Validation of the STUMBL Score for Blunt Thoracic Trauma

ConditionChest Trauma
Trial statusRecruiting
Trial phaseNot listed
Trial typeObservational
Biological sexAll
Age18+
SponsorAl-Nahrain University

About this trial

This prospective observational study aims to validate the STUMBL score for risk stratification in emergency department patients with blunt thoracic trauma in Iraq. The main questions it seeks to answer are:

How accurately does the STUMBL score predict mortality and critical outcomes such as ICU admission or advanced interventions? How well does the score stratify patients by injury severity in a resource-limited setting? Are there demographic or clinical factors that influence the score's predictive performance?

Participants will:

Be assessed using the STUMBL score upon arrival at the emergency department to predict risk levels.

Have demographic and clinical data, including age, gender, injury mechanism, comorbidities, and length of hospital stay, collected to explore potential associations with outcomes.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Patients presenting to the emergency department with blunt thoracic trauma (e.g., motor vehicle accidents, falls, or direct impacts to the chest).

Patients who present within 4 hours of sustaining the injury.

Patients or their legal guardians must provide informed consent to participate in the study.

Disqualifiers

Patients with penetrating chest trauma (e.g., stab wounds, gunshot wounds).

Patients with other life-threatening injuries that overshadow the thoracic trauma (e.g., head or abdominal trauma).

Pregnant women due to potential risks related to radiation or certain diagnostic procedures.

Pediatric patients under 18 years of age.

Trial population

The study will include adult patients (18 years and older) presenting to the emergency department at Al-Kadhimiya Teaching Hospital, Baghdad, with blunt thoracic trauma. Participants will be assessed based on injury mechanisms such as motor vehicle accidents, falls, or direct impacts, along with the severity of the trauma. Both male and female patients, regardless of comorbidities, will be included to evaluate the STUMBL score's applicability across different demographics and clinical profiles.

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

Accuracy Assessment of the STUMBL score

The score ranges from 1 to 30. ≥11 is particularly significant, as it indicates a higher risk of complications.

Time frame
the first 4 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 10 days
2

Rate of 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 10 days
3

Rate of Participants Requiring Surgical Intervention

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

Time frame
Up to discharge, an average of 10 days

Other outcomes

Sponsors and contacts

Click on the lead sponsor to view all of their trials.