FOUR Score-Modified Trauma Scores for Mortality Prediction

Trial statusNot yet recruiting
Trial phaseNot listed
Trial typeObservational
Biological sexAll
Age16+
SponsorAl-Nahrain University

About this trial

The goal of this multicenter prospective observational cohort study is to develop and validate FOUR Score-modified trauma scoring systems for mortality prediction in adult trauma patients. The main question it aims to answer is (1) do FOUR Score-modified versions of the Revised Trauma Score (RTS), Trauma and Injury Severity Score (TRISS), New Trauma Score (NTS), and Glasgow Coma Scale, Age, and Systolic Blood Pressure (GAP) Score improve mortality prediction compared with their corresponding original scores? Researchers will compare the original scoring systems with their corresponding FOUR Score-modified versions to assess differences in discrimination and overall predictive performance. Participants will undergo routine clinical assessment, including assessment of the Glasgow Coma Scale and Full Outline of UnResponsiveness Score, and relevant demographic, physiological, and injury-related data will be prospectively recorded; no experimental intervention will be administered.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Patients with sufficient clinical data to calculate the fREMS score, including the FOUR Score and other required physiological variables.

Patients with a documented mortality outcome .

Disqualifiers

Patients transferred from another hospital after initial resuscitation.

Patients who died before the required initial clinical assessment

Trial population

The study population will be recruited from adult trauma patients presenting to participating trauma centers across multiple hospitals. Participants will be prospectively enrolled during the study period, with standardized collection of clinical, physiological, and injury-related data at initial trauma assessment. The study will evaluate the performance of established trauma scoring systems and their corresponding FOUR Score-modified versions for mortality prediction.

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 10 days through discharge)

Secondary outcomes

Other outcomes

Sponsors and contacts

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