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Factors predicting burn patient mortality in the Helsinki Burn Centre intensive care unit between 2006 and 2010

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Title: Factors predicting burn patient mortality in the Helsinki Burn Centre intensive care unit between 2006 and 2010
Author(s): Salovaara, Aino
Contributor: University of Helsinki, Faculty of Medicine
Discipline: Plastic SurgeryAnaesthesiology and Intensive Care Medicine
Language: English
Acceptance year: 2015
Abstract:
Mortality is one of the main criteria in the evaluation of burn centre effectiveness. Different scoring systems predict mortality, the main variables being age, TBSA and inhalation injury. This retrospective study was conducted on 170 consecutive patients treated in the Helsinki Burn Centre and individual factors affecting mortality were assessed. The applicability of the Baux and ABSI scales was also evaluated. The mortality rate of the 147 actively treated patients was 19.7%. 23 patients were directed into palliative care within 48 hours. The non-survivors had a significantly higher mean age, proportion of women, mean TBSA, prevalence of inhalation injury and Baux and ABSI values than the survivors. Age, gender and TBSA were significant predictive factors. The Baux and ABSI scoring systems were statistically significant and specific in the prediction of mortality. No patients with a Baux score > 112 or an ABSI score ≥ 12 survived.
Keyword(s): Baux BSI Burns Burn units Mortality determinants Predictive value of tests Fatal outcome


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