Mortality Prediction Using Trauma Scores
ConditionTrauma, Multiple
Trial statusRecruiting
Trial phaseNot listed
Trial typeObservational
Biological sexAll
Age18+
SponsorAl-Nahrain University
About this trial
The goal of this prospective cohort study is to compare the predictive utility of the Injury Severity Score (ISS), New Injury Severity Score (NISS), Revised Trauma Score (RTS), and Trauma and Injury Severity Score (TRISS) in determining mortality outcomes among trauma patients admitted to the trauma and emergency department at Kadhimiya Educational Hospital in Baghdad.
The main questions it aims to answer are:
Which trauma scoring system provides the most accurate prediction of mortality? Are there specific trauma patient subgroups where one scoring system outperforms the others?
Participants will:
Be assessed using all four trauma scoring systems (ISS, NISS, RTS, and TRISS) upon admission to the trauma and emergency department.
Have their clinical outcomes, including mortality, length of hospital stay, ICU admission, and discharge status, monitored throughout their hospital stay to evaluate the accuracy and utility of each scoring system in predicting patient outcomes.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Trauma patients admitted to the emergency room (ER).
Documented injury data sufficient to calculate both the New Injury Severity Score (NISS) and the Injury Severity Score (ISS).
Trauma scores (ISS, NISS, Revised Trauma Score [RTS], and Trauma and Injury Severity Score [TRISS]) calculated within 12 hour of arrival to ensure timely predictions.
Informed consent provided by the patient or a legal guardian in cases of incapacity.
Disqualifiers
Under 18 years of age and pregnant women, due to differences in trauma management and scoring applicability.
Non-trauma cases, including patients with terminal illnesses or severe cognitive impairments, to maintain focus on trauma outcomes.
Incomplete trauma scoring, missing or incomplete medical records, and
patients not treated in the trauma or emergency department.
Trial population
The study population consists of adult trauma patients (≥18 years) presenting to the trauma and emergency department at Kadhimiya Educational Hospital in Baghdad. It includes individuals with acute injuries, such as blunt or penetrating trauma, who require trauma severity scoring. Data will be gathered through standardized clinical assessments and trauma scoring within the emergency department setting, ensuring a representative sample of the trauma population at the hospital.
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)2
Accuracy Assessment of Injury Severity Score (ISS)
Range: 0 to 75 Higher values indicate worse outcomes, reflecting greater injury severity.
Time frame
the first 12 hours after ER admission3
Accuracy Assessment of New Injury Severity Score (NISS)
Range: 0 to 75. Higher values indicate worse outcomes, reflecting greater injury severity.
Time frame
the first 12 hours after ER admission4
Accuracy Assessment of Trauma Injury Severity Score (TISS)
Range: 0 (represents a 0% probability of survival) to 1 (represents a 100% probability of survival), with higher scores indicating greater trauma severity.
Time frame
the first 12 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 days2
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.
Time frame
Up to discharge, an average of 7 days3
Number of Participants Requiring Surgical Intervention
need for surgical intervention during a trauma patient's hospital stay.
Time frame
Up to discharge, an average of 7 daysSponsors and contacts
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Source ClinicalTrials.gov