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首页> 美国卫生研究院文献>Annals of Advances in Automotive Medicine / Annual Scientific Conference >The AIS-2005 Revision in Severe Traumatic Brain Injury: Mission Accomplished or Problems for Future Research?
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The AIS-2005 Revision in Severe Traumatic Brain Injury: Mission Accomplished or Problems for Future Research?

机译：严重创伤性脑损伤的AIS-2005修订版：任务已完成还是未来研究存在问题？

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The Abbreviated Injury Scale (AIS) is commonly used to score injury severity and describe types of injuries. In 2005, the AIS-Head section was revised to capture more detailed information about head injuries and to better reflect their clinical severity, but the impact of these changes is largely unknown. The purpose of this study was to compare AIS-1998 and AIS-2005 coding of traumatic brain injuries (TBI) using medical records at a single Level I trauma center. We included patients with severe TBI (Glasgow Coma Scale 3–8) after blunt injury, excluding those who were missing medical records. Detailed descriptions of injuries were collected, then manually coded into AIS-1998 and AIS-2005 by the same Certified AIS Specialist. Compared to AIS-1998, AIS-2005 coded the same injuries with lower severity scores [p<0.01] and with decreased mean and maximum AIS-Head scores [p<0.01]. Of the types of traumatic brain injuries, most of the changes occurred among cerebellar and cerebral injuries. Traumatic hypoxic brain injury secondary to systemic dysfunction was captured by AIS-2005 but not by AIS-1998. However, AIS-2005 captured fewer loss of consciousness cases due to changes in criteria for coding concussive injury. In conclusion, changes from AIS-1998 to AIS-2005 result in significant differences in severity scores and types of injuries captured. This may complicate future TBI research by precluding direct comparison to datasets using AIS-1998. TBIs should be coded into the same AIS-version for comparison or evaluation of trends, and specify which AIS-version is used.
机译：缩写伤害量表（AIS）通常用于对伤害严重程度进行评分并描述伤害类型。 2005年，对AIS-Head部分进行了修订，以获取有关头部受伤的更多详细信息并更好地反映其临床严重性，但是这些变化的影响在很大程度上尚不清楚。这项研究的目的是使用单个I级创伤中心的医疗记录来比较AIS-1998和AIS-2005对颅脑损伤（TBI）的编码。我们纳入了钝器伤后患有严重TBI（格拉斯哥昏迷等级3-8）的患者，不包括缺少医疗记录的患者。收集了详细的伤害描述，然后由同一位经过认证的AIS专家手动将其编码为AIS-1998和AIS-2005。与AIS-1998相比，AIS-2005对相同的伤害进行了编码，其严重程度得分较低[p <0.01]，而平均和最大AIS-Head得分却有所降低[p <0.01]。在脑外伤类型中，大多数变化发生在小脑和脑外伤之间。继发于系统功能障碍的创伤性缺氧性脑损伤由AIS-2005捕获，但未被AIS-1998捕获。但是，由于对脑震荡进行编码的标准发生了变化，AIS-2005捕获的意识丧失案例较少。总之，从AIS-1998到AIS-2005的变化会导致严重程度评分和捕获的伤害类型显着不同。通过排除使用AIS-1998与数据集的直接比较，这可能会使将来的TBI研究变得复杂。 TBI应该被编码到相同的AIS版本中，以进行趋势比较或评估，并指定使用哪个AIS版本。

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