Evidence map›Paper›PMID 40999417›Full record

ArticleBMC public health2025

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

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

Abstract readComparative Study
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Article in BMC public health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

8 authors.

Chia-Wen ChenDivision of Trauma and Surgical Critical Care, Department of Surgery, Kaohsiung Medical University Hospital, Kaohsiung Medical University, No.100, Tzyou 1st Rd., Sanmin Dist, Kaohsiung City, 807377, Taiwan, ROC.
Yi-Syuan WuDivision of Trauma and Surgical Critical Care, Department of Surgery, Kaohsiung Medical University Hospital, Kaohsiung Medical University, No.100, Tzyou 1st Rd., Sanmin Dist, Kaohsiung City, 807377, Taiwan, ROC.
Tse-Lun WangDivision of Trauma and Surgical Critical Care, Department of Surgery, Kaohsiung Medical University Hospital, Kaohsiung Medical University, No.100, Tzyou 1st Rd., Sanmin Dist, Kaohsiung City, 807377, Taiwan, ROC.
Pei-Ling LeeDivision of Trauma and Surgical Critical Care, Department of Surgery, Kaohsiung Medical University Hospital, Kaohsiung Medical University, No.100, Tzyou 1st Rd., Sanmin Dist, Kaohsiung City, 807377, Taiwan, ROC.
Yen-Ko LinDivision of Trauma and Surgical Critical Care, Department of Surgery, Kaohsiung Medical University Hospital, Kaohsiung Medical University, No.100, Tzyou 1st Rd., Sanmin Dist, Kaohsiung City, 807377, Taiwan, ROC.
Yung-Sung YehDivision of Trauma and Surgical Critical Care, Department of Surgery, Kaohsiung Medical University Hospital, Kaohsiung Medical University, No.100, Tzyou 1st Rd., Sanmin Dist, Kaohsiung City, 807377, Taiwan, ROC.
Pei-Shih ChenDepartment of Public Health, College of Health Sciences, Kaohsiung Medical University, No. 100, Shiquan 1st Rd., Sanmin Dist, Kaohsiung City, 807378, Taiwan, ROC.
Chao-Wen ChenDivision of Trauma and Surgical Critical Care, Department of Surgery, Kaohsiung Medical University Hospital, Kaohsiung Medical University, No.100, Tzyou 1st Rd., Sanmin Dist, Kaohsiung City, 807377, Taiwan, ROC. kmutrauma@gmail.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHead 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.

methodsData 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.

resultsThe 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).

conclusionsTaiwan'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.

Indexed as

Abbreviated Injury ScaleCraniocerebral TraumaAdultAgedFemaleHumansInjury Severity ScoreMaleMiddle AgedRegistriesTaiwanAbbreviated injury scaleInjury severity scoreIsolated head trauma severity

Identifiers

PMID40999417
PMCPMC12465531

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.