Citation

Galeiras R, Lorente JA, Pértega S, Vallejo A, Vinkotomicic, de la Cal MA, Pita S, Cerdá E, Esteban A. Burns 2009; 35(2): 201-209.

Affiliation

Hospital Universitario de Getafe, Centro de Investigacion de Enfermedades Respiratorias, Universidad Europea, Madrid, Spain.

Copyright

(Copyright © 2009, Elsevier Publishing)

DOI

10.1016/j.burns.2008.07.019

PMID

19019556

Abstract

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 72h 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.

Language: en