Scholarlink

Background <p>Head trauma is a significant public health issue in Taiwan. This study examines the differences in medical needs and outcomes for patients with isolated head trauma scored via Taiwan’s health insurance versions of the Abbreviated Injury Scale (AIS) and the AIS 2005 update 2008.</p> Methods <p>Data from isolated head trauma patients between January 1, 2011, and December 31, 2020, were analyzed via a trauma registry database from a medical center in southern Taiwan. The severity was scored using both the health insurance AIS and the AIS 2005 update 2008. A total of 4,035 patients met the inclusion criteria.</p> Results <p>The median (IQR) score for the health insurance AIS was 4 (3–4), whereas the AIS 2005 update score was 3 (3–4). The corresponding injury severity scores (ISSs) were 17.33 ± 4.77 and 13.95 ± 5.90, respectively, indicating a significant decrease. Most patients had an AIS score of 4 (65.4%; 2,640) according to the health insurance version, followed by an AIS score of 3 (25.2%; 1,016 patients). When the AIS 2008 version was used, most patients had an AIS score of 3 (52.8%; 2,130 patients), followed by an AIS score of 4 (26.3%; 1,063 patients).</p> Conclusions <p>Taiwan’s trauma care benchmarks may be outdated. Updating the health insurance AIS is necessary. The health insurance versions AIS and AIS 2005 update 2008 were used to assess the severity of isolated head trauma among inpatients. The two versions resulted in significant differences in the AIS score and total ISS; in particular, the newer version resulted in a decrease in the trauma severity score. This study highlights the substantial differences in resource needs and outcomes when different AIS versions are used. Rigorous research is needed for any revision to meet public expectations for precision public health.</p>

错误：搜索内容不能为空，请输入英文关键词
错误：关键词超出字数限制，请精简
高级检索

Comparison of the different versions of the abbreviated injury scale in the assessment of isolated head trauma severity

  • 期刊论文

  • 出版模式：

    开放获取

  • 发表日期：

    2025年9月25日

查看全文
  • Chia-Wen Chen,
  • Yi-Syuan Wu,
  • Tse-Lun Wang,
  • Pei-Ling Lee,
  • Yen‑Ko Lin,
  • Yung-Sung Yeh,
  • Pei-Shih Chen,
  • Chao‑Wen Chen

摘要

Background

Head trauma is a significant public health issue in Taiwan. This study examines the differences in medical needs and outcomes for patients with isolated head trauma scored via Taiwan’s health insurance versions of the Abbreviated Injury Scale (AIS) and the AIS 2005 update 2008.

Methods

Data from isolated head trauma patients between January 1, 2011, and December 31, 2020, were analyzed via a trauma registry database from a medical center in southern Taiwan. The severity was scored using both the health insurance AIS and the AIS 2005 update 2008. A total of 4,035 patients met the inclusion criteria.

Results

The median (IQR) score for the health insurance AIS was 4 (3–4), whereas the AIS 2005 update score was 3 (3–4). The corresponding injury severity scores (ISSs) were 17.33 ± 4.77 and 13.95 ± 5.90, respectively, indicating a significant decrease. Most patients had an AIS score of 4 (65.4%; 2,640) according to the health insurance version, followed by an AIS score of 3 (25.2%; 1,016 patients). When the AIS 2008 version was used, most patients had an AIS score of 3 (52.8%; 2,130 patients), followed by an AIS score of 4 (26.3%; 1,063 patients).

Conclusions

Taiwan’s trauma care benchmarks may be outdated. Updating the health insurance AIS is necessary. The health insurance versions AIS and AIS 2005 update 2008 were used to assess the severity of isolated head trauma among inpatients. The two versions resulted in significant differences in the AIS score and total ISS; in particular, the newer version resulted in a decrease in the trauma severity score. This study highlights the substantial differences in resource needs and outcomes when different AIS versions are used. Rigorous research is needed for any revision to meet public expectations for precision public health.