Die Abbreviated Injury Scale (AIS)

Haasper, Carl; Junge, Mirko; Ernstberger, Antonio; Brehme, H.; Hannawald, L; Langer, Claus; Nehmzow, J.; Otte, Dietmar; Sander, Ulrich; Krettek, Christian; Zwipp, H.

doi:10.1007/s00113-010-1778-8

Cited by 52 publications

(17 citation statements)

References 11 publications

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“…alaria sowie andere Schäden am Rückenmark [17]. Für die Beurteilung der Verletzungsschwere wird im unfallchirurgischen Fachgebiet als universales Scoringwerkzeug besonders die AIS eingesetzt [6].…”

Section: Diskussionunclassified

Beschleunigungsverletzung der Halswirbelsäule in Abhängigkeit vom Unfallmechanismus

Geiger

Aliyev

2012

Unfallchirurg

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The observed differences in neuro-otological manifestations of whiplash trauma, which occur depending on the trauma mechanism, can be used for differential diagnostic purposes. The whiplash injuries of the cervical spine induced by an axial rotation acceleration showed a prevalence of central vestibular and sensory disturbances, while the whiplash injuries of the cervical spine induced by a linear acceleration showed a prevalence of peripheral vestibular, sensory and vestibulospinal disorders. Our data thus show in the first group of patients a prevalence of retrocochlear, supratentorial and subcortical lesions of the auditory tract, and brain lesions of the optic tract in the occipital pole and in the visual cortex.

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Section: Diskussionunclassified

Beschleunigungsverletzung der Halswirbelsäule in Abhängigkeit vom Unfallmechanismus

Geiger

Aliyev

2012

Unfallchirurg

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“…All trauma patients in the ED were treated according to the Advanced Trauma Life Support (ATLS ® American College of Surgeons, Chicago, IL, USA) standard and the polytrauma guidelines [25]. Injury severity from trauma was calculated using the Injury Severity Score (ISS) based on the Abbreviated Injury Scale (AIS) score which assigns each injury a severity level between 1 (mild) and 6 (maximum) in different regions (head, face, thorax, abdomen, extremities and external injuries) [26,27]. The New Injury Severity Score (NISS) was calculated to better correlate the assessment measure with the polytrauma of the patients [28].…”

Section: Methodsmentioning

confidence: 99%

Severe Traumatic Brain Injury (TBI) Modulates the Kinetic Profile of the Inflammatory Response of Markers for Neuronal Damage

Schindler

Lustenberger

Woschek

et al. 2020

JCM

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The inflammatory response plays an important role in the pathophysiology of multiple injuries. This study examines the effects of severe trauma and inflammatory response on markers of neuronal damage. A retrospective analysis of prospectively collected data in 445 trauma patients (Injury Severity Score (ISS) ≥ 16) is provided. Levels of neuronal biomarkers (calcium-binding Protein B (S100b), Enolase2 (NSE), glial fibrillary acidic protein (GFAP)) and Interleukins (IL-6, IL-10) in severely injured patients (with polytrauma (PT)) without traumatic brain injury (TBI) or with severe TBI (PT+TBI) and patients with isolated TBI (isTBI) were measured upon arrival until day 5. S100b, NSE, GFAP levels showed a time-dependent decrease in all cohorts. Their expression was higher after multiple injuries (p = 0.038) comparing isTBI. Positive correlation of marker level after concomitant TBI and isTBI (p = 0.001) was noted, while marker expression after PT appears to be independent. Highest levels of IL-6 and -10 were associated to PT und lowest to isTBI (p < 0.001). In all groups pro-inflammatory response (IL-6/-10 ratio) peaked on day 2 and at a lower level on day 4. Severe TBI modulates kinetic profile of inflammatory response by reducing interleukin expression following trauma. Potential markers for neuronal damage have a limited diagnostic value after severe trauma because undifferentiated increase.

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“…Management of multiple trauma is performed in an interdisciplinary team (trauma surgeons, anesthesiologist, radiologist, nurses) in concordance to the rules of ATLS ® [5]. The severity of a patient's injury was analyzed using the Abbreviated Injury Scale (AIS), the Injury Severity Score (ISS), and the New Injury Severity Score (NISS) [19,20]. To calculate a mortality prognosis RISC II Score (Revised Injury Severity Classification, Version 2) was used [21].…”

Section: Methodsmentioning

confidence: 99%

Registry-Based Mortality Analysis Reveals a High Proportion of Patient Decrees and Presumed Limitation of Therapy in Severe Geriatric Trauma

Schindler

Woschek

Verboket

et al. 2020

JCM

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Background: The treatment of severely injured patients, especially in older age, is complex, and based on strict guidelines. Methods: We conducted a retrospective study by analyzing our internal registry for mortality risk factors in deceased trauma patients. All patients that were admitted to the trauma bay of our level-1-trauma center from 2014 to 2018, and that died during the in-hospital treatment, were included. The aim of this study was to carry out a quality assurance concerning the initial care of severely injured patients. Results: In the 5-year period, 135 trauma patients died. The median (IQR) age was 69 (38–83) years, 71% were male, and the median (IQR) Injury Severity Score (ISS) was 25 (17–34) points. Overall, 41% of the patients suffered from severe traumatic brain injuries (TBI) (AIShead ≥ 4 points). For 12.7%, therapy was finally limited owing to an existing patient’s decree; in 64.9% with an uncertain prognosis, a ‘therapia minima’ was established in consensus with the relatives. Conclusion: Although the mortality rate was primarily related to the severity of the injury, a significant number of deaths were not exclusively due to medical reasons, but also to a self-determined limitation of therapy for severely injured geriatric patients. The conscientious documentation concerning the will of the patient is increasingly important in supporting medical decisions.

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Die Abbreviated Injury Scale (AIS)

Cited by 52 publications

References 11 publications

Beschleunigungsverletzung der Halswirbelsäule in Abhängigkeit vom Unfallmechanismus

Beschleunigungsverletzung der Halswirbelsäule in Abhängigkeit vom Unfallmechanismus

Severe Traumatic Brain Injury (TBI) Modulates the Kinetic Profile of the Inflammatory Response of Markers for Neuronal Damage

Registry-Based Mortality Analysis Reveals a High Proportion of Patient Decrees and Presumed Limitation of Therapy in Severe Geriatric Trauma

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