Validation of the prognostic burn index: A nationwide retrospective study

Tagami, Takashi; Matsui, Hiroki; Fushimi, Kiyohide; Yasunaga, Hideo

doi:10.1016/j.burns.2015.02.017

Cited by 64 publications

(70 citation statements)

References 36 publications

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“…В многоцентровом японском исследовании T. Tagami и соавт. [4], выполненном на большой когорте из 17 185 пациентов, также продемонстрирована высокая прогностическая значимость индекса PBI. В уравнении логистической регрессии показано, что значение PBI >85 баллов является независимым фактором риска смерти (ОШ 14,6, 95% ДИ 12,1-17,6), при этом площадь под ROC-кривой в цитируемом исследовании составляет 0,900 (95% ДИ 0,900-0,910).…”

Section: Discussionunclassified

“…Каждый пациент оценен по всем нижеперечисленным шкалам/индексам: PBI (Prognostic Burn Index) -прогностический ожоговый индекс [4], Index Baux [3], RBS (Revised Baux score) -модифицированный индекс Baux [6], ABSI (Abbreviated Burn Severity Index) -индекс тяжести ожоговой травмы [7], IF -модифицированный индекс G. Frank [10], BOBI (Belgian Outcome in Burn Injury)бельгийский индекс исходов ожоговой травмы [8]…”

Section: материал и методыunclassified

“…Более поздней модификацией этой шкалы принято считать PBI (Prognostic Burn Index) -прогностический ожоговый индекс (1986), определяемый как площадь глубоких ожогов (в %) + ½ площади поверхностных ожогов (в %) + возраст, годы. Прогностический ожоговый индекс получил широкую известность благодаря работам японских исследователей [4,5]. Длительное время оценка тяжести ожоговой травмы сводилась к двум переменным -возрасту и площади ожоговой поверхности.…”

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Validation of the prognostic burn indexes in adult patients with burn injury

Анатольевич¹,

Руднов²,

Коробко³

et al. 2018

Anesteziologiya I Reanimatologiya

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Муниципальное автономное учреждение здравоохранения «Городская клиническая больница №40», Екатеринбург, Россия Цель исследования-определение прогностической значимости шести специализированных шкал оценки тяжести ожоговой травмы. Материал и методы. В обработку включены данные о 416 пациентах с острой ожоговой травмой, из них выжили 306 (73,56%) пациентов, умерли 110 (26,44%). Каждый пациент оценен по всем нижеперечисленным шкалам: PBI (Prognostic Burn Index)-прогностический ожоговый индекс, Index Baux, RBS (Revised Baux Score)-модифицированный индекс Baux, ABSI (Abbreviated Burn Severity Index)-индекс тяжести ожоговой травмы, IF-модифицированный индекс G. Frank, BOBI (Belgian Outcome in Burn Injury)-бельгийский индекс исходов ожоговой травмы. Результаты. Средний балл всех исследуемых шкал достоверно отличался в зависимости от исхода. В группах выживших и умерших пациентов средний балл по шкале PBI составил (Me-медиана, IQR-интерквартильный размах) 61

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Section: Discussionunclassified

Section: материал и методыunclassified

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Validation of the prognostic burn indexes in adult patients with burn injury

Анатольевич¹,

Руднов²,

Коробко³

et al. 2018

Anesteziologiya I Reanimatologiya

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“…We undertook a retrospective cohort study using the Diagnosis Procedure Combination database, which has been described in detail in previous reports . The database includes discharge abstracts and administrative claims data from more than 1,200 acute care hospitals and covers approximately 90% of all tertiary care emergency hospitals in Japan.…”

