Durbin D R, Winston F K, Applegate S M, Moll E K, Holmes J H
Department of Pediatrics, The Children's Hospital of Philadelphia, PA, USA.
Arch Pediatr Adolesc Med. 1999 Apr;153(4):404-8. doi: 10.1001/archpedi.153.4.404.
To develop and pilot test a telephone-based survey instrument that enables parents to identify and characterize the body region and severity of childhood injuries using the Abbreviated Injury Scale (AIS) scoring system.
A prospective cross-sectional survey.
The emergency department of an urban, tertiary care, pediatric trauma center.
One hundred forty-seven parents of children younger than 18 years and seen in the emergency department for acute treatment of an unintentional injury.
None.
The degree of agreement, measured as sensitivity, specificity, and kappa statistic, between medical record information and parents' responses to the telephone survey regarding the identification and characterization of clinically significant (AIS > or =2) injuries.
The survey, known as the Injury Severity Assessment Survey/Parent Report, was developed via a systematic review of the AIS 1990 manual. Answers to questions were developed in a way that enabled automated coding of responses into AIS scores or ranges of scores. The sensitivity of the survey (its ability to detect injuries scoring 2 or more on the AIS that were documented in the medical record) varied somewhat by the body region of injury, ranging from 88% for head, face, neck, and spine injuries to 95% for extremity injuries. Intermediate sensitivity (92%) was noted for the detection of significant chest and abdomen injuries. The specificity of the survey (its ability to rule out the presence of a significant injury when one was not documented in the medical record) was more than 95% in each of the 3 body region groups. The kappa statistics for the 3 body region groups ranged from 0.89 to 0.92.
A new telephone-based survey has been developed that enables parents to characterize their child's injuries by body region and to differentiate between minor injuries and more significant injuries using a well-established injury classification system. This survey has a significant advantage over previous telephone-based or written surveys of childhood injuries and may be particularly valuable in population-based (e.g., random-digit dial surveys) or multi-institutional studies of pediatric injuries.
开发并进行一项基于电话的调查工具测试，使家长能够使用简略损伤量表（AIS）评分系统识别儿童损伤的身体部位并描述其严重程度。
前瞻性横断面调查。
一家城市三级护理儿科创伤中心的急诊科。
147名18岁以下儿童的家长，这些儿童因意外伤害在急诊科接受急性治疗。
无。
病历信息与家长对电话调查中关于临床显著损伤（AIS≥2）的识别和描述的回答之间的一致性程度，以敏感性、特异性和kappa统计量衡量。
这项名为损伤严重程度评估调查/家长报告的调查是通过对AIS 1990手册的系统回顾而开发的。问题的答案以一种能够将回答自动编码为AIS分数或分数范围的方式制定。调查的敏感性（其检测病历中记录的AIS评分为2或更高的损伤的能力）因损伤的身体部位而有所不同，从头部、面部、颈部和脊柱损伤的88%到四肢损伤的95%不等。检测胸部和腹部显著损伤的敏感性为中等（92%）。调查的特异性（当病历中未记录时排除存在显著损伤的能力）在三个身体部位组中的每一组都超过95%。三个身体部位组的kappa统计量范围为0.89至0.92。
已开发出一种新的基于电话的调查，使家长能够按身体部位描述孩子的损伤，并使用成熟的损伤分类系统区分轻伤和重伤。这项调查比以前基于电话或书面的儿童损伤调查具有显著优势，在基于人群的（如随机数字拨号调查）或儿科损伤的多机构研究中可能特别有价值。
