TY  - JOUR
PY  - 2018//
TI  - The abbreviated burn severity index as a predictor of acute respiratory distress syndrome in young individuals with severe flammable starch-based powder burn
JO  - Burns: journal of the International Society for Burn Injuries
A1  - Lin, Kuan-Hsun
A1  - Chu, Chi-Ming
A1  - Lin, Yu-Kai
A1  - Chiao, Hao-Yu
A1  - Pu, Ta-Wei
A1  - Tsai, Yuan-Ming
A1  - Chen, Ying-Yi
A1  - Huang, Hsu-Kai
A1  - Chang, Hung
A1  - Lee, Shih-Chun
A1  - Huang, Tsai-Wang
SP  - 1573
EP  - 1578
VL  - 44
IS  - 6
N2  - Here, we investigated whether the abbreviated burn severity index (ABSI) scoring system predicts acute respiratory distress syndrome (ARDS) in a retrospective analysis of a severe flammable starch-based powder burn population. Demographics, total body surface area (TBSA) burn, the presence of mouth and nose burn, ABSI, inhalation injury, and clinical outcomes for each patient were analysed for association with inpatient ARDS based on the Berlin definition. We treated 53 patients (64% male, 36% female) and observed no fatalities. The median age, TBSA burn, and the ABSI were 22.2±3.6, 42.2±21, and 7.8±2.8, respectively. Inhalation injury was present in 56.6% of the cases, and mouth and nose burn was present in 30.2%. ARDS was prevalent at 30%. The mean abbreviated burn severity index (ABSI) was 10.6±1.5 in the ARDS group and 6.6±2.3 in the non-ARDS (P<0.001) group. The mean TBSA burn percentage for ARDS and the non-ARDS groups were 61.4±13.9% and 34±18%, respectively (P<0.001). The area under the curve of the receiver operating characteristic curves for an ABSI≥9 was 0.905. Our results show that the ABSI is effective for predicting ARDS in young individuals with severe starch-based powder burn.<br><br>Copyright © 2018 Elsevier Ltd and ISBI. All rights reserved.<p />  <p>Language: en</p>
LA  - en
SN  - 0305-4179
UR  - http://dx.doi.org/10.1016/j.burns.2018.01.006
ID  - ref1
ER  -