Validation of the STUMBL Score for Blunt Thoracic Trauma

NCT06734338 | Recruiting DMC

• 2 other identifiers: UNCOMIRB20241212012
• Study Type: observational
• Target: 188
• Locations: 1 country
• Sites: 1

Brief Summary

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.

Conditions

Chest Trauma

Keywords

STUMBL; Trauma; Chest

Outcome Measures

Primary Outcomes (2)

• In hospital mortality

  Mortality (death) during hospitalization.

  In-Hospital Phase (average of 10 days through discharge); Post-Discharge Follow-Up: Day 7, Day 30

• 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.

  the first 4 hours after ER admission

Secondary Outcomes (3)

• Length of Hospitalization

  Up to discharge, an average of 10 days

• Rate of ICU Admission

  Up to discharge, an average of 10 days

• Rate of Participants Requiring Surgical Intervention

  Up to discharge, an average of 10 days

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)
• Sampling Method: Non-Probability Sample

Study 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.

You may qualify if:

• 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.

You may not qualify if:

• 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.
• Patients with a history of major thoracic surgery (e.g., prior lung or heart surgery) that may interfere with the assessment of trauma severity.

Sponsors & Collaborators

• Al-Nahrain University: lead

Study Sites (1)

College of Medicine - Al-Nahrain University

Baghdad, Iraq

RECRUITING

Related Publications (6)

• Kelderman I, Dickhoff C, Bloemers FW, Zuidema WP. Very long-term effects of conservatively treated blunt thoracic trauma: A retrospective analysis. Injury. 2024 Apr;55(4):111460. doi: 10.1016/j.injury.2024.111460. Epub 2024 Mar 2.

  PMID: 38458000 BACKGROUND

• Mistry RN, Moore JE. Management of blunt thoracic trauma. BJA Educ. 2022 Nov;22(11):432-439. doi: 10.1016/j.bjae.2022.08.002. Epub 2022 Oct 1. No abstract available.

  PMID: 36304913 BACKGROUND

• Mukerji S, Tan E, May C, Micanovic C, Blakemore P, Phelps K, Melville H, Jones P. Retrospective validation of a risk stratification tool developed for the management of patients with blunt chest trauma (the STUMBL score). Emerg Med Australas. 2021 Oct;33(5):841-847. doi: 10.1111/1742-6723.13740. Epub 2021 Feb 17.

  PMID: 33599054 RESULT

• Callisto E, Costantino G, Tabner A, Kerslake D, Reed MJ. The clinical effectiveness of the STUMBL score for the management of ED patients with blunt chest trauma compared to clinical evaluation alone. Intern Emerg Med. 2022 Sep;17(6):1785-1793. doi: 10.1007/s11739-022-03001-0. Epub 2022 Jun 23.

  PMID: 35739456 RESULT

• Battle C, Cole E, Whelan R, Baker E. Scoping review of the literature to ascertain how the STUMBL Score clinical prediction model is used to manage patients with blunt chest wall trauma in emergency care. Injury. 2023 Jul;54(7):110796. doi: 10.1016/j.injury.2023.05.027. Epub 2023 May 7.

  PMID: 37208252 RESULT

• Battle C, Cole E, Carter K, Baker E. Clinical prediction models for the management of blunt chest trauma in the emergency department: a systematic review. BMC Emerg Med. 2024 Oct 12;24(1):189. doi: 10.1186/s12873-024-01107-6.

  PMID: 39395934 RESULT

MeSH Terms

Conditions

Thoracic Injuries; Wounds and Injuries

Study Officials

• Yaser aamer Eisa Alhaibi, Assistant professor

  College Of Medicine - Nahrain University

  STUDY DIRECTOR

Central Study Contacts

Abdulillah R. Khamees Al-Mamoori

CONTACT

+9647838571013; allaabed987@ced.nahrainuniv.edu.iq

Study Design

• Study Type: observational
• Observational Model: COHORT
• Time Perspective: PROSPECTIVE
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Principal Investigator

Study Record Dates

• First Submitted: December 11, 2024
• First Posted: December 16, 2024
• Study Start: April 20, 2025
• Primary Completion (Estimated): December 10, 2026
• Study Completion (Estimated): December 20, 2026
• Last Updated: March 4, 2026

Record last verified: 2026-03

Data Sharing

• IPD Sharing: Will not share

Locations

IR (1)