Comparison between revised Baux score and abbreviated burn severity index as a predictor of mortality in burn patients at a tertiary care center in Yogyakarta, Indonesia

Noor, Dharmawan Mursjid; Wicaksana, Aditya; Fauzi, Aditya Rifqi; Seswandhana, Rosadi

doi:10.1007/s00238-019-01578-y

Cited by 7 publications

(7 citation statements)

References 11 publications

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“…The pathophysiology of respiratory dysfunction after major burns is multifactorial, and ARDS and inhalation injury are the most important factors [ 3 , 4 , 6 ]. Burn-related ARDS may result from multiple risk factors, such as pneumonia, smoke inhalation, shock, bacteremia, and blood product transfusion.…”

Section: Discussionmentioning

confidence: 99%

“…Inhalation injury often results in airway inflammation, pulmonary vascular shunting, microvascular pressure gradient, and severe hypoxemia. As a result, inhalation injury itself increases mortality by adding 17 points to the Baux score; this has been termed the revised Baux score [ 3 , 4 ]. As an inflammatory response to burned skin, ARDS causes microvascular damage to the pulmonary endothelium [ 5 , 6 ].…”

Section: Introductionmentioning

confidence: 99%

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Extracorporeal Life Support for Severely Burned Patients with Concurrent Inhalation Injury and Acute Respiratory Distress Syndrome: Experience from a Military Medical Burn Center

Huang¹,

Tsai²,

Tsai³

et al. 2023

Injury

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Extracorporeal Life Support for Severely Burned Patients with Concurrent Inhalation Injury and Acute Respiratory Distress Syndrome: Experience from a Military Medical Burn Center

Huang¹,

Tsai²,

Tsai³

et al. 2023

Injury

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“…The World Health Organization (WHO) reported 1,80,000 deaths annually due to burn injury majority of which are contributed by low and middle-income countries where the resources are limited [8]. Even though advancements in burn injury management have significantly reduced the burn mortality, due to limited resources burn mortality is still high in developing countries [9] [Table 1]. Every year in India, around 10,00,000 people sustain moderate to severe burns [8].…”

Section: Discussionmentioning

confidence: 99%

Utility of Belgium Outcome of Burn Injury Score (BOBI score) in Predicting Mortality in Burn patients– Case Report

Chittoria¹

2021

Madridge J Dermatol Res

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The prediction of the outcome of patients presenting with severe burns is crucial in guiding clinical judgments. There are multiple models for predicting burn mortality that have been developed over many years. Advancements in burn management over the years have significantly decreased burn mortality. However, higher death rates are still a glaring issue in developing countries where these advancements are yet to be implemented. And in such countries the scoring system needs to be implemented routinely for every patient to find out the mortality and thus to improve the infrastructure and to train the manpower accordingly. There are various scoring systems that are formularized in predicting mortality in burns. In this article we would like to describe our pilot study in using Belgium outcome of burn injury scoring system in predicting mortality in burns patients.

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“…The pathophysiology of respiratory dysfunction after major burns is multifactorial, and ARDS and inhalation injury are the most important factors. 3,4,6 Burn-related ARDS may result from multiple risk factors, such as pneumonia, smoke inhalation, shock, bacteraemia, and blood product transfusion. The pro-in ammatory mediators not only initiate local tissue injury but also amplify the systemic in ammatory response.…”

Section: Ecls For Ardsmentioning

confidence: 99%

“…As a result, inhalation injury itself increases mortality by adding 17-points to the Baux score; this has been termed as the revised Baux score. 3,4 ARDS causes microvascular effects of in ammatory response to the burned skin on the pulmonary endothelium. 5,6 The treatment strategies for inhalation injury and ARDS include mechanical ventilation, adequate uid resuscitation, and heparin nebulization.…”

Section: Introductionmentioning

confidence: 99%

Extracorporeal Life Support for Severely Burned Patients with Concurrent Inhalation Injury and Acute Respiratory Distress Syndrome: Experience From A Military Medical Burn Center

Huang¹,

Tsai²,

Chen³

et al. 2021

Preprint

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Background: Both inhalation injury and acute respiratory distress syndrome (ARDS) are risk factors that predict mortality in severely burned patients. Extracorporeal life support (ECLS) is widely used to rescue these patients; however, its efficacy and safety in this critical population have not been well defined. We report our experience of using ECLS for treatment of severely burned patients with concurrent inhalation injury and ARDS. Methods: This is a retrospective analysis of 14 patients, including 10 males and four females, collected from a single medical burn center from 2012 to 2019. The mean age was 38.6±12.3 (range, 19-59) years. All suffered from major burns with inhalation injury. The average total body surface area of deep dermal or full thickness (DD/FT) burns was 81.6±20.0% (range, 47–99%). The average revised Baux score was 137.3 ± 22.6 (range, 107 – 172). All had developed ARDS with mean PaO2/FiO2 of 67.8±17.3. Indications for ECLS included sustained hypoxemia and unstable hemodynamics. The mean interval for initiating ECLS was 20.3 ± 40.8 days (range, 1-156 days). Results: The mean duration of ECLS was 5.0±5.6 days (range, 0.3-16.7 days). The overall survival to discharge was 42.8%. Causes of death included sepsis (n=4) and multiple organ failure (n=4). The ECLS-related complications included cannulation bleeding, catheter-related infection, and hemolysis. The predicted risk factors of mortality before ECLS included lactate>8 mmol/L and Baux score>120. Conclusions: For severely burned patients with concurrent inhalation injury and ARDS, ECLS could be a salvage treatment to improve sustained hypoxemia. However, the efficacy of hemodynamic support seemed limited. Definite ECLS indications and rigorous patient selection would contribute to better clinical outcomes.

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Comparison between revised Baux score and abbreviated burn severity index as a predictor of mortality in burn patients at a tertiary care center in Yogyakarta, Indonesia

Cited by 7 publications

References 11 publications

Extracorporeal Life Support for Severely Burned Patients with Concurrent Inhalation Injury and Acute Respiratory Distress Syndrome: Experience from a Military Medical Burn Center

Extracorporeal Life Support for Severely Burned Patients with Concurrent Inhalation Injury and Acute Respiratory Distress Syndrome: Experience from a Military Medical Burn Center

Utility of Belgium Outcome of Burn Injury Score (BOBI score) in Predicting Mortality in Burn patients– Case Report

Extracorporeal Life Support for Severely Burned Patients with Concurrent Inhalation Injury and Acute Respiratory Distress Syndrome: Experience From A Military Medical Burn Center

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