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Characteristics of organ dysfunction according to the SOFA score in severe burns patients
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Abstract
Objective: Assessment of Organ Dysfunction Characteristics According to the SOFA Score in Severe Burns Patients.
Patients and method: A prospective descriptive study was conducted on 119 patients with severe burns, aged 18 years and older, who were admitted to the Intensive Care Unit for treatment from June 1, 2024, to June 30, 2025. All patients were admitted within 48 hours after the burn injury, with no underlying diseases or associated trauma. Data were collected at three time points: upon admission (N0), three days after the burn injury (N3), and seven days after the burn injury (N7).
Results: The prevalence of organ dysfunction according to the SOFA score was high at all time points: upon admission (77.31%), three days after the burn injury (87.39%), and seven days after the burn injury (68.07%). Upon admission and on day 7 after the burn injury, the respiratory system showed the highest rate of dysfunction according to the SOFA score (39.50% and 47.06%, respectively). On day 3 after the burn injury, the hematologic system had the highest rate of dysfunction (56.30%). The SOFA scores at admission and on day 7 post-burn showed a fairly strong positive correlation with burn extent (p < 0.001). There was also a fairly strong positive correlation between the extent of full-thickness burns, inhalation injury, and SOFA scores at admission, on day 3, and on day 7 post-burn (p < 0.001).
Conclusion: The incidence of organ dysfunction according to the SOFA score in patients with severe burns was high. SOFA scores at admission and on day 7 post-burn showed a fairly strong positive correlation with burn severity.
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Keywords
Severe burns, SOFA score
References
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