Description

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 ))


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