Prediction of Mortality in Acute Thermal Burn Patients Using the Abbreviated Burn Severity Index Score: A Single-Center Experience

Abstract

BackgroundBurn injuries are highly variable and dynamic. The outcome of patients is influenced by various factors and requires prompt therapeutic interventions, including fluid resuscitation, for a favorable result. Although having varying shortcomings, many scoring indexes are developed and validated in Western countries to predict mortality in a burn patient. The Abbreviated Burn Severity Index (ABSI) estimates survival expectancy in a burn patient via various negative prognostic factors. This study describes the pattern of burn injuries to validate the ABSI as an outcome predictor in burnt patients. MethodologyFrom January to December 2018, 100 patients participated in this observational research conducted in the Department of Surgery at Mahatma Gandhi Hospital's Burn Ward, a part of Dr. Sampurnanand Medical College, Jodhpur. Risk factors for death from a burn were patients' age and gender, the depth of the burn, the inhalation burn, and the total burned body surface area (TBSA). The area under the receiver operating curve (AUROC) was used to determine how well it could predict burn deaths. ResultsThis study included 100 patients (69 men and 31 women, with a ratio of 2.22:1). In total, 73 patients survived, and 27 died (a mortality rate of 27%). The fatality rate increased with increased burn surface area, reaching 100% in patients with >80% burns (p < 0.0001). Additionally, those with an ABSI of >11 expressed 100% mortality rate (p < 0.0001). ConclusionsIn this study, older age, high burned surface area, concomitant inhalational burns, full-thickness burns, and a higher ABSI were found to be significant predictors of mortality.

Comparative Analysis of Composite Mortality Prediction Scores in Intensive Care Burn Patients

“…We also found full-thickness burns to be significantly associated with mortality in the multivariate analysis. This is in agreement with multiple recently published studies [20][21][22]; however, there are also conflicting data in the literature [23,24]. It is worth noting that estimates of burn depth on admission remain at best subjective and susceptible to interobserver variability.…”

Burn Mortality in an Appalachian Referral Center: An Examination of Mortality Prediction Scores in a 13-Year Retrospective Study

“…While the ABSI failed to serve as a significant predictor of mortality within our population, this might be attributed to its categorical inclusion of gender. As observed in other research [1,4], burns tend to be more prevalent among males, as corroborated by our findings. However, contrary to expectations based on previous studies, our research did not identify higher mortality rates among females [1,4].…”

“…As observed in other research [1,4], burns tend to be more prevalent among males, as corroborated by our findings. However, contrary to expectations based on previous studies, our research did not identify higher mortality rates among females [1,4]. This deviation could be elucidated by the unique demographic served by our institution, the Cabell Huntington BICU, being the sole BICU in the state of West Virginia.…”

Avaliação do contrafluxo: Um novo conceito como indicador de qualidade de um serviço de atendimento a vítimas de queimadura

“…Usmani et al 18 , em um estudo observacional, identificaram que a taxa de letalidade no paciente queimado aumenta conforme o tamanho da superfície corporal queimada (SCQ), chegando a 100% de letalidade em pacientes com SCQ >80%. Nesse mesmo estudo foi observada a importância do escore ABSI como preditor de mortalidade, sendo que aqueles com escore ABSI>11 chegaram a 100% de mortalidade.…”