Burn injuries remain a major cause of trauma-related morbidity and mortality in Iran, highlighting the importance of reliable prognostic tools in burn intensive care units. This retrospective analytical study evaluated the prognostic value of the Acute Physiology and Chronic Health Evaluation (APACHE) II score and factors associated with mortality among burn patients admitted to the burn intensive care unit (ICU) of Velayat Hospital in Rasht between ۲۰۱۷ and ۲۰۲۱. All patients aged over ۱۸ years with burns involving more than ۲۰% of total body surface area were included. Demographic and clinical data were extracted from the hospital information system and analyzed using SPSS version ۲۴. A total of ۳۳۳ patients were studied, of whom ۷۵.۴% were male. Higher
APACHE II scores were significantly associated with increased mortality (P<۰.۰۰۱).
Mortality was also significantly higher in patients with greater burn extent, higher burn degree, and inhalation injury, whereas no significant association was observed with sex or anatomical burn location. These findings suggest that the
APACHE II scoring system is a useful prognostic tool for predicting mortality in burn patients admitted to intensive care units and that burn severity and inhalation injury remain key determinants of outcome.Burn injuries remain a major cause of trauma-related morbidity and mortality in Iran, highlighting the importance of reliable prognostic tools in burn intensive care units. This retrospective analytical study evaluated the prognostic value of the Acute Physiology and Chronic Health Evaluation (APACHE) II score and factors associated with mortality among burn patients admitted to the burn intensive care unit (ICU) of Velayat Hospital in Rasht between ۲۰۱۷ and ۲۰۲۱. All patients aged over ۱۸ years with burns involving more than ۲۰% of total body surface area were included. Demographic and clinical data were extracted from the hospital information system and analyzed using SPSS version ۲۴. A total of ۳۳۳ patients were studied, of whom ۷۵.۴% were male. Higher
APACHE II scores were significantly associated with increased mortality (P<۰.۰۰۱).
Mortality was also significantly higher in patients with greater burn extent, higher burn degree, and inhalation injury, whereas no significant association was observed with sex or anatomical burn location. These findings suggest that the
APACHE II scoring system is a useful prognostic tool for predicting mortality in burn patients admitted to intensive care units and that burn severity and inhalation injury remain key determinants of outcome.
