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Published in: European Journal of Plastic Surgery 1/2020

01-02-2020 | Care | Original Paper

Comparison between revised Baux score and abbreviated burn severity index as a predictor of mortality in burn patients at a tertiary care center in Yogyakarta, Indonesia

Authors: Dharmawan Mursjid Noor, Aditya Wicaksana, Aditya Rifqi Fauzi, Rosadi Seswandhana

Published in: European Journal of Plastic Surgery | Issue 1/2020

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Abstract

Background

The outcome prediction of patients with extensive burns is essential in determining clinical decisions. Various burn mortality prediction models have been developed, and burn mortality had decreased markedly with the improvement in burn management.

Methods

This study aimed to compare the effectiveness of revised Baux score (RBS) and abbreviated burn severity index (ABSI) in predicting mortality of burn injury patients. This was a retrospective cross-sectional method. The subjects of the study were 111 medical records of burn patients who were treated in the Burn Unit of a tertiary health care in Yogyakarta, Indonesia, from 2015 to 2016.

Results

There were 111 patients, of whom 81 were males and 30 females. The outcomes of burn injury patients were 97 survived, and 14 died. There were significant association between percentage of total body surface area burned, and inhalation injury with the ABSI score of ≥ 8. The patients with an ABSI score of ≥ 8 have a relatively higher risk by 4.1-fold to die compared with patients who scored < 8, but statistically did not reach a significant level. In contrast, the patients with an RBS score ≥ 60 have a relatively lower risk by 2.43-fold to die compared with the patients with a score of < 60, but statistically, the results did not reach a significant level.

Conclusions

In conclusions, ABSI and RBS score systems are simple to calculate, and ABSI is more accurate for prediction of acute burn injury. Presence of inhalation injury and large TBSA were significant predictors of mortality.
Level of evidence: Level III, risk/prognostic study
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Metadata
Title
Comparison between revised Baux score and abbreviated burn severity index as a predictor of mortality in burn patients at a tertiary care center in Yogyakarta, Indonesia
Authors
Dharmawan Mursjid Noor
Aditya Wicaksana
Aditya Rifqi Fauzi
Rosadi Seswandhana
Publication date
01-02-2020
Publisher
Springer Berlin Heidelberg
Keyword
Care
Published in
European Journal of Plastic Surgery / Issue 1/2020
Print ISSN: 0930-343X
Electronic ISSN: 1435-0130
DOI
https://doi.org/10.1007/s00238-019-01578-y

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