Further Experience with the Modified Abbreviated Injury Severity Scale

Mayer, Thom; Walker, Marion L.; Clark, Pam

doi:10.1097/00005373-198401000-00004

Cited by 38 publications

(13 citation statements)

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“…A Modified Injury Severity Score (MISS) 12 was calculated retrospectively from information in the medical record and trauma registry. Eligible patients were identified through a computer search of the trauma registry for pelvic fractures in patients who were seventeen years of age or younger.…”

Section: Methodsmentioning

confidence: 99%

Clinical Outcomes of Unstable Pelvic Fractures in Skeletally Immature Patients

Smith

Shurnas

Morgan

et al. 2005

J Bone Joint Surg Am

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Section: Methodsmentioning

confidence: 99%

Clinical Outcomes of Unstable Pelvic Fractures in Skeletally Immature Patients

Smith

Shurnas

Morgan

et al. 2005

J Bone Joint Surg Am

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“…In addition to the GCS, severity of injuries sustained by children in the sample was measured by computing Modified Injury Severity Score (MISS) ratings. 24,25 These ratings were defined as the sum of the squares of the Abbreviated Injury Scale ratings (ratings from 1 to 5) for the three most affected body regions, including the head. Partial MISS ratings were also computed to provide an estimate of injury severity to body areas other than the head.…”

Section: Samplementioning

confidence: 99%

Traumatic Brain Injuries in Early Childhood: Initial Impact on the Family

Stancin¹,

Wade²,

Walz³

et al. 2008

Journal of Developmental &Amp; Behavioral Pediatrics

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Consistent with previous research on family adaptation to TBI in school-age children, chronic life stresses and interpersonal resources accounted for significant variance in measures of acute injury-related burden and parental distress in parents of younger children, although differences were small. TBI severity defined by GCS scores alone may not be sufficient to identify families at risk of increased burden. Findings suggest that services aimed at facilitating family adjustment following TBI in young children may need to consider a broader definition of risk factors when identifying families who would benefit from interventions.

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“…30,31 These ratings were defined as the sum of the squares of injury ratings [1][2][3][4][5] for the 3 most affected body regions, including the head. Partial MISS ratings were also computed to provide an estimate of injury severity to body areas other than the head.…”

Section: Sample Characteristicsmentioning

confidence: 99%

Health-Related Quality of Life of Children and Adolescents After Traumatic Brain Injury

et al. 2002

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ABSTRACT. Objective. Relatively little is known about the longer-term impact of traumatic brain injury (TBI) on children's daily functioning, especially the broader outcome domain referred to as health-related quality of life (HRQL). The objective of the present study was to examine the nature and predictors of HRQL outcomes in children with moderate to severe TBI an average of 4 years postinjury.Methods. The study used a concurrent cohort-prospective design involving postinjury assessments of 3 groups of traumatically injured children and their families including 42 with severe TBI, 42 with moderate TBI, and 50 with orthopedic injuries only. Parent and child perceptions of HRQL and child adaptive behavior measures were obtained along with parent descriptions of the child's health problems and use of medical and mental health services. Predictors included indices of injury severity, social factors, and ratings of preinjury child behavior problems and school performance.Results. Based on parent report, adolescents who sustained severe TBI had lower HRQL related to overall psychosocial functioning and in the domains of behavior, mental health, general health, and family impact than adolescents who sustained orthopedic injuries only. Communication skills, daily living skills, and general adaptive functioning also were rated lower in the severe TBI group. In contrast to parent reports, adolescents with severe TBI did not rate their HRQL in most domains differently than did adolescents with orthopedic injuries. There were no group differences in frequency of persistent physical limitations. Sixty-seven percent of families of children with severe TBI used mental health counseling at some point after the injury. Risks for poorer HRQL outcomes were related to family social disadvantage and poorer preinjury child behavioral and academic functioning.Conclusions. Findings underscore the importance of using comprehensive measures of HRQL, along with traditional indicators of functional outcomes, when evaluating the longer-term impact of injuries in children. Identification of predictors suggests the need for close monitoring and intervention of high-risk children. Pediatrics 2002;109(2). URL: http://www. pediatrics.org/cgi/content/full/109/2/e34; traumatic brain injury, health-related quality of life, functional outcomes.ABBREVIATIONS. TBI, traumatic brain injury; HRQL, healthrelated quality of life; CNS, central nervous system; GCS, Glasgow Coma Scale; MISS, Modified Injury Severity Score; SCI, Socioeconomic Composite Index; FAD, Family Assessment Device; FAD-GF, Family Assessment Device General Functioning Scale; CHQ, Child Health Questionnaire; SD, standard deviation; WHO, World Health Organization; CBCL, Child Behavior Checklist; TRF, (Child Behavior Checklist) Teacher's Report Form; OR, odds ratio; CI, 95% confidence interval; SE, standard error. S tudy of the functional status of children with traumatic brain injury (TBI) is justified by both the prevalence of the condition and the multifaceted nature of injury sequel...

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Further Experience with the Modified Abbreviated Injury Severity Scale

Cited by 38 publications

References 0 publications

Clinical Outcomes of Unstable Pelvic Fractures in Skeletally Immature Patients

Clinical Outcomes of Unstable Pelvic Fractures in Skeletally Immature Patients

Traumatic Brain Injuries in Early Childhood: Initial Impact on the Family

Health-Related Quality of Life of Children and Adolescents After Traumatic Brain Injury

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