Определяне на тежестта на изгарянето и причинената от него телесна повреда: BAUX срещу AIS
Determination the severity of thermal injury and bodily harm using R-BAUX and AIS

Summary/Abstract: Despite constant progress in medicine, thermal injuries and their consequences continue to be a serious social, medical and forensic problem worldwide, requiring the creation and use of a precise method for determining the severity of thermal injury and predicting its outcome. The aim of our study was to confirm the accuracy of the R-Baux and AIS systems in predicting the risk of fatal thermal injury by comparing the calculated values with the actual reported as well as to examine the possibility of determining the cause of bodily injury. All burn cases for the 5 year period (2011-2015) admitted to the Clinic of Thermal Traumas and Plastic-Restorative and Aesthetic Surgery at the Military Hospital - Varna were studied. The obtained results allowed us to form three groups according to the AIS and R-Baux values, and the reported in the clinic percentage of fatal cases. At AIS 1, the mortality is below 0.1%. At 2, 3 and 4 it is between 0.6 and 15% and at values 5 and 6 it is between 60 and 90%. For the other system, R-Baux, we have the following dependency: for values less than 20 - there is no threat to life, between 21 and 120 - the risk is up to 44% and at values above 120, the risk is higher than 90%. It was confirmed that the two systems are suitable for calculating the risk of death after thermal injury and that the obtained numerical values could be used as a reference by the forensic physicians in the classification of bodily injury due to burns, according to the extent to which the life of the patient is threatened.

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