Comparative Analysis of MGAP and GAP Trauma Scores in Predicting Outcomes for Multiple Trauma Patients
ConditionTrauma
Trial statusRecruiting
Trial phaseNot listed
Trial typeObservational
Biological sexAll
Age16+
SponsorAl-Nahrain University
About this trial
The goal of this prospective cohort study is to compare the predictive accuracy of the MGAP and GAP trauma scores in determining the prognosis of multiple trauma patients admitted to the emergency department at Al-Kadhimiya Teaching Hospital, Iraq.
The main questions it aims to answer are:
Does the MGAP score provide a more accurate prediction of outcomes compared to the GAP score? Are there specific subgroups of trauma patients where one score demonstrates superior predictive utility over the other?
Participants will:
Be assessed using both the MGAP and GAP scores upon admission to the emergency department.
Have their clinical outcomes, including mortality, length of stay, and need for surgery, tracked throughout their hospital stay.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Aged 16 years or older.
Patients presenting with multiple trauma (Multiple trauma is defined as injuries involving two or more body regions or organ systems that might need coordinated multidisciplinary management).
Patients presenting to the emergency department within 6 hours of sustaining trauma.
Patients or their legal representatives must provide informed consent for participation in the study.
Disqualifiers
Transfers from other facilities with interventions that may affect GAP or MGAP reliability.
Pregnant women.
Burn injuries represent the primary mechanism of trauma.
Incomplete records or failure of follow-up
Trial population
The study will include patients presenting with multiple trauma to the Trauma and Emergency Department at Al-Kadhimiya Teaching Hospital, Iraq. This population comprises patients who have sustained injuries affecting multiple body regions and require urgent medical evaluation and management
Trial design
Design model
Cohort
Time perspective
Prospective
Treatments tested in this trial
Not listed
Trial groups
No trial groups listed
Trial outcomes
Primary outcomes
1
In hospital mortality
Mortality (death) during hospitalization.
Time frame
In-Hospital Phase (average of 7-10 days through discharge)2
Accuracy Assessment of the MGAP score
(mechanism, Glasgow coma scale, age, and blood pressure), Total scores can range from 3 to 29, with a higher score predicting a better prognosis.
Time frame
the first 4 hours after ER admission3
Accuracy Assessment of the GAP score
Glasgow coma scale, age, and blood pressure (GAP) score: Total score ranges from 3 to 24. Higher scores suggest a better outcome.
Time frame
the first 4 hours after ER admissionSecondary outcomes
1
Length of Hospitalization
The total duration of a patient's stay in the hospital, measured from the date of admission to the date of discharge. This includes all days spent in general wards, intensive care units (ICU), and other hospital departments as part of their treatment course.
Time frame
Up to discharge, an average of 7-10 days2
Need for ICU Admission
The requirement for admission to the intensive care unit (ICU) is determined by the presence of severe clinical deterioration, significant complications, or the need for advanced monitoring and life-support measures.
Time frame
Up to discharge, an average of 7-10 days3
Need for Surgical Intervention
need for surgical intervention during a trauma patient's hospital stay.
Time frame
Up to discharge, an average of 7-10 daysSponsors and contacts
Click on the lead sponsor to view all of their trials.
Source ClinicalTrials.gov