Citation

Shalaby SA, Fouad Y, Azab SMS, Nabil DM, Abd El-Aziz YA. J. Forensic Leg. Med. 2019; 67: 19-23.

Affiliation

Plastic Surgery Department, Faculty of Medicine, Ain Shams University, Cairo, Egypt.

Copyright

(Copyright © 2019, Elsevier Publishing)

DOI

10.1016/j.jflm.2019.07.011

PMID

31376649

Abstract

In cases of death due to burn injury, it may be of great medico-legal importance to determine if the death is caused by fatal burn injury or due to other factors related to treatment. Therefore, this study aimed to investigate early predictors of mortality in patients with thermal burns admitted to Burn Unit, Ain Shams University Hospitals during a period of one year (2011). The study included 152 cases, mortalities represented 20.4% of the included cases (31 cases). Binary logistic regression analysis showed that, total body surface area (TBSA) of the burns and APACHE III score were significant predictors of mortality. This model resulted in accurate classification of 95.9% of the cases. Further multi-centric studies on larger sample sizes are recommended to validate the results of this study. Also, it is important to study the effect of co-morbidities as confounding factors on the prediction of mortality in patients with thermal burns.

Copyright © 2019 Elsevier Ltd and Faculty of Forensic and Legal Medicine. All rights reserved.

Language: en

Keywords

APACHE III; Burn; Mortality; Outcome; Prediction; Score