600 Assessing the Need for Inclusion of Race or Ethnicity in the Modified Baux Score
Dharani Rao, Cailan Feingold, Priscilla Tran, Kerri Finnan, Gabriel Rodriguez, Rachelle Lodescar

TL;DR
The study finds that the Baux score accurately predicts mortality in burn patients across racial groups, so adding race to the score is unnecessary.
Contribution
The study evaluates whether race should be included in the Baux score and finds no significant racial differences in mortality after adjusting for confounders.
Findings
The modified Baux score accurately predicts mortality across racial/ethnic groups after adjusting for confounding variables.
ROC analysis showed high predictive accuracy (AUC 0.867) for the Baux score overall and for specific racial groups.
No significant racial differences in mortality were found after adjustment, suggesting race does not need to be included in the score.
Abstract
The revised Baux score (%TBSA + age + [17xR], R representing 1 or 0 based on the presence of inhalation injury), is a highly accurate predictor of mortality in burn patients, shown to be consistent across heterogeneous populations despite not accounting for individual patient characteristics. However, differences in outcomes on the basis of race, gender, and socioeconomic status among other variables suggests that the predictive value of models that do not account for these factors may have greater limitations than previously assessed. Further investigation reveals that variables not included in the Baux score calculation bear significant individual influence on prognosis and mortality for burn patients such as gender, race, mechanism of burn, socioeconomic status, and marginalized status. Therefore, we aim to assess the predictive accuracy of the revised Baux score among different…
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Taxonomy
TopicsDelphi Technique in Research
