Citation

Lin KH, Chu CM, Lin YK, Chiao HY, Pu TW, Tsai YM, Chen YY, Huang HK, Chang H, Lee SC, Huang TW. Burns 2018; 44(6): 1573-1578.

Affiliation

Division of Thoracic Surgery, Department of Surgery, Tri-Service General Hospital, National Defense Medical Center, Taipei, Taiwan, Republic of China. Electronic address: chi-wang@yahoo.com.tw.

Copyright

(Copyright © 2018, Elsevier Publishing)

DOI

10.1016/j.burns.2018.01.006

PMID

29886117

Abstract

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.

Copyright © 2018 Elsevier Ltd and ISBI. All rights reserved.

Language: en

Keywords

Abbreviated burn severity index; Acute respiratory distress syndrome; Flammable starch-based powder burn; Inhalation