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European Journal of Plastic Surgery

, Volume 42, Issue 2, pp 177–182 | Cite as

ABSI scoring system for burns: concerns and modifications in a developing country

  • Mostafa Ahmed Abo El Soud
  • Rama Ahmed Ali
  • Ahmed A. TahaEmail author
  • Seifeddine Marwan Khirfan
Original Paper

Abstract

Background

Burns are a major health problem worldwide. In some countries, they are the fourth leading cause of death in trauma patients. Every year, more than 200,000 deaths occur because of diverse types of burns, and the majority of these deaths occur in low-income countries. The incidence of burn mortality depends on both patient factors (age, gender, and comorbidities) and burn factors (depth and total burn surface area (TBSA)). Mortality prediction for burn patients is important not only to determine the prognosis of individual patients but to assess the performance of the burn institute and the quality of the health care the patients receive. Many mortality or survival prediction models have been developed, modified, and validated. The abbreviated burn scoring index (ABSI) is one of the most commonly used scores for assessing patients’ mortality. It was reviewed, modified, and validated in this study.

Methods

This is a retrospective analysis of cases admitted to Kasr Al-Ainy Burn Unit (KABU), Cairo University Hospitals, Egypt, over a period of 5 years (January 2012 to December 2016). The data were analyzed using the ABSI scaling system.

Results

The predicted survival using the ABSI was the same as the actual survival for all age groups except children less than 10 years and pregnant females, who had actual survival rates that differed from those predicted.

Conclusion

ABSI is one of the best indicators of the mortality and well-being of burn patients. A modification of the ABSI score that added one point for children less than 10 years yielded closer predicted and actual survival rates and this change was statistically significant. A larger number of pregnant females is needed to validate the scoring system for pregnant patients. Close attention and care are always recommended for these two special high-risk groups.

Level of Evidence: Level II, risk / prognostic study.

Keywords

Burns ABSI Children Pregnant Egypt 

Notes

Compliance with ethical standards

Conflict of interest

Mostafa Ahmed Abo El Soud, Rama Ahmed Ali, Ahmed A. Taha, and Seifeddine Marwan Khirfan declare that they have no conflict of interest.

Ethical approval

For this kind of retrospective study formal consent from a local ethics committee is not required.

Informed consent

Written and verbal consent was obtained from the patients.

References

  1. 1.
    World Health Organization (WHO) Global burden of DISEASE: 2004 summary tables. World Health Organization, GenevaGoogle Scholar
  2. 2.
    Tahir et al (2009) Prediction of mortality after major burn: physiological versus biochemical measures. Wounds 21(7):177–182Google Scholar
  3. 3.
    Dahal P et al (2015) Baux’s and abbreviated burn severity score for the prediction of mortality in patients with acute burn injury. J Coll Med Sci Nepal 11(4):24–27Google Scholar
  4. 4.
    Zawacki BE, Azen SP, Imbus SH et al (1979) Multifactorial probit analysis of mortality in burned patients. Ann Surg 189(1):1–5CrossRefGoogle Scholar
  5. 5.
    Osler T, Glance LG, Hosmer DW (2010) Simplified estimates of the probability of death after burn injuries: extending and updating the Baux score. J Trauma 68(3):690–697CrossRefGoogle Scholar
  6. 6.
    Brusselaers N, Agbenorku P, Hoyte-Williams PE (2013) Assessment of mortality prediction models in a Ghanaian burn population. Burn 39(5):997–1003CrossRefGoogle Scholar
  7. 7.
    Tobiasen J, Hiebert JH, Edlich RF (1982) Prediction of burn mortality. Surg Gynecol Obstet 154(5):711–714Google Scholar
  8. 8.
    Chan YH (2003) Biostatistics102: quantitative data – parametric & non-parametric tests. Singap Med J 44(8):391–396Google Scholar
  9. 9.
    Parikh P, Sunesara I, Lutz E et al (2015) Burns during pregnancy: implications for maternal-perinatal providers and guidelines for practice. Obstet Gynecol Surv 70(10):633–643CrossRefGoogle Scholar
  10. 10.
    Maghsoudi H, Samnia R, Garadaghi A, Kianvar H (2006 Mar) Burns in pregnancy. Burns 32(2):246–250CrossRefGoogle Scholar
  11. 11.
    Taha AA, Beshr AA, Tahseen H et al. Pattern of burns in a population presented to Cairo University hospitals over one year; an epidemiological study. Burns Open. Available online 14 December 2017, open access.  https://doi.org/10.1016/j.burnso.2017.12.001

Copyright information

© Springer-Verlag GmbH Germany, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Department of Plastic Surgery, Faculty of MedicineCairo UniversityCAIROEgypt

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