About this trial
The goal of this prospective cohort study is to compare the predictive accuracy of the Revised Trauma Score (RTS) and the MGAP score in determining clinical outcomes among multiple trauma patients hospitalized at a trauma center in Iraq.
The main questions it aims to answer are:
Which score, RTS or MGAP, provides a more accurate prediction of clinical outcomes, including mortality? Are there specific subgroups of trauma patients where one scoring system outperforms the other?
Participants will:
Be assessed using both the RTS and MGAP scores upon admission. Have their clinical outcomes, including mortality and other relevant indicators, monitored throughout their hospital stay.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Presentation to the trauma center within 6 hours of injury.
Availability of complete clinical and demographic data for scoring using RTS and MGAP.
Patients who consent to participate in the study or whose legal representatives provide consent.
Capability to assess outcomes such as survival, ICU admission, and complications.
Disqualifiers
Patients who expired before scoring or evaluation
Missing or unreliable medical data for RTS or MGAP score calculations.
Transfers from other facilities with interventions that could impact RTS or MGAP reliability.
Pregnant patients, due to the unique considerations of trauma in pregnancy.
Trial population
Multiple trauma patients were admitted to the trauma and emergency department at Al-Kadhimiya Teaching Hospital in Baghdad.
Trial design
Cohort
Prospective
Treatments tested in this trial
Not listed
Trial groups
Trial outcomes
Primary outcomes
In hospital mortality
Mortality (death) during hospitalization.
Accuracy Assessment of the Revised Trauma Score (RTS)
The total RTS score ranges from 0 to approximately 12, with lower scores indicating more severe injuries and a higher risk of mortality.
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.
Secondary outcomes
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.
Number of Participants Requiring 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.
Number of Participants Requiring Surgical Intervention
need for surgical intervention during a trauma patient's hospital stay.
Sponsors and contacts
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