Article Data

  • Views 3630
  • Dowloads 261

Original Research

Open Access

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

  • Sladjana Andjelic1
  • Goran Colakovic1
  • Krsto Lipovac2
  • Dalibor Pesic2
  • Zarko Plemic2
  • Emir Smailovic2

1Institute for Emergency Medical Services, Belgrade, Serbia

2Faculty of Transport and Traffic Engineering, University of Belgrade, Serbia

DOI: 10.22514/sv.2020.16.0003 Vol.16,Issue 1,June 2020 pp.13-24

Published: 30 June 2020

*Corresponding Author(s): Sladjana Andjelic E-mail: novizivot94@gmail.com

Abstract

Objective: Conduct a comparative analysis of injury severity (IS) caused by traffic accidents (TA) and classified as severe injury (SI) in police database vs. MAIS 3+ injury in hospital database, and determine correction factor (CF). Methods: Data were collected prospectively on the injured in TA examined by Emergency medical services. Were identified the numbers of fatalities, the numbers of patients transported to hospitals, and those examined at the scene of TA who refused further medical treatment and transport. IS was asssessed in hospital according to ICD, AIS and MAIS for each patient. The data on SBI were compared vs. MAIS 3+ and CF was determined. Results: 134 respondents were included: 55 drivers, 37 passengers, 23 pedestrians, 17 motorcyclists and 2 cyclists. 12% out of 17% of MAIS 3+ patients were hospitalized. One patient with MAIS 5 died during the hospitalization. The comparative analyisis of IS as assessed in the police vs hospital database showed the ratio SI : MAIS 3+ to be 1.2. Eighteen SIs belonged to MAIS 3+, one to MAIS 1 and one to MAIS 2. Four patients with MAIS 1 and 2 score sustained no injuries, according to the police report. Six moderate IS according to police data were classified as MAIS 3 in hospital registers. CF for MAIS 3+ was 0.316 and for minor IS was 0.016. Conclusion: The results confirm that there are discrepancies in assessments of IS between police and hospital records and that it is neccessary to form a common database.

Keywords

Traffic accident, Severe injury, MAIS

Cite and Share

Sladjana Andjelic,Goran Colakovic,Krsto Lipovac,Dalibor Pesic,Zarko Plemic,Emir Smailovic. 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.

References

[1] World Health Organization. Global status report on road safety 2018. Geneva, 2018.

[2] Pérez K, Weijermars W, Amoros E, Bauer R, Bos N, Dupont E, et al. Practical guidelines for the registration and monitoring of serious traffic injuries, D7.1 of the H2020 project SafetyCube, 2016.

[3] Amoros E, Martin JL, Lafont S, Laumon B. Actual incidences of road casualties, and their injury severity, modelled from police and hospital data, France. Eur J Public Health. 2008;18:360-5.

[4] Pérez K, Seguí-gómez M, Arrufat V, Barberia E, Cabeza E, Cirera E, et al. Definición de alta hospitalaria, lesión grave y muerte por lesiones por tráfico. Gac Sanit. 2014;28:242–5.

[5] WHO Library Cataloguing-in-Publication Data. International statistical classification of diseases and related health problems. - 10th revision, Fifth edition. Geneva: World Health Organization; 2016.

[6] OECD/ITF. Road  Safety  Annual  Report  2014, IRTAD, OECD Publishing, Paris, 2014. 

[7] Jovanović D, Kaljević G. Sistemi skorovanja. NČ urgent med. 2015;21:16-22. 

[8] ECIP: European Center for Injury Prevention, University of Navarra, Algorithm to transform ICD-10 codes AIS 90 (1998 update) and ISS, [version 1 for SPSS] [version 1.0 for STATA]. Pamplona, Spain 2006.with partial funding from the EU, DG SANCO Grant Agreement Nº 2004;119 Project Apollo WP2.

[9] Clark DE, Osler TM, Hahn DR. ICD Programs for Injury Categorization (ICDPIC), Version 3.0. 2010. 

[10] Nuyttens N, Belleghem GV, Dupont E, Leblud J, Devos S, Putman K, et al. The maximum abbreviated injury scale as a predictor of severe/fatal injuries in Belgian Road victims. Injury Prevention. 2016;22:S893.

