Comparison between acute physiology and chronic health evaluation system and abreviated burn severity index (ABSI) in prediction of burn patient’s mortality

AUTHORS

S. Mohammad Motamed Al-shariati 1 , * , Ezatollah Rezaei 1 , Arash Beiraghi-Toosi 1

1 Assistant Professor of Plastic Surgery, Mashhad University of Medical Science and Health Service, Mashhad, Iran .

How to Cite: Motamed Al-shariati S M, Rezaei E, Beiraghi-Toosi A. Comparison between acute physiology and chronic health evaluation system and abreviated burn severity index (ABSI) in prediction of burn patient’s mortality, Zahedan J Res Med Sci. 2012 ; 13(9):e93712.

ARTICLE INFORMATION

Zahedan Journal of Research in Medical Sciences: 13 (9); e93712
Published Online: July 28, 2011
Article Type: Research Article
Received: October 16, 2010
Accepted: April 10, 2011

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Abstract

  Background: Objective estimates of likelihood of death in burn patients would be useful in making treatment plans. Recently burn mortality has been decreased. Investigators were trying to find more integrated system of risk stratification in this group. The acute physiologic and chronic health evaluation (APACHE) III is widely used to predict outcome in intensive care units. The aim of this study is to evaluate the prognostic value of ABSI and APACHE III in burn patients.

  Materials and Method : The current cross-sectional study was conducted during a six month period in Imam-Reza hospital burn unit. In all patients more than 16 year-old the following variables were recorded. Age, sex, TBSA, percentage of deep burn and mucosal injuries, ABSI score, APACHE score and outcome of 90 patients were analyzed. Mean and standard deviation of scores were calculated. The independent t-test was used to compare the mean scores of the variables. P-value less than 0.05 was considered to be statistically significant

  Results : Ninety patients enrolled into the study (35 male and 55 female). Seventy cases survived (group 1) and 20 died (group 2). The mean score of ABSI system were significantly different between two groups (p<0.001).In contrast on the basis of APACHE system the differences between two groups were not statistically significant.

  Conclusion : ABSI is a reliable predictor burn patient’s mortality. The issue is in doubt for APACHE and needs to be more investigated.

Keywords

APACHE trauma severity indices burn mortallity

© 2012, Zahedan Journal of Research in Medical Sciences. This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License (http://creativecommons.org/licenses/by-nc/4.0/) which permits copy and redistribute the material just in noncommercial usages, provided the original work is properly cited.

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