The Belgian Outcome in Burn Injury Study Group developed a score for grading the severity of a burn injury. This can help to identify a patient who may benefit from more aggressive management. The authors are from Ghent University and other institutions in Belgium.
Patient selection: burn injury
Outcome: mortality
Parameters:
(1) age in years
(2) percent of body surface area burned
(3) inhalation injury
|
Parameter |
Finding |
Points |
|
age |
< 50 years |
0 |
|
|
50 to 64 years |
1 |
|
|
65 to 79 years |
2 |
|
|
>= 80 years |
3 |
|
percent BSA |
< 20% |
0 |
|
|
20 to 39% |
1 |
|
|
40 to 59% |
2 |
|
|
60 to 79% |
3 |
|
|
>= 80% |
4 |
|
inhalation injury |
no |
0 |
|
|
yes |
3 |
total score =
= SUM(points for all 3 parameters)
Interpretation:
• minimum score: 0
• maximum score: 10
• The higher the score the greater the risk for mortality.
|
Score |
Mortality Rate |
|
0 |
0.1% |
|
1 |
1.5% |
|
2 |
5% |
|
3 |
10% |
|
4 |
20% |
|
5 |
30% |
|
6 |
50% |
|
7 |
75% |
|
8 |
85% |
|
9 |
95% |
|
10 |
99% |
Performance:
• The area under the ROC curve was 0.94.
• Some investigators find an increased risk of mortality in the very young.
• Other risk factors (trauma, comorbid conditions, etc) are not included in the score.
Purpose: To estimate the risk of mortality for a burn patient using the severity of burn injury scoring system of the Belgium Outcome in Burn Injury Study Group.
Specialty: Emergency Medicine, Critical Care
Objective: severity, prognosis, stage
ICD-10: T20-T25, T26-T28, T29-T32,
