Revised Baux Score Identifies a New Risk Factor for Mortality: History of Diabetes.

Authors

• Timothy Nehila, Lehigh Valley Health NetworkFollow
• Marian Mikhael
• Shreya Arora, Lehigh Valley Health NetworkFollow
• Rithvic Jupudi, Lehigh Valley Health NetworkFollow
• Jaynie Criscione, Lehigh Valley Health NetworkFollow
• Nicole K Le
• Kristen Whalen
• Kristina Buller
• Jake Laun
• Jared Troy

Publication/Presentation Date

5-18-2026

Abstract

OBJECTIVE: Over the past several decades, numerous predictive formulas have been developed to estimate the probability of death from burn injury. Despite the preponderance of models, there are relatively few widely accepted objective measures found to impact mortality in patients with burns. These factors include sex, age, burn depth, total body surface area (TBSA), and presence of inhalation injury.

METHODS: In this study, the authors retrospectively analyzed mortality in the burn patients over the age of 18 at a Level Ⅰ trauma center between 2015 and 2020 to identify prognostic factors. Significant risk factors for the prediction of mortality based on a set of objective variables were identified using a stepwise forward logistic-regression analysis.

RESULTS: Nine hundred sixty-three patients (mean age of 47±17 y; mean TBSA of 9±13%) met inclusion criteria. Mortality was 4%. Eighty-four patients (9%) had inhalational injury. The mean length of hospital stay was 10±15 days. The most prevalent burn etiologies in the population were flame (45.5%) and scald (13.5%). Five risk factors for death after burn injury were identified: increased age, increased TBSA, presence of inhalational injury, presence of third-degree burns, and history of diabetes.

CONCLUSIONS: This is the first time, to the authors' knowledge, that history of diabetes has been identified as a prognostic factor for mortality and suggests that the inclusion of diabetic status in future mortality models would increase their accuracy in comparable populations. On the basis of this data, the authors propose an equation to calculate percent mortality in burn patients, which includes history of diabetes as a prognostic variable.

ISSN

1538-8654

Published In/Presented At

Nehila, T., Mikhael, M., Arora, S., Jupudi, R., Criscione, J. X., Le, N. K., Whalen, K., Buller, K., Laun, J., & Troy, J. (2026). Revised Baux Score Identifies a New Risk Factor for Mortality: History of Diabetes. Advances in skin & wound care, 10.1097/ASW.0000000000000471. Advance online publication. https://doi.org/10.1097/ASW.0000000000000471

Disciplines

Medical Education | Medicine and Health Sciences

PubMedID

42155058

Department(s)

USF-LVHN SELECT Program, USF-LVHN SELECT Program Students

Document Type

Article