Abstrait

Evaluation of the relationship between score results of APACHE-IV scoring system and mortality rate of patients admitted to the Intensive Care Unit (ICU) of the burn section

Mohammad Reza Abolghasemi, Abbas Aghabiklooei, Azadeh Memarian, Farrokh Taftachi, Leyla Kholoosy, Maryam Ameri

Introduction: The study aimed to evaluate APACHE-IV scoring system and functionality of this system in prognostic evaluation of burn patients admitted to the Intensive Care Unit (ICU) of the burn section of Shahid Motahari Hospital in Tehran.

Methods: First the scores for APACHE-IV scoring system have been calculated on specific software on the first day of admission of patients who have been hospitalized to the ICU for burns of Shahid Motahari hospital; other clinical information of the patient such as level of burn (TBSA%), depth or degree of burns, causes of burns, the location of anatomical condition of burns, presence or absence of airway burns and underlying disease have been recorded in specific form and scoring results for APACHE-IV scoring system have been compared with actual values of mortality.

Results: 210 patients have been studied. The average age of male patients was 39.9 ± 15.9 years and the average age of female patients was 39 ± 16.4 years. The average age of deceased patients was 37.9 ± 18.8 versus 39 ± 16.4 years (mean age of the survived patients). Comparing Average score of APACHE-IV in died and survived patients strongly have been reported to be statistically significant. Also studying the relationship of obtained scores from APACHE-IV scoring system in most of the studied variables showed that this correlation have been strongly significant in younger than 50 years old groups.

Conclusion: It can be concluded that APACHE-IV scoring system can be used as a risk evaluation method in burn patients; however, for obtaining the best results and extraction of clinically reliable scores, effective criteria associated with burns, especially the area of burns and burns of airway with calculating value and influence of each of these criteria should be considered in the mortality of patients.