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Prognostic scoring systems in burns: A review
Abstract Survival after burn has steadily improved over the last few decades. Patient mortality is, however, still the primary outcome measure for burn care. Scoring systems aim to use the most predictive premorbid and injury factors to yield an expected likelihood of death for a given patient. Age,...
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Published in: | Burns 2011-12, Vol.37 (8), p.1288-1295 |
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creator | Sheppard, N.N Hemington-Gorse, S Shelley, O.P Philp, B Dziewulski, P |
description | Abstract Survival after burn has steadily improved over the last few decades. Patient mortality is, however, still the primary outcome measure for burn care. Scoring systems aim to use the most predictive premorbid and injury factors to yield an expected likelihood of death for a given patient. Age, burn surface area and inhalational injury remain the mainstays of burn prognostication, but their relative weighting varies between scoring systems. Biochemical markers may hold the key to predicting outcomes in burns. Alternatively, the incorporation of global scales such as those used in the general intensive care unit may have relevance in burn patients. Outcomes other than mortality are increasingly relevant, especially as mortality after burns continues to improve. The evolution of prognostic scoring in burns is reviewed with specific reference to the more widely regarded measures. Alternative approaches to burn prognostication are reviewed along with evidence for the use of outcomes other than mortality. The purpose and utility of prognostic scoring in general is discussed with relevance to its potential uses in audit, research and at the bedside. |
doi_str_mv | 10.1016/j.burns.2011.07.017 |
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Patient mortality is, however, still the primary outcome measure for burn care. Scoring systems aim to use the most predictive premorbid and injury factors to yield an expected likelihood of death for a given patient. Age, burn surface area and inhalational injury remain the mainstays of burn prognostication, but their relative weighting varies between scoring systems. Biochemical markers may hold the key to predicting outcomes in burns. Alternatively, the incorporation of global scales such as those used in the general intensive care unit may have relevance in burn patients. Outcomes other than mortality are increasingly relevant, especially as mortality after burns continues to improve. The evolution of prognostic scoring in burns is reviewed with specific reference to the more widely regarded measures. Alternative approaches to burn prognostication are reviewed along with evidence for the use of outcomes other than mortality. 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Patient mortality is, however, still the primary outcome measure for burn care. Scoring systems aim to use the most predictive premorbid and injury factors to yield an expected likelihood of death for a given patient. Age, burn surface area and inhalational injury remain the mainstays of burn prognostication, but their relative weighting varies between scoring systems. Biochemical markers may hold the key to predicting outcomes in burns. Alternatively, the incorporation of global scales such as those used in the general intensive care unit may have relevance in burn patients. Outcomes other than mortality are increasingly relevant, especially as mortality after burns continues to improve. The evolution of prognostic scoring in burns is reviewed with specific reference to the more widely regarded measures. Alternative approaches to burn prognostication are reviewed along with evidence for the use of outcomes other than mortality. The purpose and utility of prognostic scoring in general is discussed with relevance to its potential uses in audit, research and at the bedside.</description><subject>Age Factors</subject><subject>APACHE</subject><subject>Biological and medical sciences</subject><subject>Biomarkers - analysis</subject><subject>Burns</subject><subject>Burns - mortality</subject><subject>Burns - pathology</subject><subject>Critical Care</subject><subject>Humans</subject><subject>Medical sciences</subject><subject>Mortality</subject><subject>Predictive Value of Tests</subject><subject>Prognosis</subject><subject>Risk Factors</subject><subject>Scoring system</subject><subject>Severity of Illness Index</subject><subject>Sex Factors</subject><subject>Smoke Inhalation Injury - mortality</subject><subject>Traumas. 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Diseases due to physical agents</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Sheppard, N.N</creatorcontrib><creatorcontrib>Hemington-Gorse, S</creatorcontrib><creatorcontrib>Shelley, O.P</creatorcontrib><creatorcontrib>Philp, B</creatorcontrib><creatorcontrib>Dziewulski, P</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Burns</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Sheppard, N.N</au><au>Hemington-Gorse, S</au><au>Shelley, O.P</au><au>Philp, B</au><au>Dziewulski, P</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Prognostic scoring systems in burns: A review</atitle><jtitle>Burns</jtitle><addtitle>Burns</addtitle><date>2011-12-01</date><risdate>2011</risdate><volume>37</volume><issue>8</issue><spage>1288</spage><epage>1295</epage><pages>1288-1295</pages><issn>0305-4179</issn><eissn>1879-1409</eissn><coden>BURND8</coden><notes>ObjectType-Article-2</notes><notes>SourceType-Scholarly Journals-1</notes><notes>ObjectType-Feature-3</notes><notes>content type line 23</notes><notes>ObjectType-Review-1</notes><abstract>Abstract Survival after burn has steadily improved over the last few decades. 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subjects | Age Factors APACHE Biological and medical sciences Biomarkers - analysis Burns Burns - mortality Burns - pathology Critical Care Humans Medical sciences Mortality Predictive Value of Tests Prognosis Risk Factors Scoring system Severity of Illness Index Sex Factors Smoke Inhalation Injury - mortality Traumas. Diseases due to physical agents |
title | Prognostic scoring systems in burns: A review |
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