METHOD OF DETERMINING AIS/MAIS TRAUMA SCORE FROM ICD 10 DIAGNOSIS CODES
Keywords:
severe trauma, traffic accidents, AIS, MAIS, ICD
Abstract
The group of high representatives of European Union (EU) member states for traffic safety published in 2013 a new definition of severe trauma (TT) caused by traffic accidents. According to this definition, TT in road traffic are non-fatal injuries with a Maximum Abbreviated Injury Scale (MAIS) of 3 and above. Since 2014, the Recommendation at the EU level has been in effect to use the Abbreviated Injury Scale (AIS) for the assessment of injuries in traffic accidents, and MAIS 3+ for serious injuries. The previous experiences of countries that record injuries based on the MAIS 3+ classification system have shown its high validity and reliability of the collected data, reducing the risk of making arbitrary conclusions and subjective assessment of the severity of the injury, as well as the risk of inadequate reporting. MAIS 3+ enables better and more complete collection of data on traffic accidents at the national and international level, enables international comparability of data and the creation of adequate preventive activities. The tendency is that in the coming period, all EU member states will collect data on serious bodily injuries according to this definition.
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EU za Srbiju - Unapređenje bezbednosti saobraćaja. Komponenta 4: Uspostavlјanje procesa prikuplјanja podataka o MAIS3+ skali povreda i unapređenje kapaciteta zdravstvenog sektora i saobraćajne policije za razmenu informacija o povredama u saobraćajnim nezgodama. SAFEGE-SUEZ, 2020.
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2. Murray CJ, Vos T, Lozano R, Naghavi M, Flaxman AD, Michaud C, et al. Disability-adjusted life years (DALYs) for 291 diseases and injuries in 21 regions, 1990-2010: a systematic analysis for the Global Burden of Disease Study 2010. Lancet. 2012;380(9859):2197-223. doi: 10.1016/S0140-6736(12)61689-4.
3. Ahmed SK, Mohammed MG, Abdulqadir SO, El-Kader RGA, El-Shall NA, Chandran D, et al. Road traffic accidental injuries and deaths: A neglected global health issue. Health Sci Rep. 2023;6(5):e1240. doi: 10.1002/hsr2.1240.
4. Statistički izveštaj o stanju bezbednosti saobraćaja u Republici Srbiji 2022. Agencija za bezbednost saobraćaja RS, 2022. Dostupno na:
https://www.abs.gov.rs/static/uploads/14458_statisticki-izvestaj-o-stanju-bezbednosti-saobracaja-u-republici-srbiji-za-2022.-godinu.pdf (Pristuplјeno 20.05.2024).
5. Milenković M. Ispitivanje prognostičkih faktora za ishod lečenja bolesnika sa teškom traumom, doktorska disertacija. Univerzitet u Beogradu, Medicinski fakultet, 2019.
6. Broughton J, Amoros E, Bos NM, Evgenikos P, Hoeglinger S, Holló P, et al. Estimation real number of road accident casualties. SafetyNet, Building the European Road Safety Observatory, Deliverable D.1.15: final report on task 1.5. European Road Safety Observatory (ERSO) /European Commission, Directorate-General Energy and Transport, Brussels, 2007.
7. Broughton J, Keigan M, Yannis G, Evgenikos P, Chaziris A, Papadimitriou E, et al. Estimation of the real number of road casualties in Europe. Saf. Sci. 2010; 48(3), 365–71. doi:10.1016/j.ssci.2009.09.012.
8. Andjelic S, Colakovic G, Lipovac K, Pesic D, Plemic Z, Smailovic E. Comparative Analysis of Injury Severity Caused by Traffic Accidents Classified as Severe Injury in Police Database vs. MAIS 3+ Injury in Hospital Database --First Pilot Research in Serbia. Signa Vitae. 2020. 16(1);13-24.
9. Klasifikacija i kvalifikacija telesnih povreda. U: Milovanović M. (ur.) Sudska medicina. Beograd-Zagreb: Medicinska knjiga, 1985. p. 11.
10. Kamiya A. Edwin Smith Papyrus, History, Authorship & Attributes. Study.com, 2023. https://study.com/academy/lesson/edwin-smith-papyrus-overview-facts.html.
11. Kaluđerović Ž. The oldest presentation of justice. Glasnik Advokatske komore Vojvodine. 2019; 91(4):440-53. doi:10.5937/gakv91-26018.
12. Jokšić-Mazinjanin R, Marić N, Ðuričin A, Gojković Z, Vasović V, Rakić G, et al. Prehospital Trauma Scoring Systems for Evaluation of Trauma Severity and Prediction of Outcomes. Medicina (Kaunas). 2023;59(5):952. doi: 10.3390/medicina59050952.
13. Yi H and Lei Zeng M. 2022. “International Classification of Diseases (ICD)”. Knowledge Organization. 2022; 49(7): 496-528.
14. Wisner DH. History and current status of trauma scoring systems. Arch Surg. 1992;127(1):111-7. doi: 10.1001/archsurg.1992.01420010133022.
15. Association for the Advancement of Automotive Medicine. Abbreviated Injury Scale (AIS). Chicago, USA: Association for the Advancement of Automo tive Medicine; [date unknown]. Available from: https://www.aaam.org/ abbreviated-injury-scale-ais/. Cited 2023 March 27.
16. Van Ditshuizen JC, Sewalt CA, Palmer CS, Van Lieshout EMM, Verhofstad MHJ, Den Hartog D; Dutch Trauma Registry Southwest. The definition of major trauma using different revisions of the abbreviated injury scale. Scand J Trauma Resusc Emerg Med. 2021;29(1):71. doi: 10.1186/s13049-021-00873-7.
17. Association for the Advancement of Automotive Medicine. The Abbreviated Injury Scale. 2015 Revision. Chicago IL, USA, 2016. Available at: http://www.aaam.org/.
18. Rupp R, Biering-Sørensen F, Burns SP, Graves DE, Guest J, Jones L, et al. International Standards for Neurological Classification of Spinal Cord Injury: Revised 2019. Top Spinal Cord Inj Rehabil. 2021;27(2):1-22. doi:10.46292/sci2702-1
19. de Schoutheete JC, Fourneau I, Waroquier F, De Cupere L, O'Connor M, Van Cleynenbreugel K, et al. Three cases of resuscitative endovascular balloon occlusion of the aorta (REBOA) in austere pre-hospital environment-technical and methodological aspects. World J Emerg Surg. 2018;13:54. doi: 10.1186/s13017-018-0213-2.
20. Reported road casualties Great Britain: 2015 annual report. Estimating clinically seriously injured (MAIS3+) road casualties in the UK. Department for transport, 2015.
EU za Srbiju - Unapređenje bezbednosti saobraćaja. Komponenta 4: Uspostavlјanje procesa prikuplјanja podataka o MAIS3+ skali povreda i unapređenje kapaciteta zdravstvenog sektora i saobraćajne policije za razmenu informacija o povredama u saobraćajnim nezgodama. SAFEGE-SUEZ, 2020.
21. Lipovac K, Antić B, Pešić D, Alempijević Đ, Marković N, Davidović J, i sar. Sistem evidentiranјa podataka o povredama u saobraćajnim nezgodama u skladu sa preporukama Evropske komisije. Beograd: Agencija za bezbednost saobraćaja Republika Srbija, 2017.
Published
2024/09/27
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