Burned patients who die from causes other than the burn affect the model used to predict mortality: a national exploratory study

Outcome of burn care : the mortality perspective

“…or respiratory failure), whereas less than a third of them died of multiorgan failure. 103 Similar results have been published in a report from an Australian burn centre: almost a quarter of the patients with burns who died (9 of 24) had Baux scores of less than 100, and five of them died from cerebrovascular or respiratory failure, three from multiorgan failure, one from sepsis, and in one case the cause remained unknown. 104 The Baux score (sum of the age and TBSA %) still remains an excellent model to use to predict the risk of mortality in burns.…”

“…103 This group is heterogeneous in the characteristics of the burns and factors that could affect survival, and they did not differ significantly from the survivors in the same range of Baux score by demographic characteristics.…”

Factors associated with acute kidney injury in the Helsinki Burn Centre in 2006–2015

“…On the other hand, the original Baux score has proved to be very reliable, showing an AUC of 0.90 to 0.93 AUC in burn patients treated in 1977 to 1996 [36] and 2003 to 2009 [35] . Likewise, a Swedish study with 1946 patients conducted in 1993 to 2015 revealed an AUC of 0.97 [37] . We emphasize that inclusion criteria (age and TBSA%), sample size, and also exclusion criteria (death during first days from admission) have an essential effect on prediction power when comparing results between studies.…”

Mortality prognostication scores do not predict long-term, health-related quality of life after burn: A burn model system national database study

“…Regardless, some of the losses to follow-up are inevitable despite additional retention efforts, particularly among young people, transient and marginalized populations, people with substance abuse disorders and the uninsured. [ 40 ] Second, several recent reports have demonstrated that conventional burn-related mortality prognostication scores, including the revised Baux Score, may no longer be the most accurate predictors of mortality given advances in burn care systems and increasing prevalence of significant comorbidities [ 8 , 9 ]. However, these scores remain the most commonly used worldwide and remain easy to capture at the time of admission [ 3 , 7 ].…”

“…[ 7 ] These covariates are objectively measured, easy to obtain and immediately available in the hours and days after burn injury. Many reports have described the strong correlation between these scores and in-hospital mortality [ 3 , [7] , [8] , [9] ]. The simplicity of the revised Baux Score nomogram-based mortality estimation has made it the most widely used prognostication model for burn-related mortality in the world [ 3 , 5 , 7 ].…”