Evaluation of ABSI Score for the Prognosis and Length of Hospitalization of Burn Patients

INTRODUCTION: The aim of our study is to investigate the usability of the ABSI score in predicting the prognosis and length of hospital stay of the patients.
METHODS: In our study, the data of burn patients who were hospitalized and treated in our burn units between January 2018 and December 2020 were evaluated retrospectively. The effects of burn agent and the factors that make up the ABSI score on the prognosis and length of hospital stay of the patients were investigated.
RESULTS: 331 burn patients were evaluated. It was found that the percentage of total burn surface area, presence of full-thickness burn and inhalation injury, among the variables constituting the ABSI score, were significantly higher in the burn non survivor group (p<0.001). Mortality risk of the patients were increased with the increase in the ABSI score (p<0.001).
When the effects of the ABSI score on the length of hospital stay were evaluated, it was found that the higher the ABSI score, the longer the hospitalization duration (p<0.001).
The hospitalization duration of the patients with flame and electrical burns were significantly longer than other kinds of burns (p<0.001).

DISCUSSION AND CONCLUSION: We think that a new scoring system that includes the percentage of burn area, presence of full-thickness burn, inhalation damage, which are components of the ABSI score and patient groups with difficult burn recovery as well as the burn agent, will be more effective in determining mortality, prognosis and hospital stay of burn patients.