Usefulness of the abbreviated injury score and the injury severity score in comparison to the Glasgow Coma Scale in predicting outcome after traumatic brain injury

摘要: Background:Assessment of injury severity is important in the management of patients with brain trauma. We aimed to analyze the usefulness of the head abbreviated injury score (AIS), the injury severity score (ISS), and the Glasgow Coma Scale (GCS) as measures of injury severity and predictors of outcome after traumatic brain injury (TBI).Methods:Data were prospectively collected from 410 patients with TBI. AIS, ISS, and GCS were recorded at admission. Subjects' outcomes after TBI were measured using the Glasgow Outcome Scale (GOS-E) at 12 months postinjury. Uni-and multivariate analyses were performed.Results:Outcome information was obtained from 270 patients (66%). ISS was the best predictor of GOS-E (r s=− 0.341, p< 0.001), followed by GCS score (r s= 0.227, p< 0.001), and head AIS (r s=− 0.222, p< 0.001). When considered in combination, GCS score and ISS modestly improved the correlation …