NDLI: SCORTEN accurately predicts mortality among toxic epidermal necrolysis patients treated in a burn center.

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SCORTEN accurately predicts mortality among toxic epidermal necrolysis patients treated in a burn center.

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SCORTEN accurately predicts mortality among toxic epidermal necrolysis patients treated in a burn center.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Cartotto, Rob Mayich, Mike Nickerson, Duncan Gomez, Manuel
Description	Country affiliation: Canada Author Affiliation: Cartotto R ( Ross Tilley Burn Centre, Sunnybrook Health Sciences Centre, Toronto, Canada.)
Abstract	SCORTEN is a scoring system used to predict mortality in toxic epidermal necrolysis (TEN) patients. The accuracy of SCORTEN among TEN patients treated in burn centers has not been established. The purpose of this study was to assess the discriminative power and calibration of SCORTEN among TEN patients treated at an adult regional burn center. Retrospective analysis of a consecutive series of TEN patients was used to compare actual mortality with that predicted by SCORTEN. A standardized mortality ratio was obtained to compare the actual number of deaths to the predicted number based on SCORTEN. Discrimination was measured using the area under the receiver operator characteristic curve, and model fit (calibration) was measured using the Hosmer-Lemeshow goodness-of-fit statistic. A total of 61 adult patients were analyzed. The actual overall mortality rate of 29.5% was not significantly different than the mortality rate of 25.2% predicted by SCORTEN (standardized mortality ratio, 1.17; 95% confidence intervals, 0.695-1.853; P = .08). The area under the receiver operator characteristic curve was 0.82 and the Hosmer-Lemeshow statistic was 1.381 (P = .710). SCORTEN is an accurate scoring system for estimation of mortality among TEN patients treated in a burn center setting.
File Format	HTM / HTML
ISSN	1559047X
Issue Number	1
Volume Number	29
e-ISSN	15590488
Journal	Journal of Burn Care & Research
Language	English
Publisher	Lippincott Williams & Wilkins
Publisher Date	2008-01-01
Publisher Place	United States
Access Restriction	One Nation One Subscription (ONOS)
Subject Keyword	Discipline Traumatology Burn Units Burns Mortality Stevens-johnson Syndrome Adult Age Factors Female Health Status Indicators Humans Male Retrospective Studies Risk Assessment Severity Of Illness Index Sickness Impact Profile Evaluation Studies Journal Article
Content Type	Text
Resource Type	Article
Subject	Emergency Medicine Rehabilitation Surgery

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