{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,11]],"date-time":"2026-09-11T04:40:13Z","timestamp":1789101613305,"version":"build-2803163510"},"reference-count":33,"publisher":"Springer Science and Business Media LLC","issue":"8","license":[{"start":{"date-parts":[[2025,1,31]],"date-time":"2025-01-31T00:00:00Z","timestamp":1738281600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2025,1,31]],"date-time":"2025-01-31T00:00:00Z","timestamp":1738281600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Eur Radiol"],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Injury coding with the Abbreviated Injury Scale (AIS) is an important element for benchmarking, trauma registries and research.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To compare the severity of traumatic brain injury (TBI) coding derived from the AIS with or without the use of a standardised radiologic template.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A retrospective two-centre cohort study including patients aged \u2265 18 years with isolated TBI admitted to an intensive care between 2011 and 2016 was conducted. TBI was re-coded to conform the AIS by coders, and CT-brain imaging was reassessed by a neuro-radiologist following a standardised radiologic template from which AIS codes were derived.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      A total of 560 patients were included (median age 57, 37% female). The percentage of MAIS\u2009\u2265\u20094 and major trauma was higher when AIS coding for TBI was derived from a standardised radiologic template vs. coding without (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u2009456 (81.4%) and\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u2009374 (66.8%),\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001;\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u2009441 (78.8%) and\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u2009352 (62.9%),\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001, respectively). There was an inter-centre difference in the proportion of MAIS\u2009\u2265\u20094 re-coded without a standardised radiologic template (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u2009212 (68.2%) and\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u2009140 (56.2%),\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.004), and no difference when re-coded with the template (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u2009251 (80.7%) and\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u2009190 (76.3%),\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.206).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Coding TBI with AIS based on a standardised radiologic template results in fewer missed AIS head codes, more detailed AIS head codes, and more patients classified as \u2018major trauma\u2019.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Key Points<\/jats:title>\n                    <jats:p>\n                      <jats:bold>\n                        <jats:italic>Question<\/jats:italic>\n                      <\/jats:bold>\n                      <jats:italic>Radiologic reports are an important source for injury coding with the abbreviated injury scale (AIS) and are often not sufficiently specific<\/jats:italic>\n                      .\n                    <\/jats:p>\n                    <jats:p>\n                      <jats:bold>\n                        <jats:italic>Findings<\/jats:italic>\n                      <\/jats:bold>\n                      <jats:italic>An AIS-based standardised radiologic template for reporting resulted in more detailed AIS head codes and more patients classified as major trauma<\/jats:italic>\n                      .\n                    <\/jats:p>\n                    <jats:p>\n                      <jats:bold>\n                        <jats:italic>Clinical relevance<\/jats:italic>\n                      <\/jats:bold>\n                      <jats:italic>Injury coding with the AIS based on a standardised radiologic template will improve exchanging medical information in the acute health care setting and classification of trauma populations<\/jats:italic>\n                      .\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s00330-025-11384-9","type":"journal-article","created":{"date-parts":[[2025,1,31]],"date-time":"2025-01-31T09:12:56Z","timestamp":1738314776000},"page":"5081-5090","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Coding traumatic brain injury with the abbreviated injury scale following a standardised radiologic template will improve classification of trauma populations"],"prefix":"10.1007","volume":"35","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0765-0092","authenticated-orcid":false,"given":"Jan C.","family":"van Ditshuizen","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Menco J. 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Verhofstad.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Guarantor"}},{"value":"The authors of this manuscript declare no relationships with any companies, whose products or services may be related to the subject matter of the article.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflict of interest"}},{"value":"No complex statistical methods were necessary for this paper.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Statistics and biometry"}},{"value":"Written informed consent was waived by the Institutional Review Board.","order":5,"name":"Ethics","group":{"name":"EthicsHeading","label":"Informed consent"}},{"value":"Institutional Review Board approval was obtained.","order":6,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethical approval"}},{"value":"Some study subjects or cohorts have been previously reported in\n                      \n                      .","order":7,"name":"Ethics","group":{"name":"EthicsHeading","label":"Study subjects or cohorts overlap"}},{"order":8,"name":"Ethics","group":{"name":"EthicsHeading","label":"Methodology"}}]}}