Mapping abbreviated injury scale data from 1990 to 1998 versions: a stepping-stone in the contemporary evaluation of trauma

Palmer, Cameron S., Lang, Jacelle, Russell, Glen, Dallow, Natalie, Harvey, Kathy, Gabbe, Belinda and Cameron, Peter (2013) Mapping abbreviated injury scale data from 1990 to 1998 versions: a stepping-stone in the contemporary evaluation of trauma. Injury, 44 11: 1437-1442. doi:10.1016/j.injury.2012.08.033

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Author Palmer, Cameron S.
Lang, Jacelle
Russell, Glen
Dallow, Natalie
Harvey, Kathy
Gabbe, Belinda
Cameron, Peter
Title Mapping abbreviated injury scale data from 1990 to 1998 versions: a stepping-stone in the contemporary evaluation of trauma
Journal name Injury   Check publisher's open access policy
ISSN 0020-1383
1879-0267
Publication date 2013-11
Year available 2012
Sub-type Article (original research)
DOI 10.1016/j.injury.2012.08.033
Open Access Status
Volume 44
Issue 11
Start page 1437
End page 1442
Total pages 6
Place of publication Oxford, United Kingdom
Publisher Elsevier
Collection year 2013
Language eng
Formatted abstract
Introduction: Many trauma registries have used the 1990 revision of the Abbreviated Injury Scale (AIS; AIS90) to code injuries sustained by trauma patients. Due to changes made to the AIS codeset since its release, AIS90-coded data lacks currency in the assessment of injury severity. The ability to map between the 1998 revision of AIS (AIS98) and the current (2008) AIS version (AIS08) already exists. The development of a map for transforming AIS90-coded data into AIS98 would therefore enable contemporary injury severity estimates to be derived from AIS90-coded data.

Methods: Differences between the AIS90 and AIS98 codesets were identified, and AIS98 maps were generated for AIS90 codes which changed or were not present in AIS98. The effectiveness of this map in describing the severity of trauma using AIS90 and AIS98 was evaluated using a large state registry dataset, which coded injury data using AIS90 over several years. Changes in Injury Severity Scores (ISS) calculated using AIS90 and mapped AIS98 codesets were assessed using three distinct methods.

Results: Forty-nine codes (out of 1312) from the AIS90 codeset changed or were not present in AIS98.  Twenty-four codes required the assignment of maps to AIS98 equivalents. AIS90-coded data from 78,075 trauma cases were used to evaluate the map. Agreement in calculated ISS between coded AIS90 data and mapped AIS98 data was very high (kappa = 0.971). The ISS changed in 1902 cases (2.4%), and the mean difference in ISS across all cases was 0.006 points. The number of cases classified as major trauma using AIS98 decreased by 0.8% compared with AIS90. A total of 3102 cases (4.0%) sustained at least one AIS90 injury which required mapping to AIS98.

Conclusions: This study identified the differences between the AIS90 and AIS98 codesets, and generated maps for the conversion process. In practice, the differences between AIS90- and AIS98-coded data were very small. As a result, AIS90-coded data can be mapped to the current AIS version (AIS08) via AIS98, with little apparent impact on the functional accuracy of the mapped dataset produced.
Keyword Abbreviated Injury Scale
Injury Severity Score
Injury scoring
Anatomic injury
Trauma registry
Data mapping
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ
Additional Notes Corrected proof online 14 September 2012

Document type: Journal Article
Sub-type: Article (original research)
Collections: Official 2013 Collection
School of Medicine Publications
 
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Created: Tue, 18 Sep 2012, 10:43:18 EST by Chesne McGrath on behalf of Medicine - Royal Brisbane and Women's Hospital