Section: Methodsmentioning

confidence: 99%

“…The database includes the following information for each patient: dates of admission and discharge, age, sex, main and subcategorized secondary diagnosis, and pre‐existing comorbidities at admission recorded using the International Classification of Diseases, 10th Revision (ICD‐10) codes and text data entered in Japanese. The database also provides consciousness level on admission, burn index, medical procedures, daily records for drugs, devices used, and discharge status (e.g., discharge to home, discharge to other facility, and in‐hospital death). Consciousness level on admission was evaluated by the Japan Coma Scale score: 0, alert consciousness; 1–3, awake without any stimuli; 10–30, aroused by some stimuli; and 100–300, coma.…”

Section: Methodsmentioning

confidence: 99%

Disaster‐related carbon monoxide poisoning after the Great East Japan Earthquake, 2011: a nationwide observational study

Nakajima

Aso

Matsui

et al. 2019

Acute Medicine & Surgery

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Aim To investigate disaster‐related carbon monoxide (CO) poisoning after the Great East Japan Earthquake using a nationwide inpatient database in Japan. Methods This was a retrospective cohort study. We identified adult patients with CO poisoning who were registered in the Japanese Diagnosis Procedure Combination inpatient database from 2010 to 2017. We evaluated trends in the numbers of patients with CO poisoning each month from disaster (Tohoku region) and non‐disaster areas. In the disaster area, we compared the numbers of patients with CO poisoning during pre‐ and post‐earthquake periods. We also compared the numbers of CO poisonings after the earthquake (<30 days) and 1 year later. Results Eligible patients (n = 7,814) were categorized into disaster area (n = 988) and non‐disaster area (n = 6,826) groups. The numbers of CO‐poisoned patients in the non‐disaster area showed a seasonal variation, and there was a significant peak registered on March 11 in the disaster area. In the disaster area, the number of patients with CO poisoning in the post‐earthquake period was significantly higher than that in the pre‐earthquake period (135 versus 18; odds ratio, 7.50; 95% confidence interval, 4.59–12.3). The number of patients in the post‐earthquake period was also significantly higher than that on April 9, 2012, which was one month after the annual follow‐up (135 versus 10; odds ratio, 13.5; 95% confidence interval, 7.10–25.7). Conclusion This study showed that CO poisoning significantly increased in the affected area after the Great East Japan Earthquake, underlining the importance of providing information regarding the hazard of earthquake‐related CO poisoning.

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Reevaluation for prognostic value of prognostic burn index in severe burn patients

Kaita

Tarui

Tanaka

et al. 2020

Acute Medicine & Surgery

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The prognostic burn index (PBI), which consists of half partial-thickness burn surface area plus full-thickness burn surface area and age, has been widely used to predict mortality in Japan. However, the prognostic value of PBI has not been investigated sufficiently. The purpose of the present study is to clinically reevaluate the PBI in severe burn patients. Methods: Data of 69 severe burn patients admitted to the burn center at Kyorin University Hospital (Tokyo, Japan) from January 2008 to December 2017 were analyzed retrospectively. The primary outcome in this study was in-hospital mortality. Results: The overall in-hospital mortality rate was 34.8%. There were significant differences in age, the presence of inhalation injury, total burned surface area, full-thickness burn area, burn index, and PBI between survivors and non-survivors. In logistic regression analysis, PBI was independently associated with mortality, while the presence of inhalation injury was not. A PBI above the threshold of 105 was significantly associated with in-hospital mortality. The area under the receiver operating characteristic curve for PBI was 0.85 (95% confidence interval, 0.73-0.93). Conclusion: The PBI could be a good prognostic indicator. A PBI above the threshold of 105 was associated with mortality among severe burn patients treated in burn-care facilities.

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Validation of the prognostic burn index: A nationwide retrospective study

Cited by 64 publications

References 36 publications

Validation of the prognostic burn indexes in adult patients with burn injury

Validation of the prognostic burn indexes in adult patients with burn injury

Disaster‐related carbon monoxide poisoning after the Great East Japan Earthquake, 2011: a nationwide observational study

Reevaluation for prognostic value of prognostic burn index in severe burn patients

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