Saracoglu et al identified prognostic factors for a patient with electrical burns. The authors are from Kartal Dr. Lutfi Kirdar Training and Research Hospital and Mardin Kiziktepe State Hospital in Turkey.
Patient selection: electrical burn
Major causes of death:
(1) multiple organ failure
(2) infection
Prognostic factors:
(1) total body surface area burned >= 25% (odds ratio 2.8; for >=50% odds ratio 18.9)
(2) high voltage injury (odds ratio 5.1)
(3) poor initial resuscitation
(4) elevated serum CK and CK-MB (rhabdomyolysis)
Prognostic factors related to multi-organ failure:
(5) prolonged stay in the ICU (odds ratio 1.06 per day)
(6) intubation (indicative of respiratory failure)
(7) renal failure with need for hemofiltration (odds ratio 12)
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