• Emergencias · Feb 2018

    Multicenter Study Comparative Study

    Classification of the severe trauma patient with the Abbreviated Injury Scale: degree of correlation between versions 98 and 2005 (2008 update).

    • Rebeca Abajas Bustillo, César Leal Costa, María Del Carmen Ortego Mate, Mark R Zonfrillo, María Seguí Gómez, and María Jesús Durá Ros.
    • Gerencia de Emergencias 112 de Castilla y León. Facultad de Enfermería de la Universidad de Cantabria, España.
    • Emergencias. 2018 Feb 1; 30 (1): 41-44.

    ObjectivesTo explore differences in severity classifications according to 2 versions of the Abbreviated Injury Scale (AIS): version 2005 (the 2008 update) and the earlier version 98. To determine whether possible differences might have an impact on identifying severe trauma patients.Material And MethodsDescriptive study and cross-sectional analysis of a case series of patients admitted to two spanish hospitals with out-of-hospital injuries between February 2012 and February 2013. For each patient we calculated the Injury Severity Score (ISS), the New Injury Severity Score (NISS), and the AIS scores according to versions 98 and 2005.ResultsThe sample included 699 cases. The mean Severity (SD) age of patients was 52.7 (29.2) years, and 388 (55.5%) were males. Version 98 of the AIS correlated more strongly with both the ISS (2.6%) and the NISS (2.9%).ConclusionThe 2008 update of the AIS (version 2005) classified fewer trauma patients than version 98 at the severity levels indicated by the ISS and NISS.

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