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Date Published: 28/02/2025
Online Published: 28/02/2025
Abstract Views: 147
Views article details: 102
DOI: https://doi.org/10.54804/yhthvb.1.2025.397
Issue
No. 1 (2025)
Section
Articles
How to Cite
Nguyen, N. L., Ngo, T. H., & Tran, D. H. (2025). Evaluation of mortality predictors in burn patients with invasive mechanical ventilation. Journal of Disaster Medicine and Burn Injuries, 1, 15-23. https://doi.org/10.54804/yhthvb.1.2025.397

Evaluation of mortality predictors in burn patients with invasive mechanical ventilation

Nguyen Nhu Lam1,2, Ngo Tuan Hung1,2,, Tran Dinh Hung1,2
1 Le Huu Trac National Burn Hospital
2 Vietnam Military Medical University

Main Article Content

Abstract

Objectives: Evaluation of mortality predictors in burn patients with invasive mechanical ventilation.
Subjects and methods: 234 burn patients with mechanical ventilation treated at the intensive care unit, National Burn Hospital, from January 2022 to June 2024 have clear results: Survival or mortality in the hospital.
Results: In the group mortality, the main cause of intubation was inhalation injury (56.33%), while in the group that survived, the main cause of intubation was sepsis and septic shock (46.05%) (p < 0.05). Compared with the survival group, the mortality group had significantly higher burn extent, deep burn area, number of inhalation injury patients, number of burn patients on the back, buttocks, legs, and arms (p < 0.05). Multivariate analysis showed that only the deep burn area was independently associated with mortality (p < 0.05), with good predictive value for mortality (AUC = 0.8). The rBaux and ABSI scores had good predictive value for mortality. BOBI and RYAN scores had a fairly good predictive value for mortality. The median SMR of the ABSI index was closest to 1 (1.13).
Conclusion: The deep burn area was independently associated with mortality. The optimal score to predict mortality in burn patients with invasive ventilation treated at the National Burn Hospital was ABSI.

Article Details

Keywords

Burn, ventilation, mortality

References

1. Orozco-Peláez Y.A. (2018). Airway burn or inhalation injury: Should all patients be intubated? Colombian Journal of Anesthesiology, 46 (2S), 26-31.
2. Brychta P. (2011). European practice guidelines for burn care: minimum level of burn care provision in Europe. Handbook of Burns: Acute Burn Care Volume 1, Springer, 97-102.
3. Lip H.T.C., Idris M.A.M., Imran F.-H. et al. (2019). Predictors of mortality and validation of burn mortality prognostic scores in a Malaysian burns intensive care unit. BMC Emergency Medicine, 19, 1-7.
4. Gigengack R.K., van Baar M.E., Cleffken B.I. et al. (2019). Burn intensive care treatment over the last 30 years: Improved survival and shift in case-mix. Burns, 45 (5), 1057-1065.
5. Folwell J.S., Basel A.P., Britton G.W. et al. (2021). Mechanical ventilation strategies in the critically ill burn patient: A practical review for clinicians. European Burn Journal, 2 (3), 140-151.
6. Tan Chor Lip H., Tan J.H., Thomas M. et al. (2019). Survival analysis and mortality predictors of hospitalized severe burn victims in a Malaysian burns intensive care unit. Burns & trauma, 7(3), 1-8.
7. Güldoğan C.E., Kendirci M., Gündoğdu E. et al. (2019). Analysis of factors associated with mortality in major burn patients. Turkish journal of surgery, 35 (3), 155.
8. Steinvall I., Elmasry M., Fredrikson M. et al. (2016). Standardised mortality ratio based on the sum of age and percentage total body surface area burned is an adequate quality indicator in burn care: an exploratory review. Burns, 42 (1), 28-40.
9. Leung C., Lee S. (1992). Morbidity and mortality in respiratory burns--a prospective study of 240 cases. Annals of the Academy of Medicine, Singapore, 21 (5), 619-623.
10. Jeschke M.G., Pinto R., Kraft R. et al. (2015). Morbidity and survival probability in burn patients in modern burn care. Critical care medicine, 43 (4), 808-815.
11. Costa S., Ferros C., Reigota A. et al. (2024) Prognostic Scores for Mortality in Invasive Mechanically Ventilated Burn Patients. Cureus, 16 (6), 1-11.