlands, contributing to the global knowledge of this disease.

methodsThis study analyzed the NSTI Knowledge Project cohort, comprising 271 patients who were treated for acute NSTI in 11 hospitals across the Netherlands between 2013 and 2017.

resultsMost patients (61%) presented with early-stage NSTI symptoms, such as pain or erythema. Intensive care unit admission was required in 83%, with a median stay of 5 days (interquartile range 2-11). The median time from hospital admission to debridement was 8 h (interquartile range 4-23). Group A Streptococcus was cultured in 41% of patients. Extremity amputation was required in 12%, and the in-hospital mortality rate was 21%. Patients presenting with early-stage symptoms who were misdiagnosed (60%) had a significantly higher in-hospital mortality rate (30%) than those correctly diagnosed (10%; p = .003).

conclusionIn the Netherlands, NSTI patient and disease characteristics vary considerably. With one in five patients dying and one in eight patients undergoing a major amputation, interventions leading to rapid diagnosis and treatment are urgently needed.

Indexed as

Fasciitis, NecrotizingSoft Tissue InfectionsStreptococcal InfectionsAdultAgedAmputation, SurgicalAnti-Bacterial AgentsCohort StudiesDebridementFemaleHospital MortalityHumansLength of StayMaleMiddle AgedNecrosisAnti-Bacterial AgentsAmputationGroup A StreptococcusMortalityNecrotizing fasciitisNecrotizing soft tissue infection

Identifiers

PMID41148308
PMCPMC12568877

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.