The prognostic relevance of full-thickness burns on ABSI

• Verfasst von: Gorenflo, Johanna [VerfasserIn]
• Verfasst von: Reichert, B. [VerfasserIn]
• Verfasst von: Reif, S. [VerfasserIn]
• Verfasst von: Megas, I. -F. [VerfasserIn]
• Verfasst von: Billner, M. [VerfasserIn]
• Titel: The prognostic relevance of full-thickness burns on ABSI
• Verf.angabe: J. Gorenflo, B. Reichert, German Burn Registry, S. Reif, I.-F. Megas, M. Billner
• E-Jahr: 2024
• Jahr: December 2024
• Umfang: 6 S.
• Illustrationen: Illustrationen
• Fussnoten: Online verfügbar: 6. Juli 2024, Artikelversion: 5. Dezember 2024 ; Gesehen am 14.03.2025
• Titel Quelle: Enthalten in: Burns
• Ort Quelle: Amsterdam [u.a.] : Elsevier Science, 1974
• Jahr Quelle: 2024
• Band/Heft Quelle: 50(2024), 9 vom: Dez., Artikel-ID 107197, Seite 1-6
• ISSN Quelle: 1879-1409
• DOI: doi:10.1016/j.burns.2024.07.001
• Datenträger: Online-Ressource
• Sprache: eng
• Sach-SW: ABSI
• Sach-SW: Full-thickness burns
• Sach-SW: Survival
• K10plus-PPN: 1919808469

Abstract

Introduction - The Abbreviated Burn Severity Index (ABSI) by Tobiasen, which is commonly used to estimate the mortality risk of severely burned patients, calculates an additional point for the existence of full-thickness (third-degree) burns. [1] However, the score does not consider the extent of the body surface affected by third-degree burns. To understand whether there is a way to improve ABSI prediction power, this study aims to determine the influence of full-thickness burns on survival rates and how it affects the predictive precision of the ABSI. - Material and methods - In this study, the statistical evaluation of 2538 patients collected prospectively in the context of the German Burn Registry was carried out. A linear regression analysis was carried out to show the prognostic relevance of full-thickness burns. Age, sex, total body surface area burned (TBSA), and the presence of inhalation injury were also observed as further influencing factors. - Results - Among the 2538 patients meeting our inclusion criteria, full-thickness burns were found in 1233 patients. In patients with a TBSA below 20 %, the extent of full-thickness burns is not relevant to the prognosis in terms of survival probability (p = 0.124). With more than 20 % TBSA, the extent of third-degree burns is of significant relevance (p = 0.000). In patients without full-thickness burns and calculated ABSI values ≥ 12 the survival rate of 46 % was noticeably better than the predicted survival rate of < 10 % according to the ABSI Score, whereas the predicted survival rate in patients with third-degree burns (< 10 %), closely matched the observed survival rate of 11 %. - Conclusion - For patients with a TBSA < 20 %, the presence of full-thickness burns is not relevant for survival. In contrast to this observation, the percentage of full-thickness burns is of crucial prognostic importance for patients with a TBSA of > 20 %. By adjusting the ABSI and taking into account the exact percentage of third-degree burns, an improvement in the prognostic precision of the score could be achieved.