[11] Weijermars W, Bos N, Schoeters A, Meunier JC, Nuyttens N, Dupont E, et al. Serious Road Traffic Injuries in Europe, Lessons from the EU Research Project SafetyCube. Transportation Research Record Journal. 2018;00:1-9.

[12] Auerbach K, and Schmucker U. Country Survey State of the Art of MAIS 3+ Assessment in the FERSI Member States and EU/EEA countries. FERSI working group “Injury Classification”, 2016.

[13] Di Bartolomeo STillati SValent FZanier LBarbone F. ISS mapped from ICD-9-CM by a novel freeware versus traditional coding: a comparative study. Scand J Trauma Resusc Emerg Med 2010;18:17.

[14] Greene NH, Kernic MA, Vavilala MS, Rivara FP. Validation of ICDPIC software injury severity scores using a large regional trauma registry. Injury Prevention. 2015;21:325-30.

[15] Otte D, Haasper C, Jaensch M. Injury protection and accident causation parameters for vulnerable road users based on German In-Depth Accident Study GIDAS. Accident; analysis and prevention. 2012;44:149-53.

[16] Niesen S, Auerbach K, Lerner M, Pastor C, Schepers A, Wisch M, et al. Estimation of the number of seriously injured road traffic casualties in Germany based on GIDAS, using a decision tree method and the TraumaRegister DGU. IRCOBI Conference. 2016,IRC-16-19.

[17] European Center for Injury Prevention, University of Navarra. Algoritm to transform ICD-10 codes into AIS 90.2006. 

[18] Abbreviated Injury Scale. Available: https://en.wikipedia.org/wiki/Abbreviated_Injury_Scale

[19] 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;48:365-71.

[20] IRTAD. Reporting on Serious Road Traffic Casualties: Combining and using different data sources to improve understanding of non-fatal road traffic crashes, International Traffic Safety Data and Analysis Group, OECD/ITF, Paris, 2011.

[21] Breen J, Working document for the meeting of the High Level Group on Road Safety 27th June 2012, Copenhagen.

[22] Amoros E, Martin JL, Lafont S, Laumon B. Actual incidences of road casualties, and their injury severity, modelled from police and hospital data, France. Eur J Public Health. 2008;18:360-65.

Abstracted / indexed in

Science Citation Index Expanded (SciSearch) Created as SCI in 1964, Science Citation Index Expanded now indexes over 9,200 of the world’s most impactful journals across 178 scientific disciplines. More than 53 million records and 1.18 billion cited references date back from 1900 to present.

Journal Citation Reports/Science Edition Journal Citation Reports/Science Edition aims to evaluate a journal’s value from multiple perspectives including the journal impact factor, descriptive data about a journal’s open access content as well as contributing authors, and provide readers a transparent and publisher-neutral data & statistics information about the journal.

Chemical Abstracts Service Source Index The CAS Source Index (CASSI) Search Tool is an online resource that can quickly identify or confirm journal titles and abbreviations for publications indexed by CAS since 1907, including serial and non-serial scientific and technical publications.

Index Copernicus The Index Copernicus International (ICI) Journals database’s is an international indexation database of scientific journals. It covered international scientific journals which divided into general information, contents of individual issues, detailed bibliography (references) sections for every publication, as well as full texts of publications in the form of attached files (optional). For now, there are more than 58,000 scientific journals registered at ICI.

Geneva Foundation for Medical Education and Research The Geneva Foundation for Medical Education and Research (GFMER) is a non-profit organization established in 2002 and it works in close collaboration with the World Health Organization (WHO). The overall objectives of the Foundation are to promote and develop health education and research programs.

Scopus: CiteScore 1.3 (2023) Scopus is Elsevier's abstract and citation database launched in 2004. Scopus covers nearly 36,377 titles (22,794 active titles and 13,583 Inactive titles) from approximately 11,678 publishers, of which 34,346 are peer-reviewed journals in top-level subject fields: life sciences, social sciences, physical sciences and health sciences.

Embase Embase (often styled EMBASE for Excerpta Medica dataBASE), produced by Elsevier, is a biomedical and pharmacological database of published literature designed to support information managers and pharmacovigilance in complying with the regulatory requirements of a licensed drug.

Submission Turnaround Time

Conferences

Top