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Models of Wolf et al for Pediatric Patients with Massive Burns: Inotropic Support

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) inotropic support requirement

(2) sepsis

(3) platelets per µL

 

Parameter

Finding

Points

inotropic support

not needed

0

 

needed

0.24

sepsis

absent

0

 

present

2.03

platelet count

>= 20,000 per µL

0

 

< 20,000 per µL

1.61

 

value of X =

= SUM(points for all 3 parameters) - 1.83

 

probability of mortality =

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

 

Limitations:

• The paper was published in 1997.


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