dc.contributor.author | Ndung'u, WA | |
dc.date.accessioned | 2013-05-25T06:20:35Z | |
dc.date.available | 2013-05-25T06:20:35Z | |
dc.date.issued | 2008 | |
dc.identifier.uri | http://erepository.uonbi.ac.ke:8080/xmlui/handle/11295/25523 | |
dc.description.abstract | BACKGROUD
Burns constitute severe trauma for an individual patient. There exists a
need to be able to document injury severity in the particular patient and
reasonably predict outcome for purposes of patient management, triage
and counseling. Routine trauma scores currently in existence do not
perform well when applied to burn injuries. Hence the need to apply a
bum-injury specific trauma score and find out its applicability in our
setup.
METHODOLOGY
This was a prospective observation study based at the Kenyatta National
Hospital. Consecutive patients admitted with burn injuries were recruited
after obtaining consent. A questionnaire was filled out for each,
documenting their biographic data plus a calculation of their Abbreviated
Burns Severity Index (ABSI) score. They were then followed up till they
were discharged or they died and the time intervals noted. The results
were then analyzed on achieving the end points for the patients recruited.
RESULTS
A total of 200 patients were recruited. Thirty seven of these died
corresponding to 18.5% mortality. There were more male than female
patients in the ratio of 1:0.8. Most of the burns (67%) were due to scald
injuries. 22% of the patients had inhalation injuries. 45% of the patients
had an ABSI score of 4-5. Mortality was as predicted by the ABSI in all
but categories 2-3 and 6-7 of the calculated ABSI score
CONCLUSION. ABSI score is useful in our setup both to document burn injury severity
and to predict outcome. It can also be used as a self evaluation tool of
institution performance in burn patient management. | en |
dc.language.iso | en | en |
dc.publisher | University of Nairobi. | en |
dc.title | The value of using abbreviated burns severity index score in predicting the outcome of patients with moderate to severe thermal injuries at Kenyatta National Hospital | en |
dc.type | Thesis | en |
dc.description.department | a
Department of Psychiatry, University of Nairobi, ; bDepartment of Mental Health, School of Medicine,
Moi University, Eldoret, Kenya | |
local.publisher | Faculty of Medicine | en |