Use of a single page scaling chart (CAIS-85) in clinical practice

Civil, Ian D.; Kauder, Donald R.; Schwab, C. William

Affiliations

¹Division of Trauma and Emergency Medical Services, UMDNJ/Robert Wood Johnson Medical School at Camden, Camden, New Jersey

Abstract

A Condensed Abbreviated Injury Scaling (CAIS) chart (based on AIS-80) has proven valuable for early prospective clinical injury scoring. Following publication of the 1985 revision of the Abbreviated Injury Scale, this chart has been revised. Two single-page charts have been developed - one for penetrating - one for blunt trauma. To evaluate their accuracy and the ability of Emergency Medical and Surgical residents to appropriately score patients soon after admission, 337 patients admitted to a Level I Trauma Center following blunt (262 patients) and penetrating (75 patients) trauma were studied. Scoring errors related to construction of the charts occurred in 1.2 percent, and human inaccuracy or omission resulted in errors in 11.6 percent. Although still subject to human error, the availability of simple charts with the potential for accurate scoring should allow further refinement of the process of early prospective clinical injury scoring.

Cited Works (5)

Year	Entry
1986	Civil ID, Schwab CW. Use of a single page Abbreviated Injury Scale in clinical practice. In: 30th Annual Proceedings, Association for the Advancement of Automotive Medicine (AAAM). October 6, 1986; Montreal, QC.163-174.
1987	Schwab CW, Young G. DRG reimbursement for trauma: the demise of the trauma center (the use of ISS grouping as a predicator of total hospital cost). In: 31st Annual Proceedings, Association for the Advancement of Automotive Medicine (AAAM). September 28-30, 1987; New Orleans, LA.159-180.
1980	The Abbreviated Injury Scale 1980 Revision. Morton Grove, IL: Association for the Advancement of Automotive Medicine (AAAM); 1980.
1974	Baker SP, O'Neill B, Haddon W Jr, Long WB. The injury severity score: a method for describing patients with multiple injuries and evaluating emergency care. J Trauma. March 1974;14(3):187-196.
1985	The Abbreviated Injury Scale 1985 Revision. Arlington Heights, IL: Association for the Advancement of Automotive Medicine (AAAM); 1985.

Cited By (6)

Year	Entry
1987	Civil ID, Ross SE, Schwab CW. AIS-85 versus AIS-80: a comparison of scoring in penetrating trauma. In: 31st Annual Proceedings, Association for the Advancement of Automotive Medicine (AAAM). September 28-30, 1987; New Orleans, LA.125-132.
1987	Schwab CW, Young G. DRG reimbursement for trauma: the demise of the trauma center (the use of ISS grouping as a predicator of total hospital cost). In: 31st Annual Proceedings, Association for the Advancement of Automotive Medicine (AAAM). September 28-30, 1987; New Orleans, LA.159-180.
1988	O'Malley KF, Young G, Talucci RC, Quinn B, Unkle DW, Ross SE. Relationship of injury severity to hospital. In: 32nd Annual Proceedings, Association for the Advancement of Automotive Medicine (AAAM). September 12-14, 1988; Seattle, WA.157-171.
1988	Ross SE, O'Malley KF, Unkle DW, Talucci RC. Triage to the trauma center for defects in consciousness following injury: the role of ethanol abuse. In: 32nd Annual Proceedings, Association for the Advancement of Automotive Medicine (AAAM). September 12-14, 1988; Seattle, WA.313-318.
1990	Ross SE, O'Malley KF, Stein S, Spettell CM, Young G. Abbreviated Injury Scaling (AIS-85) of head injury as a prognostic tool for functional outcome. In: 34th Annual Proceedings, Association for the Advancement of Automotive Medicine (AAAM). October 1-3, 1990; Scottsdale, AZ.433-441.
1991	Walz F, Langwieder K. A proposal for a simplified injury scale "sais 9" for use in large scale accident studies. In: Proceedings of the 13th International Technical Conference on Experimental Safety Vehicles (ESV). November 4-7, 1991; Paris, France.162-180.