Prediction of Mortality in Pediatric Burn Injuries: R-Baux Score to Be Applied in Children (Pediatrics-Baux Score)

Hamid Karimi; Seyed-Abbas Motevalian; Amirhossein Rabbani; Amir-Reza Motabar; Mahtab Vasigh; Mansoureh Sabzeparvar; Mohammad Reza  Mobayen

IJ Pediatrics

The Scientific Journal of Growth & Development Research Center

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Prediction of Mortality in Pediatric Burn Injuries: R-Baux Score to Be Applied in Children (Pediatrics-Baux Score)

Author(s):

Hamid Karimi¹,

Seyed-Abbas Motevalian²,

Amirhossein Rabbani³,

Amir-Reza Motabar⁴,

Mahtab Vasigh⁵,

Mansoureh Sabzeparvar⁶,

Mohammad Reza Mobayen^7,*

IJ Pediatrics:Vol. 23, issue 2; 165-170

Published online:Feb 08, 2013

Article type:Research Article

Received:Apr 14, 2012

Accepted:Jan 19, 2013

How to Cite:Hamid KarimiSeyed-Abbas MotevalianAmirhossein RabbaniAmir-Reza MotabarMahtab VasighMansoureh SabzeparvarMohammad Reza Mobayenet al.Prediction of Mortality in Pediatric Burn Injuries: R-Baux Score to Be Applied in Children (Pediatrics-Baux Score).Iran J Pediatr.23(2):165-170.

Abstract

Objective: R-Baux score has obtained an acceptable validity and accuracy in predicting burn-related mortality. However, its usage and efficacy among pediatric burn patients has not been well documented. The aim of this study was to employ Pediatrics-Baux (P-Buax) score as modified version of R-Baux score in these patients to determine how it could be applicable in this population.
Methods: Through a prospective study, 870 pediatric burn patients were enrolled. P-Baux and R-Baux scores were calculated for each patient and they were categorized to different groups according to these scores. Mortality and further death probability were measured for each subject and then analyzed by logistic regression model to reveal how they change in relation with age in pediatric burn patients.
Findings: R-Baux score for 95% probability of death revealed a mean of 73 among patients of this study. Also P-Baux score was measured in these patients with inhalation injury which showed to be 55 for 95% probability of death. Results showed that age had a positive prognostic value in contrast to the negative prognostic value of Total Body Surface Area (TBSA) and inhalation injury.
Conclusion: Our analysis showed that in children under the age of 15 years, age has a positive prognostic value while TBSA and inhalation injuries had negative prognostic values in relation to mortality. Hence, in contrast to the adult population, burn injury related mortality may be predicted by modified R-Baux score as (TBSA - age + [18×R]) which could be named as P-Baux score.

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