Chen et al developed a score for predicting mortality in a patient with thermal burn. The authors are from Taipei Veterans General Hospital, National Yang-Ming University, and Tamkang University.
Patient selection: acute burn injury
Parameters:
(1) gender
(2) age in years
(3) burn index (BI)
(4) inhalation injury
(5) burn size (presumably based on second and third degree burns)
(6) ICU admission
(7) admission
(8) flushing time in cold water
(9) body site burned
burn index =
= (third degree burn area) + (0.5 (second degree burn area))
Parameter |
Finding |
Points |
---|---|---|
gender |
male |
0 |
|
female |
-0.075 |
age in years |
|
0.041 * (age) |
burn index |
|
0.063 * (index) |
inhalation injury |
no |
0 |
|
yes |
1.125 |
burn size |
<= 20% BSA |
0 |
|
> 20% BSA |
1.137 |
ICU admission |
no |
0 |
|
yes |
0.251 |
admission |
direct |
0.055 |
|
outside ED |
-0.279 |
|
outside hospital |
-0.249 |
flushing time |
<= 5 minutes |
-0.734 |
|
5 to 30 minutes |
-0.490 |
|
> 30 minutes |
0 |
head and neck burned |
no |
0 |
|
yes |
0.003 |
upper limbs burned |
no |
0 |
|
yes |
-0.029 |
trunk burned |
no |
0 |
|
yes |
0.367 |
lower limbs burned |
no |
0 |
|
yes |
0.106 |
X =
= SUM(points for all of the parameters) – 8.096
probability of death =
= 1 / (1 + EXP((-1) *X ))
Specialty: Emergency Medicine, Critical Care