Predictors of mortality in cases of thermal burns admitted to Burn Unit, Ain Shams University Hospitals, Cairo

Publication date: Available online 29 July 2019Source: Journal of Forensic and Legal MedicineAuthor(s): Sawsan A. Shalaby, Yasser Fouad, Sonya MS. Azab, Dalia M. Nabil, Yasser A. Abd El-AzizAbstractIn cases of death due to burn injury, it may be of great medico-legal importance to determine if the death is caused by fatal burn injury or due to other factors related to treatment. Therefore, this study aimed to investigate early predictors of mortality in patients with thermal burns admitted to Burn Unit, Ain Shams University Hospitals during a period of one year (2011).The study included 152 cases, mortalities represented 20.4% of the included cases (31 cases). Binary logistic regression analysis showed that, total body surface area (TBSA) of the burns and APACHE III score were significant predictors of mortality. This model resulted in accurate classification of 95.9% of the cases.Further multi-centric studies on larger sample sizes are recommended to validate the results of this study. Also, it is important to study the effect of co-morbidities as confounding factors on the prediction of mortality in patients with thermal burns.
Source: Journal of Forensic and Legal Medicine - Category: Forensic Medicine Source Type: research