Which of the Abbreviated Burn Severity Index Variables Are Having Impact on the Hospital Length of Stay?

Quality control is an important tool ensuring continuous medical efficacy. Outcome scores, however, are unfavorable from a statistical point of view, are not meaningful for less severely injured patients, and may put the treating physicians under pressure to limit therapeutic efforts. In this study the variables of the abbreviated burn severity index (ABSI), primarily an outcome score, were used to predict length of hospital stay (HLS), a continuous quantitative variable reflecting treatment costs and incidence of complications even in less severely injured patients. For 365 patients a multiple linear regression analysis was used to evaluate the influence of the ABSI variables on HLS. Among survivors, age and total body surface area burned (TBSA) contributed significantly to HLS, whereas for nonsurvivors only TBSA significantly influenced HLS. Neither gender nor presence of full-thickness burn or inhalation injury showed a significant influence on HLS. The impact of age and TBSA on HLS might be used as a benchmarking system to evaluate quality of care. However, although HLS is probably widely dependent on regional health care systems, TBSA and age proved to be the only variables of the ABSI to correlate with HLS.

[1]  G. Germann,et al.  Establishing a baseline for organisation and outcome in burn care-basic data compiled by German burn centres, 1991-2000. , 2004, Burns : journal of the International Society for Burn Injuries.

[2]  M. Mittlböck,et al.  Serum cholesterol and triglycerides: potential role in mortality prediction. , 2003, Burns : journal of the International Society for Burn Injuries.

[3]  M. Zimpfer,et al.  Nutrition and anabolic agents in burned patients. , 2003, Burns : journal of the International Society for Burn Injuries.

[4]  L. Kamolz,et al.  Scoring in burned patients. our opinion. , 2003, Burns : journal of the International Society for Burn Injuries.

[5]  Marcus Spies,et al.  Prediction of mortality from catastrophic burns in children , 2003, The Lancet.

[6]  L. Kamolz,et al.  Treatment of patients with severe burn injuries: the impact of schizophrenia. , 2003, Burns : journal of the International Society for Burn Injuries.

[7]  L. Kamolz,et al.  Serum cholinesterase activity reflects morbidity in burned patients. , 2002, Burns : journal of the International Society for Burn Injuries.

[8]  F. W. Kloppenberg,et al.  Perfusion of burn wounds assessed by laser doppler imaging is related to burn depth and healing time. , 2001, Burns : journal of the International Society for Burn Injuries.

[9]  C. Ryan,et al.  Objective estimates of the probability of death from burn injuries. , 1998, The New England journal of medicine.

[10]  R. Lefering,et al.  The impact of risk factors and pre-existing conditions on the mortality of burn patients and the precision of predictive admission-scoring systems. , 1997, Burns : journal of the International Society for Burn Injuries.

[11]  D. Heimbach,et al.  Early burn excision and grafting. , 1987, The Surgical clinics of North America.

[12]  R F Edlich,et al.  The abbreviated burn severity index. , 1982, Annals of emergency medicine.

[13]  I. Agstner,et al.  [The influence of different therapeutic approaches on the survival of elderly burn patients]. , 1999, Der Chirurg; Zeitschrift fur alle Gebiete der operativen Medizen.

[14]  Michel D. Peck,et al.  Comparison of length of hospital stay to mortality rate in a regional burn center. , 1996, The Journal of burn care & rehabilitation.