Risk stratification of mortality in patients with thermal injury based on the Revised Frank Index

Zhirkova EA, Spiridonova TG, Sachkov AV, Sinyakova OG, Eliseenkova EI, Medvedev AO, Rogal ML, Petrikov SS. Risk stratification of mortality in patients with thermal injury based on the Revised Frank Index. Russian Journal of Anesthesiology and Reanimatology. 2024;(2):32‑38. (In Russ., In Engl.)
https://doi.org/10.17116/anaesthesiology202402132

Доказательная гастроэнтерология: pro et contra

Актуальные вопросы педиатрической практики

Использование инфографики авторами научных работ

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OBJECTIVE

To develop a mortality risk stratification model for patients with thermal injuries based on the Revised Frank Index and compare this tool with stratification models based on other specialized mortality prediction indices.

MATERIAL AND METHODS

To develop a stratification model based on the revised Frank Index (RFI), we analyzed these scores for 399 patients with skin burns using the following equation: ∑ = age (years) + S burns (% of BSA) + 3×S deep burns (% of BSA) + 30 (for inhalation injury). To compare patient stratification models based on the Baux, Frank and Abbreviated Burn Severity Index (ABSI), all these scales were calculated for patients.

RESULTS

The number of deaths increased in each subsequent stratification group compared to the previous one. However, there were no significant differences in the number of deaths and risk of mortality in models based on Baux and IF indices. The number and risk of death were significantly different in all groups only in our RFI-based stratification of patients.

CONCLUSION

The developed RFI-based patient stratification model provides a more accurate prediction compared to Baux, IF and ABSI values. Thus, RFI is perspective for further development of treatment algorithms.

Keywords:

burns

mortality prognosis

prognostic indices

Revised Frank Index

RFI

risk stratification of lethal outcomes

Authors:

E.A. Zhirkova

Sklifosovsky Research Institute for Emergency Care

ORCID: 0000-0002-9862-0229

T.G. Spiridonova

Sklifosovsky Research Institute for Emergency Care

ORCID: 0000-0001-7070-8512

A.V. Sachkov

Sklifosovsky Research Institute for Emergency Care

ORCID: 0000-0003-3742-6374

O.G. Sinyakova

Sklifosovsky Research Institute for Emergency Care

ORCID: 0000-0003-1686-6952

E.I. Eliseenkova

Sklifosovsky Research Institute for Emergency Care

ORCID: 0000-0002-5070-0908

A.O. Medvedev

Sklifosovsky Research Institute for Emergency Care

ORCID: 0000-0001-7159-7287

M.L. Rogal

Sklifosovsky Research Institute for Emergency Care

ORCID: 0000-0003-1051-7663

S.S. Petrikov

Sklifosovsky Research Institute for Emergency Care;
Russian University of Medicine (Evdokimov Moscow State University of Medicine and Dentistry)

ORCID: 0000-0003-3292-8789

Received:

14.08.2023

Accepted:

09.11.2023

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