Evaluation of the Injury Impairment Scale, a Tool to Predict Road Crash Sequelae, in a French Cohort of Road Crash Survivors

The objective of the present study was to validate sequelae prediction by the Maximal Injury Impairment Score (M-IIS) in comparison with the Functional Independence Measure (FIM) assessed at 1-year follow-up of severe road crash victims. Methods: The study population came from "the Etude et Suivi d'une Population d'Accidentés de la Route dans le Rhône" (ESPARR; Rhône Area Road Crash Victim Follow-up Study) cohort: 178 victims (with Maximal Abbreviated Injury Scale = 3) of road crashes in the Rhône administrative department of France, aged = 16 years and with medical examination including FIM scoring 1 year postaccident. Two thresholds were tested for both scores. Firstly, the relation between FIM and M-IIS was assessed on logistic regression models adjusted on age and presence of complications at 1 year postaccident. The predictive capacity of M-IIS was expressed as its negative and positive predictive values and was considered good when 80 percent or better. Sixty-three of the 178 adult subjects (mean age = 37.7 years; range = 16.1-82.9 years) showed postaccident complications. One-year sequelae prediction on M-IIS was greater in head, spine, and limb lesions but limited to slight impairments (M-IIS = 1). There was a significant correlation between FIM and M-IIS, although age and medical complications were confounding factors on certain multivariate models. The predictive capacity of M-IIS was low for all types of sequelae. M-IIS, in this severely injured population, failed to predict sequelae at 1 year as measured by the FIM, despite a good correlation between the two. Complications are to be taken into account in assessing the M-IIS's capacity to predict sequelae. Further evaluation will be needed on larger series or assessment of other indicators and measures of sequelae at 1 year to obtain a robust tool to predict road crash sequelae.

• Record URL:
  • https://doi.org/10.1080/15389588.2011.647139
• Availability:
  • Find a library where document is available. Order URL: http://worldcat.org/oclc/49192340
• Supplemental Notes:
  • Abstract reprinted with permission from Taylor & Francis.
• Authors:
  • Nhac-Vu, Hoang-Thy
  • Hours, Martine
  • Charnay, Pierrette
  • Chossegros, Laetitia
  • Boisson, Dominique
  • Luauté, Jacques
  • Laumon, Bernard
• Publication Date: 2012-5

Language

• English

Media Info

• Media Type: Print
• Features: Figures; References; Tables;
• Pagination: pp 239-248
• Serial:
  • Traffic Injury Prevention
  • Volume: 13
  • Issue Number: 3
  • Publisher: Taylor & Francis
  • ISSN: 1538-9588
  • Serial URL: http://www.tandf.co.uk/journals/titles/15389588.html

Subject/Index Terms

• TRT Terms: Crash severity; Injuries; Traffic crash victims
• Uncontrolled Terms: Follow up study; Healing and recovery
• Geographic Terms: France
• Subject Areas: Highways; Safety and Human Factors; I80: Accident Studies;

Filing Info

• Accession Number: 01376458
• Record Type: Publication
• Files: TRIS, ATRI
• Created Date: Jul 26 2012 4:48PM