Description

Wolf et al developed several prognostic models for pediatric patients with massive burns. These patients require aggressive management. The authors are from the University of Texas Medical Branch at Galveston and the Shriners Burns Institute in Galveston.


Patient selection: age < 18 years, total burn surface area >= 80% of total body surface area, full-thickness burn >= 70%

 

Parameters:

(1) age in years

(2) percent total body surface area burned (TBSA, from 80 to 100)

(3) inhalation injury (0 if absent, 1 if present)

 

X =

= (0.12 * (percent TBSA)) + (1.12 * (inhalation injury)) - (01.4 * (age)) - 10.92

 

mortality =

= 1 / (1 + EXP((-1) * X))

 

length of stay =

= (3.009 * (percent BSA)) - 190.35

 

where:

• The length of stay equation is from Figure 5.

 

Limitations:

• The paper was published in 1997.


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