Evaluating the New Trauma Score (NTS) for Improved Mortality Prediction

ConditionTrauma
Trial statusNot yet recruiting
Trial phaseNot listed
Trial typeObservational
Biological sexAll
Age18+
SponsorAl-Nahrain University

About this trial

The goal of this prospective cohort study is to evaluate the predictive accuracy of the New Trauma Score (NTS), a modification of the Revised Trauma Score (RTS), in determining mortality outcomes among trauma patients admitted to the emergency department at Al-Kadhimiya Teaching Hospital, Iraq.

The main questions it aims to answer are:

Does the NTS provide a more accurate prediction of mortality than the RTS? Are there specific subgroups of trauma patients where the NTS demonstrates superior predictive utility compared to the RTS?

Participants will:

Be assessed using both the NTS and RTS upon admission to the emergency department.

Have their clinical outcomes, including mortality, tracked throughout their hospital stay.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

All trauma patients (including blunt, penetrating, and traumatic brain injury) admitted to the emergency department.

Patients presenting with varying degrees of trauma (mild to severe).

Patients (or their legal representatives) who provide informed consent to participate in the study.

Trauma patients admitted to the emergency department.

Disqualifiers

Patients under 18 years old.

Pregnant women, due to the potential complications and challenges in trauma assessment.

Patients who refuse to give consent to participate in the study or whose legal guardians refuse on their behalf.

Trauma patients transferred from other hospitals.

Trial population

consist of trauma patients admitted to the emergency department (ED) of Al-Kadhimiya Teaching Hospital over the study period. This will include both male and female patients of various age groups who present with trauma-related injuries.

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 days through discharge); Post-Discharge Follow-Up: Day 7, Day 30
2

Accuracy Assessment of the New Trauma Score (NTS)

The New Trauma Score (NTS) ranges from 3 to 23. Higher scores indicate better physiological status and lower mortality risk.

Time frame
the first 6 hours after ER admission
3

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.

Time frame
the first 6 hours after ER admission

Secondary 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 days
2

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 days
3

Need for Surgical Intervention

need for surgical intervention during a trauma patient's hospital stay.

Time frame
Up to discharge, an average of 7 days

Other outcomes

Sponsors and contacts

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