Hartensuer R, Nikolov B, Franz D, Weimann A, Raschke M, Juhra C
Klinik für Unfall-, Hand- und Wiederherstellungschirurgie, Universitätsklinikum Münster.
Medizincontrolling, Universitätsklinikum Münster.
Z Orthop Unfall. 2015 Dec;153(6):607-12. doi: 10.1055/s-0035-1546217. Epub 2015 Oct 15.
Most of the current scores and outcome prediction calculations in traumatology are based on the Abbreviated Injury Scale (AIS). However, this is not routinely used for documentation and coding of injuries in many countries, including Germany. Instead of the AIS, the International Classification of Diseases (ICD) is used. While the ICD functions as the basis for automated calculating of the diagnosis-related groups (DRG), no possibility of simple conversion of the 10th version of the ICD into AIS is available so far.
The aim of this work is to develop and apply a methodology for simple conversion from ICD 10 to current AIS.
The developed mapping procedure was based on a 1 : n relationship between trauma codes of ICD-10-GM and the codes of the AIS2005. Calculated ISS from the conversion codes were then compared with the actual ISS coding available from the clinical trauma documentation.
It can be shown that, despite the considerable differences in the structure and systematic of both classification systems, an automated translation is technically possible.
The preliminary result of the mapping suggests, however, that despite the technical feasibility of a reliable conversion and comparability of ICD 10 and AIS in the required quality is still questionable. An automated conversion is still possible and quality would possibly improve by inclusion of additional information.
创伤学中目前的大多数评分和预后预测计算都是基于简明损伤定级标准（AIS）。然而，在包括德国在内的许多国家，它并非常规用于损伤的记录和编码。在德国，使用的是国际疾病分类（ICD）而非AIS。虽然ICD是诊断相关分组（DRG）自动计算的基础，但目前尚无将ICD第十版简单转换为AIS的方法。
本研究旨在开发并应用一种将ICD-10简单转换为当前AIS的方法。
所开发的映射程序基于ICD-10-GM创伤编码与AIS2005编码之间1:n的关系。然后将转换编码计算出的损伤严重度评分（ISS）与临床创伤记录中实际的ISS编码进行比较。
结果表明，尽管两个分类系统在结构和体系上存在显著差异，但技术上实现自动转换是可行的。
然而，映射的初步结果表明，尽管可靠转换在技术上可行，但ICD-10和AIS在所需质量上的可比性仍存在疑问。自动转换仍然可行，纳入更多信息可能会提高质量。
