Thorax Trauma Severity Score in Chest Trauma: A Study in Iraq
ConditionChest Trauma
Trial statusRecruiting
Trial phaseNot listed
Trial typeObservational
Biological sexAll
Age16+
SponsorAl-Nahrain University
About this trial
This prospective observational study aims to evaluate the predictive utility of the Thorax Trauma Severity Score (TTSS) in determining morbidity and mortality in patients presenting with chest trauma at a tertiary hospital in Iraq. The primary objectives of the study are:
To assess the accuracy of TTSS in predicting mortality and critical outcomes such as ICU admission and the need for advanced interventions.
To evaluate the utility of TTSS in stratifying patients based on injury severity in a resource-constrained setting.
To identify demographic and clinical factors influencing the predictive performance of TTSS.
Participants will:
Be assessed using the TTSS upon arrival at the emergency department to establish risk stratification.
Provide demographic and clinical data, including age, gender, mechanism of injury, comorbidities, and length of hospital stay, for analyzing associations with clinical outcomes.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
patients above 16 years of age.
Patients presenting to the emergency department with thoracic trauma.
Patients or their legal guardians must provide informed consent to participate in the study.
Disqualifiers
Patients with incomplete clinical data or those discharged before scoring can be performed.
Pregnant patients (due to specific physiological considerations not accounted for by the scoring system).
Patients who succumb to their injuries before scoring or baseline data collection.
chronic respiratory diseases
Trial population
The study population includes adult patients aged 16 years and older presenting with chest trauma, including both blunt and penetrating injuries, at the emergency department of a tertiary hospital in Iraq. Participants will be evaluated for injury severity using the Thorax Trauma Severity Score (TTSS), with demographic and clinical data collected to explore outcome predictors. This population represents a diverse cohort reflective of trauma patterns in a resource-limited setting.
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
Accuracy Assessment of Thorax trauma severity score (TTSS) in Predicting In-Hospital Mortality
The total score ranges from 0 to 25, with higher scores indicating more severe injuries, a poorer prognosis, and an increased risk of in-hospital mortality.
Time frame
From admission to hospital discharge or death, up to 30 daysSecondary outcomes
1
Accuracy Assessment of the Thorax Trauma Severity Score (TTSS) in Predicting the Need for ICU Admission
The TTSS ranges from 0 to 25, with higher scores reflecting more severe thoracic injuries. This outcome evaluates the score's ability to predict the requirement for ICU admission in trauma patients, with higher TTSS values expected to correlate with increased likelihood of ICU admission.
Time frame
From emergency department admission to ICU admission, hospital discharge, or in-hospital death (up to 30 days).2
Accuracy Assessment of the Thorax Trauma Severity Score (TTSS) in Predicting Early Hospital Discharge
This outcome evaluates the ability of the TTSS (ranging from 0 to 25) to predict early hospital discharge in thoracic trauma patients. Lower TTSS values are hypothesized to be associated with a higher likelihood of early discharge, reflecting less severe injury.
Time frame
From hospital admission to discharge, within 72 hours (early discharge).3
Accuracy Assessment of the Thorax Trauma Severity Score (TTSS) in Predicting the Need for Surgical Intervention
This outcome measures the predictive accuracy of the TTSS range (from 0 to 25) in identifying patients who require surgical management (e.g., thoracotomy, VATS, or chest wall repair) due to thoracic trauma. Higher TTSS values are expected to correlate with an increased likelihood of surgical intervention.
Time frame
From emergency department admission to surgical intervention, hospital discharge, or in-hospital death (up to 30 days).4
Accuracy Assessment of the Thorax Trauma Severity Score (TTSS) in Predicting In-Hospital Morbidity
This outcome evaluates the incidence and types of complications (morbidity) experienced by patients with thoracic trauma, as predicted by the TTSS range (from 0 to 25). Higher TTSS values are expected to correlate with increased morbidity, including respiratory complications, infections, prolonged mechanical ventilation, and other trauma-related adverse events.
Time frame
From hospital admission to discharge or death, up to 30 days.Sponsors and contacts
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Source ClinicalTrials.gov