Yıl: 2023 Cilt: 53 Sayı: 6 Sayfa Aralığı: 1877 - 1885 Metin Dili: İngilizce DOI: 10.55730/1300-0144.5758 İndeks Tarihi: 18-01-2024

Vital indicators in predicting burn mortality: A comparison of shock indices and burn shock indices

Öz:
Background/aim: In many studies, shock indices have proven to be good tools for predicting mortality. In the present study, burn shock index (BSI), percentage of total body surface area burned (TBSA%) multiplied by shock index; burn modified shock index (BMSI), TBSA% multiplied by modified shock index; burn age shock index (BASI), TBSA% multiplied by age shock index; burn rivers shock index (BrSI), TBSA% multiplied by rivers shock index; burn rivers shock index multiplied by Glasgow Coma Scale score (BrSIG) were examined in burn patients. We defined these burn shock indices for the first time. This study aimed to evaluate the effectiveness of shock indices and burn shock indices in predicting mortality in burn patients. Materials and methods: This study examines retrospectively of burn patients admitted to the emergency department of Dicle University Hospital between January 2010 and December 2022. The patients’ vital signs were obtained at the time of presentation to the emergency department, and shock indices were calculated. The effectiveness of shock indices in predicting mortality was compared. Results: A total of 2445 patients were included in the study. Of the patients, 1793 were pediatric, and 652 were adults. BSI (AUC: 0.872, 95% confidence interval (CI): 0.812–0.931, p ˂ 0.001) had the highest area under the curve (AUC) value in predicting mortality in children. The optimal cut-off value for BSI in children was 21.79 and its was sensitivity 83.05%, specificity 79.64%, positive predictive value (PPV) 12.19%, negative predictive value (NPV) 99.28%. In adults, BASI had the highest value of AUC (AUC: 0.936, 95% CI: 0.887–0.984, p ˂ 0.001). The optimal cut-off value for BASI in adults was 62.5 and its sensitivity was 86.49%, specificity was 91.71%, PPV was 38.55%, and NPV was 99.12%. Conclusion: Shock indices are easy to calculate and effective in predicting mortality in burn patients admitted to the emergency department. Among the shock indices in the study, BSI was the best in predicting mortality in children, and BASI was the best in adults.
Anahtar Kelime: Burn shock index burn shock index burn age shock index BASI

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
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APA İçer M, GUNDUZ E, Güloğlu C, ERBATUR S, Polat D, Özkan H, Bayrak T, göger ş (2023). Vital indicators in predicting burn mortality: A comparison of shock indices and burn shock indices. , 1877 - 1885. 10.55730/1300-0144.5758
Chicago İçer Mustafa,GUNDUZ ERCAN,Güloğlu Cahfer,ERBATUR Serkan,Polat Dicle,Özkan Halime,Bayrak Tuğçe,göger şilan Vital indicators in predicting burn mortality: A comparison of shock indices and burn shock indices. (2023): 1877 - 1885. 10.55730/1300-0144.5758
MLA İçer Mustafa,GUNDUZ ERCAN,Güloğlu Cahfer,ERBATUR Serkan,Polat Dicle,Özkan Halime,Bayrak Tuğçe,göger şilan Vital indicators in predicting burn mortality: A comparison of shock indices and burn shock indices. , 2023, ss.1877 - 1885. 10.55730/1300-0144.5758
AMA İçer M,GUNDUZ E,Güloğlu C,ERBATUR S,Polat D,Özkan H,Bayrak T,göger ş Vital indicators in predicting burn mortality: A comparison of shock indices and burn shock indices. . 2023; 1877 - 1885. 10.55730/1300-0144.5758
Vancouver İçer M,GUNDUZ E,Güloğlu C,ERBATUR S,Polat D,Özkan H,Bayrak T,göger ş Vital indicators in predicting burn mortality: A comparison of shock indices and burn shock indices. . 2023; 1877 - 1885. 10.55730/1300-0144.5758
IEEE İçer M,GUNDUZ E,Güloğlu C,ERBATUR S,Polat D,Özkan H,Bayrak T,göger ş "Vital indicators in predicting burn mortality: A comparison of shock indices and burn shock indices." , ss.1877 - 1885, 2023. 10.55730/1300-0144.5758
ISNAD İçer, Mustafa vd. "Vital indicators in predicting burn mortality: A comparison of shock indices and burn shock indices". (2023), 1877-1885. https://doi.org/10.55730/1300-0144.5758
APA İçer M, GUNDUZ E, Güloğlu C, ERBATUR S, Polat D, Özkan H, Bayrak T, göger ş (2023). Vital indicators in predicting burn mortality: A comparison of shock indices and burn shock indices. Turkish Journal of Medical Sciences, 53(6), 1877 - 1885. 10.55730/1300-0144.5758
Chicago İçer Mustafa,GUNDUZ ERCAN,Güloğlu Cahfer,ERBATUR Serkan,Polat Dicle,Özkan Halime,Bayrak Tuğçe,göger şilan Vital indicators in predicting burn mortality: A comparison of shock indices and burn shock indices. Turkish Journal of Medical Sciences 53, no.6 (2023): 1877 - 1885. 10.55730/1300-0144.5758
MLA İçer Mustafa,GUNDUZ ERCAN,Güloğlu Cahfer,ERBATUR Serkan,Polat Dicle,Özkan Halime,Bayrak Tuğçe,göger şilan Vital indicators in predicting burn mortality: A comparison of shock indices and burn shock indices. Turkish Journal of Medical Sciences, vol.53, no.6, 2023, ss.1877 - 1885. 10.55730/1300-0144.5758
AMA İçer M,GUNDUZ E,Güloğlu C,ERBATUR S,Polat D,Özkan H,Bayrak T,göger ş Vital indicators in predicting burn mortality: A comparison of shock indices and burn shock indices. Turkish Journal of Medical Sciences. 2023; 53(6): 1877 - 1885. 10.55730/1300-0144.5758
Vancouver İçer M,GUNDUZ E,Güloğlu C,ERBATUR S,Polat D,Özkan H,Bayrak T,göger ş Vital indicators in predicting burn mortality: A comparison of shock indices and burn shock indices. Turkish Journal of Medical Sciences. 2023; 53(6): 1877 - 1885. 10.55730/1300-0144.5758
IEEE İçer M,GUNDUZ E,Güloğlu C,ERBATUR S,Polat D,Özkan H,Bayrak T,göger ş "Vital indicators in predicting burn mortality: A comparison of shock indices and burn shock indices." Turkish Journal of Medical Sciences, 53, ss.1877 - 1885, 2023. 10.55730/1300-0144.5758
ISNAD İçer, Mustafa vd. "Vital indicators in predicting burn mortality: A comparison of shock indices and burn shock indices". Turkish Journal of Medical Sciences 53/6 (2023), 1877-1885. https://doi.org/10.55730/1300-0144.5758