TY  - JOUR
PY  - 1994//
TI  - Effect of inhalation injury, burn size, and age on mortality: a study of 1447 consecutive burn patients
JO  - Journal of trauma
A1  - Smith, David L.
A1  - Cairns, B. A.
A1  - Ramadan, F.
A1  - Dalston, J. S.
A1  - Fakhry, Samir M.
A1  - Rutledge, R.
A1  - Meyer, A. A.
A1  - Peterson, H. D.
SP  - 655
EP  - 659
VL  - 37
IS  - 4
N2  - The relative impact of inhalation injury, burn size, and age on overall outcome following burn injury was examined in 1447 consecutive burn patients over a five and a half year period. The overall mortality for all patients was 9.5% (138 of 1447). The presence of inhalation injury, increasing burn size, and advancing age were all associated with an increased mortality (p < 0.01). The incidence of inhalation injury was 19.6% (284 of 1447) and correlated with increasing percent total body surface area (%TBSA) burn (r = 0.41, p < 0.01) and advancing age (r = 0.15, p < 0.01). The overall mortality for patients with inhalation injury was 31% (88 of 284) compared with 4.3% (50 of 1163) for those without inhalation injury. Using multivariate analysis inhalation injury was found to be an important variable in determining outcome, but the most important factor in predicting mortality was %TBSA burn (accuracy = 92.8%) or a combination of %TBSA burn and patient age (accuracy = 93.0%). Adding inhalation injury only slightly improved the ability to predict mortality (accuracy = 93.3%). The presence of inhalation injury is significantly associated with mortality after thermal injury but adds little to the prediction of mortality using %TBSA and age alone.<p /> <p>Language: en</p>
LA  - en
SN  - 0022-5282
UR  - http://dx.doi.org/
ID  - ref1
ER  -