Objective: To develop a model for predicting mortality among burn victims.
Methods: All casualties admitted to our intensive care burn unit (ICBU) with a diagnosis of thermal or inhalation injury were studied. Age, total and full-thickness body surface area (BSA) burned, presence of inhalation injury, gender, mechanism of injury, delay to ICBU admission and mechanical ventilation during the first 72 h were recorded. The 851 participants were randomly divided into derivation (671) and validation (180) sets. From univariate and multivariate logistic regression analyses a mortality predictive equation was derived.
Results: Mortality was 17.6%. In univariate analysis, all variables were significantly associated with mortality except mechanism of injury and delay to ICBU admission. In multivariate analysis, age, total and full-thickness BSA burned, female gender and early mechanical ventilation were independently associated with mortality.
Conclusions: We propose a mortality predictive equation for burned victims. In this model, MV and not inhalation injury is a mortality risk factor.
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| http://dx.doi.org/10.1016/j.burns.2008.07.019 | DOI Listing |
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