TY - JOUR PY - 2009// TI - A model for predicting mortality among critically ill burn victims JO - Burns: journal of the International Society for Burn Injuries A1 - Galeiras, Rita A1 - Lorente, J. A. A1 - Pértega, Sonia A1 - Vallejo, Alfonso A1 - Vinkotomicic, A1 - de la Cal, Miguel A. A1 - Pita, Salvador A1 - Cerdá, Enrique A1 - Esteban, A. SP - 201 EP - 209 VL - 35 IS - 2 N2 - 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

LA - en SN - 0305-4179 UR - http://dx.doi.org/10.1016/j.burns.2008.07.019 ID - ref1 ER -