Vital indicators in predicting burn mortality: A comparison of shock indices and burn shock indices

Basit Öğe Kaydı
dc.authorid0000-0002-6976-6958en_US
dc.authorid0000-0002-5799-3985en_US
dc.authorid0000-0003-1100-3613en_US
dc.authorid0000-0001-8739-7474en_US
dc.authorid0000-0003-4712-8362en_US
dc.authorid0000-0003-2394-3741en_US
dc.authorid0000-0003-2060-2677en_US
dc.authorid0000-0001-5209-5564en_US
dc.contributor.authorİçer, Mustafa
dc.contributor.authorGündüz, Ercan
dc.contributor.authorGüloğlu, Cahfer
dc.contributor.authorErbatur, Serkan
dc.contributor.authorPolat, Dicle
dc.contributor.authorÖzkan, Halime
dc.contributor.authorBayrak, Tuğçe
dc.contributor.authorÜlgüt, Şilan Göger
dc.date.accessioned2024-03-26T12:40:58Z
dc.date.available2024-03-26T12:40:58Z
dc.date.issued2023en_US
dc.departmentDicle Üniversitesi, Tıp Fakültesi, Dahili Tıp Bilimleri Bölümü, Acil Tıp Ana Bilim Dalıen_US
dc.description.abstractBackground/aim: In many studies, shock indices have proven to be good tools for predicting mortality. In the present study, burn shock index (BSI), percentage of total body surface area burned (TBSA%) multiplied by shock index; burn modified shock index (BMSI), TBSA% multiplied by modified shock index; burn age shock index (BASI), TBSA% multiplied by age shock index; burn rivers shock index (BrSI), TBSA% multiplied by rivers shock index; burn rivers shock index multiplied by Glasgow Coma Scale score (BrSIG) were examined in burn patients. We defined these burn shock indices for the first time. This study aimed to evaluate the effectiveness of shock indices and burn shock indices in predicting mortality in burn patients. Materials and methods: This study examines retrospectively of burn patients admitted to the emergency department of Dicle University Hospital between January 2010 and December 2022. The patients’ vital signs were obtained at the time of presentation to the emergency department, and shock indices were calculated. The effectiveness of shock indices in predicting mortality was compared. Results: A total of 2445 patients were included in the study. Of the patients, 1793 were pediatric, and 652 were adults. BSI (AUC: 0.872, 95% confidence interval (CI): 0.812–0.931, p ˂ 0.001) had the highest area under the curve (AUC) value in predicting mortality in children. The optimal cut-off value for BSI in children was 21.79 and its was sensitivity 83.05%, specificity 79.64%, positive predictive value (PPV) 12.19%, negative predictive value (NPV) 99.28%. In adults, BASI had the highest value of AUC (AUC: 0.936, 95% CI: 0.887–0.984, p ˂ 0.001). The optimal cut-off value for BASI in adults was 62.5 and its sensitivity was 86.49%, specificity was 91.71%, PPV was 38.55%, and NPV was 99.12%. Conclusion: Shock indices are easy to calculate and effective in predicting mortality in burn patients admitted to the emergency department. Among the shock indices in the study, BSI was the best in predicting mortality in children, and BASI was the best in adults.en_US
dc.identifier.citationİçer, M., Gündüz, E., Güloğlu, C., Erbatur, S., Polat, D., Özkan, H. ve diğerleri. (2023). Vital indicators in predicting burn mortality: A comparison of shock indices and burn shock indices. Turkish Journal of Medical Sciences, 53(6), 1877-1885.en_US
dc.identifier.doi10.55730/1300-0144.5758
dc.identifier.endpage1885en_US
dc.identifier.issn1300-0144
dc.identifier.issue6en_US
dc.identifier.scopus2-s2.0-85179889835
dc.identifier.scopusqualityQ1
dc.identifier.startpage1877en_US
dc.identifier.trdizinid1221161
dc.identifier.urihttps://journals.tubitak.gov.tr/medical/vol53/iss6/38/
dc.identifier.urihttps://hdl.handle.net/11468/13728
dc.identifier.urihttps://search.trdizin.gov.tr/yayin/detay/1221161
dc.identifier.volume53en_US
dc.identifier.wosWOS:001127245500002
dc.identifier.wosqualityN/A
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakTR-Dizin
dc.institutionauthorİçer, Mustafa
dc.institutionauthorGündüz, Ercan
dc.institutionauthorGüloğlu, Cahfer
dc.institutionauthorErbatur, Serkan
dc.institutionauthorBayrak, Tuğçe
dc.institutionauthorÜlgüt, Şilan Göger
dc.language.isoenen_US
dc.publisherTurkiye Kliniklerien_US
dc.relation.ispartofTurkish Journal of Medical Sciences
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectBASIen_US
dc.subjectBurnen_US
dc.subjectBurn age shock indexen_US
dc.subjectBurn shock indexen_US
dc.subjectShock indexen_US
dc.titleVital indicators in predicting burn mortality: A comparison of shock indices and burn shock indicesen_US
dc.titleVital indicators in predicting burn mortality: A comparison of shock indices and burn shock indices
dc.typeArticleen_US

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