The ABSI is dead, long live the ABSI - reliable prediction of survival in burns with a modified Abbreviated Burn Severity Index

Pia Bartels; Oliver C Thamm; Julia Elrod; Paul Fuchs; Konrad Reinshagen; null German Burn Registry; Ingo Koenigs

doi:10.1016/j.burns.2020.05.003

The ABSI is dead, long live the ABSI - reliable prediction of survival in burns with a modified Abbreviated Burn Severity Index

Standard

The ABSI is dead, long live the ABSI - reliable prediction of survival in burns with a modified Abbreviated Burn Severity Index. / Bartels, Pia; Thamm, Oliver C; Elrod, Julia; Fuchs, Paul; Reinshagen, Konrad; German Burn Registry; Koenigs, Ingo.

in: BURNS, Jahrgang 46, Nr. 6, 09.2020, S. 1272-1279.

Publikationen: SCORING: Beitrag in Fachzeitschrift/Zeitung › SCORING: Zeitschriftenaufsatz › Forschung › Begutachtung

Harvard

Bartels, P, Thamm, OC, Elrod, J, Fuchs, P, Reinshagen, K, German Burn Registry & Koenigs, I 2020, 'The ABSI is dead, long live the ABSI - reliable prediction of survival in burns with a modified Abbreviated Burn Severity Index', BURNS, Jg. 46, Nr. 6, S. 1272-1279. https://doi.org/10.1016/j.burns.2020.05.003

APA

Bartels, P., Thamm, O. C., Elrod, J., Fuchs, P., Reinshagen, K., German Burn Registry, & Koenigs, I. (2020). The ABSI is dead, long live the ABSI - reliable prediction of survival in burns with a modified Abbreviated Burn Severity Index. BURNS, 46(6), 1272-1279. https://doi.org/10.1016/j.burns.2020.05.003

Vancouver

Bartels P, Thamm OC, Elrod J, Fuchs P, Reinshagen K, German Burn Registry et al. The ABSI is dead, long live the ABSI - reliable prediction of survival in burns with a modified Abbreviated Burn Severity Index. BURNS. 2020 Sep;46(6):1272-1279. https://doi.org/10.1016/j.burns.2020.05.003

Bibtex

@article{974ff120fa8b42e581c1c21ea6e57070,

title = "The ABSI is dead, long live the ABSI - reliable prediction of survival in burns with a modified Abbreviated Burn Severity Index",

abstract = "OBJECTIVES: The Abbreviated Burn Severity Index (ABSI) is a widely used and simple score to predict mortality after burn injuries. On the one hand, significant improvements in intensive care management and surgical treatment result in an increased survival rate. On the other hand, the aging population might lead to an increased injury-related mortality rate. Therefore, the question arises whether the ABSI still accurately predicts survival.METHODS: Data of 14,984 patients from the German Burn Registry from 2015 to 2018 were analyzed to re-evaluate the variables included in the ABSI, identify discrepancies between the predicted age-related probability of survival and the actual survival rate. Descriptive statistics, univariate analysis and binary logistic regression were used to test the variable impact and to establish a modified score.RESULTS: The original ABSI does not accurately predict the survival in the present cohort. In particular, univariate analysis identified age, total body surface area burned, full thickness burn and inhalation injury as significant impactors on survival. Moreover, sex could not be confirmed as significant and was, therefore, excluded from the modified score. The assumption of a linear relation between age and mortality was not correct. We developed a new age scale representing the actual existing relationship. The resulting modified score was significantly more accurate in predicting the probability of survival for all burn score categories.CONCLUSION: The ABSI does not accurately predict probability of survival. Mortality is overestimated in severely burned patients. A modified version was developed that was significantly more accurate in predicting the probability of survival in this cohort.",

author = "Pia Bartels and Thamm, {Oliver C} and Julia Elrod and Paul Fuchs and Konrad Reinshagen and {German Burn Registry} and Ingo Koenigs",

year = "2020",

month = sep,

doi = "10.1016/j.burns.2020.05.003",

language = "English",

volume = "46",

pages = "1272--1279",

journal = "BURNS",

issn = "0305-4179",

publisher = "Elsevier Limited",

number = "6",

}

RIS

TY - JOUR

T1 - The ABSI is dead, long live the ABSI - reliable prediction of survival in burns with a modified Abbreviated Burn Severity Index

AU - Bartels, Pia

AU - Thamm, Oliver C

AU - Elrod, Julia

AU - Fuchs, Paul

AU - Reinshagen, Konrad

AU - German Burn Registry, null

AU - Koenigs, Ingo

PY - 2020/9

Y1 - 2020/9

N2 - OBJECTIVES: The Abbreviated Burn Severity Index (ABSI) is a widely used and simple score to predict mortality after burn injuries. On the one hand, significant improvements in intensive care management and surgical treatment result in an increased survival rate. On the other hand, the aging population might lead to an increased injury-related mortality rate. Therefore, the question arises whether the ABSI still accurately predicts survival.METHODS: Data of 14,984 patients from the German Burn Registry from 2015 to 2018 were analyzed to re-evaluate the variables included in the ABSI, identify discrepancies between the predicted age-related probability of survival and the actual survival rate. Descriptive statistics, univariate analysis and binary logistic regression were used to test the variable impact and to establish a modified score.RESULTS: The original ABSI does not accurately predict the survival in the present cohort. In particular, univariate analysis identified age, total body surface area burned, full thickness burn and inhalation injury as significant impactors on survival. Moreover, sex could not be confirmed as significant and was, therefore, excluded from the modified score. The assumption of a linear relation between age and mortality was not correct. We developed a new age scale representing the actual existing relationship. The resulting modified score was significantly more accurate in predicting the probability of survival for all burn score categories.CONCLUSION: The ABSI does not accurately predict probability of survival. Mortality is overestimated in severely burned patients. A modified version was developed that was significantly more accurate in predicting the probability of survival in this cohort.

AB - OBJECTIVES: The Abbreviated Burn Severity Index (ABSI) is a widely used and simple score to predict mortality after burn injuries. On the one hand, significant improvements in intensive care management and surgical treatment result in an increased survival rate. On the other hand, the aging population might lead to an increased injury-related mortality rate. Therefore, the question arises whether the ABSI still accurately predicts survival.METHODS: Data of 14,984 patients from the German Burn Registry from 2015 to 2018 were analyzed to re-evaluate the variables included in the ABSI, identify discrepancies between the predicted age-related probability of survival and the actual survival rate. Descriptive statistics, univariate analysis and binary logistic regression were used to test the variable impact and to establish a modified score.RESULTS: The original ABSI does not accurately predict the survival in the present cohort. In particular, univariate analysis identified age, total body surface area burned, full thickness burn and inhalation injury as significant impactors on survival. Moreover, sex could not be confirmed as significant and was, therefore, excluded from the modified score. The assumption of a linear relation between age and mortality was not correct. We developed a new age scale representing the actual existing relationship. The resulting modified score was significantly more accurate in predicting the probability of survival for all burn score categories.CONCLUSION: The ABSI does not accurately predict probability of survival. Mortality is overestimated in severely burned patients. A modified version was developed that was significantly more accurate in predicting the probability of survival in this cohort.

U2 - 10.1016/j.burns.2020.05.003

DO - 10.1016/j.burns.2020.05.003

M3 - SCORING: Journal article

C2 - 32534892

VL - 46

SP - 1272

EP - 1279

JO - BURNS

JF - BURNS

SN - 0305-4179

IS - 6

ER -