A comparison of burns scoring systems
Clinical outcome and comparison of burn injury scoring systems in burn patient in Indonesia
Risa HerlianitaEdi, PurwantoIndri, WahyuningsihIndah, Dwi Pratiwi
To compare 4 different burns scoring systems in predicting mortality.
A vast majority of burns deaths occur in Low or Middle income countries. There is a need to accurately assess burns severity in the Emergency Department to direct patients to the correct treatment path, especially if there are limited treatment options. However, few evaluations of burn scoring systems have been conducted in low resource settings.
Retrospective review of notes, trained reviewers calculate the scores using the Ryan model, Revised Baux score, BOBI and ABSI.
Large referral hospital in Malang, Indonesia.
111 patients aged >17 years with complete notes who attended the Emergency department with burns injuries.
The ABSI score was the best at predicting mortality with sensitivity of 81.6 and a specificity of 92.5.
The ABSI remains an accurate method for predicting outcome in burns patients.
Simple patient orientated outcome.
Focus on this outcome limited data drenching
Retrospective review of notes
Limited number of patients
Significant proportion(10%) with incomplete data
Low numbers of patients
Specialist reviewers calculating scores limit real world applicability.
My humble opinion
In low resource settings I would tend to use a score to determine if there is value in trying to transfer a patient to a burns certain or pallating. Therefore it is reassuring that the ABSI has very high sensitivity. I would use the ABSI scoring system to help inform a difficult decision that I do not have to undertake often.