Evolution of the Abbreviated Injury Scale: 1990-2015

Traffic Injury Prevention
Kathryn L LoftisPatrick J Gillich

Abstract

Although the Abbreviated Injury Scale (AIS) was initially developed in the mid-1960s for tracking injury in automotive and aircraft crashes, it has grown to become an internationally recognized scoring system for a variety of traumatic injuries. This shift in focus and advances in organized medical care, combined with feedback from field use and outcome analysis, have resulted in several AIS updates and revisions. This article demonstrates how AIS codes and severities have changed over the last 25 years and investigates the effects of those changes. Data from each version and update of the AIS dictionary (AIS 1990, AIS 1998, AIS 2005, AIS 2008, and AIS 2015) were analyzed for changes and shifts in injury descriptions, severities, and code counts. The number of AIS codes has increased to improve coding specificity and reliability for a growing number of injury types. There has also been a shift in severities, mainly within the moderate (AIS 2) to severe (AIS 4) range. AIS 1990 was the first version to utilize the 6-digit predot identifier, to add modifiers for pediatric injury, and to substantially expand brain injury codes. AIS 1998 added coding rules and guidelines throughout the dictionary and integrated the Organ Injury Scal...Continue Reading

References

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Citations

Dec 4, 2019·Pediatric Pulmonology·Ao YangJihong Zhou
Mar 7, 2020·Traffic Injury Prevention·Jo BarnesMaureen Brennan
Aug 29, 2020·Traffic Injury Prevention·William B DeckerF Scott Gayzik
Aug 2, 2020·BMC Emergency Medicine·Taner Sahin, Sabri Batın
Dec 15, 2019·International Journal of Environmental Research and Public Health·Shiun-Yuan HsuChing-Hua Hsieh
Oct 8, 2020·Journal of Clinical Medicine·Roberto BiniOsvaldo Chiara
Nov 26, 2020·International Journal of Legal Medicine·Stefania ZerboSergio Salerno
Dec 7, 2020·The Journal of Surgical Research·Ayman AliSharven Taghavi
Jan 19, 2021·European Journal of Pain : EJP·Francesca L BeaudoinUNKNOWN AURORA Study Group
Mar 7, 2021·Journal of Clinical Medicine·Jakob Hax TraumaRegister Dgu
Apr 27, 2021·European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society·Kei Ching Kevin HungColin Alexander Graham
Feb 3, 2021·The Journal of Head Trauma Rehabilitation·Emily EvansKali S Thomas
May 29, 2021·Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine·Jan C Van DitshuizenUNKNOWN Dutch Trauma Registry Southwest
Jul 2, 2021·Frontiers in Robotics and AI·Daniel Delgado BellamySanja Dogramadzi
May 22, 2021·PM & R : the Journal of Injury, Function, and Rehabilitation·Emily EvansKali S Thomas

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Methods Mentioned

BETA
ISS
amputation

Software Mentioned

SAS JMP
AIS
Excel

Related Concepts

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Brain Injury & Trauma

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