An abbreviated form of the DEMI score can be used to quickly triage burned children into different prognostic groups.
Parameters:
(1) dorsal injury (D): dorsal-gluteal burn
(2) extension (E): percent of body surface area burned
(3) morbidity by transfer (M): complications due to inadequate transfer
(4) inhalation syndrome (I)
|
Parameter |
Finding |
Points |
|
dorsal injury |
absent |
0 |
|
|
present |
1 |
|
extension |
<= 40% BSA with second or third degree burns |
0 |
|
|
> 40% BSA with second or third degree burns |
1 |
|
morbidity by transfer |
absent |
0 |
|
|
present |
1 |
|
inhalation syndrome |
absent |
0 |
|
|
present |
1 |
abbreviated DEMI score =
= SUM(points for the 4 parameters)
Interpretation:
• minimum abbreviated score: 0
• maximum abbreviated score: 4
estimated probability of mortality =
= (abbreviated DEMI score) * 0.24
|
Score |
Observed Mortality |
Estimated Mortality from Equation |
|
0 |
0.01% |
0% |
|
1 |
0.03% |
24% |
|
2 |
50% |
48% |
|
3 |
71% |
72% |
|
4 |
100% |
96% |
The estimated mortality seems to work pretty well except for when the score is 1.
Specialty: Emergency Medicine, Critical Care
ICD-10: ,
