Jurnal internasional Afrika vol.11 issue 3 2021
African Journal of Emergency Medicine
Clinical outcome and comparison of burn injury scoring systems in burn patient in Indonesia
Dublin Core
Title
Jurnal internasional Afrika vol.11 issue 3 2021
African Journal of Emergency Medicine
Clinical outcome and comparison of burn injury scoring systems in burn patient in Indonesia
African Journal of Emergency Medicine
Clinical outcome and comparison of burn injury scoring systems in burn patient in Indonesia
Subject
Burn Injury
Clinical Outcome
Burn prognosis
Injury Scoring System
Clinical Outcome
Burn prognosis
Injury Scoring System
Description
Introduction: The purpose of this study was to explore and compare the performance of four burn injury scoring
systems in Indonesia. In a retrospective study, data of all burn patients admitted to the emergency centre (EC)
were collected. The following clinical outcome and four burn injury scoring systems were used to assess each
patient: Abbreviated Burn Severity Index (ABSI), Belgian Outcome in Burn Injury (BOBI), the Ryan model, and
revised Baux Score.
Methods: From April 2017 to April 2018, clinical outcome and burn injury score for every admitted patient were
calculated to evaluate burn prognosis. Demographic information, ABSI score, full-thickness total body surface
area (TBSA), overall TBSA, hospital stay, and inhalation injury were noted for analysis. Discriminative ability
and goodness-of-fit of the prediction models were determined by receiver operating characteristic curve analysis
and Hosmer–Lemeshow tests.
Results: We included 72 patients (mean age: 40.79 ± 16.30 years, average TBSA: 23.59% ± 24.84). Only 1 (1.4%)
of them was diagnosed with inhalation injury. Mortality rate was 25%. Deceased patients had significantly
higher mean age, %TBSA, and number of inhalation injuries. The ABSI model with sensitivity was 81.6, speci-
ficity was 92.5, accuracy was 87.3 and under the Receiver Operator Characteristics curve (AUC) was 0.93 (SE =
0.03).
Conclusions: The best estimation of predicted mortality was obtained with the ABSI model.
systems in Indonesia. In a retrospective study, data of all burn patients admitted to the emergency centre (EC)
were collected. The following clinical outcome and four burn injury scoring systems were used to assess each
patient: Abbreviated Burn Severity Index (ABSI), Belgian Outcome in Burn Injury (BOBI), the Ryan model, and
revised Baux Score.
Methods: From April 2017 to April 2018, clinical outcome and burn injury score for every admitted patient were
calculated to evaluate burn prognosis. Demographic information, ABSI score, full-thickness total body surface
area (TBSA), overall TBSA, hospital stay, and inhalation injury were noted for analysis. Discriminative ability
and goodness-of-fit of the prediction models were determined by receiver operating characteristic curve analysis
and Hosmer–Lemeshow tests.
Results: We included 72 patients (mean age: 40.79 ± 16.30 years, average TBSA: 23.59% ± 24.84). Only 1 (1.4%)
of them was diagnosed with inhalation injury. Mortality rate was 25%. Deceased patients had significantly
higher mean age, %TBSA, and number of inhalation injuries. The ABSI model with sensitivity was 81.6, speci-
ficity was 92.5, accuracy was 87.3 and under the Receiver Operator Characteristics curve (AUC) was 0.93 (SE =
0.03).
Conclusions: The best estimation of predicted mortality was obtained with the ABSI model.
Creator
Risa Herlianita , Edi Purwanto, Indri Wahyuningsih, Indah Dwi Pratiwi
Source
https://doi.org/10.1016/j.afjem.2021.04.005
Date
20 April 2021
Contributor
peri irawan
Format
pdf
Language
english
Type
text
Files
Citation
Risa Herlianita , Edi Purwanto, Indri Wahyuningsih, Indah Dwi Pratiwi, “Jurnal internasional Afrika vol.11 issue 3 2021
African Journal of Emergency Medicine
Clinical outcome and comparison of burn injury scoring systems in burn patient in Indonesia,” Repository Horizon University Indonesia, accessed November 21, 2024, https://repository.horizon.ac.id/items/show/1849.
African Journal of Emergency Medicine
Clinical outcome and comparison of burn injury scoring systems in burn patient in Indonesia,” Repository Horizon University Indonesia, accessed November 21, 2024, https://repository.horizon.ac.id/items/show/1849.