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 volunteersQualifiers
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
Cohort
Prospective
Treatments tested in this trial
Not listed
Trial groups
Trial outcomes
Primary outcomes
In hospital mortality
Mortality (death) during hospitalization.
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.
Secondary outcomes
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.
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.
Rate of Participants Requiring Surgical Intervention
need for surgical intervention during a trauma patient's hospital stay.
Sponsors and contacts
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