Chest Trauma Scoring Systems as Predictors of Morbidity and Mortality in Iraq

NCT06737575 | Not Yet Recruiting DMC

• 2 other identifiers: UNCOMIRB20241212A013
• Study Type: observational
• Target: 190
• Locations: 1 country
• Sites: 1

Brief Summary

This prospective observational study aims to evaluate the effectiveness of chest trauma scoring systems in predicting morbidity and mortality in patients with blunt chest trauma in Iraq. The primary questions it seeks to address are: How accurately do chest trauma scoring systems predict mortality and critical outcomes such as ICU admission or the need for advanced interventions? How well do these scoring systems stratify patients based on injury severity in a resource-limited setting? Are there any demographic or clinical factors that impact the predictive performance of these scoring systems? Participants will: Be assessed using chest trauma scoring systems upon arrival at the emergency department to determine 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 Injury Trauma Blunt

Keywords

CTS; Trauma

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 Chest Trauma Score (CTS)

  The total score ranges from 2 to 12, with higher scores indicating worse outcomes.

  the first 4 hours after ER admission

Secondary Outcomes (1)

• Number of Participants Requiring ICU Admission

  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 population will consist of adult patients aged 18 years and older presenting to the emergency department with blunt chest trauma. Participants will be assessed using the Chest Trauma Score (CTS) to predict morbidity and mortality, and data on demographics, injury mechanisms, and clinical outcomes will be collected. The study aims to include a diverse sample from varying age groups and both genders to evaluate the score's performance across different subgroups.

You may qualify if:

• Patients diagnosed with blunt chest trauma.
• Patients presenting to the emergency department within 4 hours.
• Patients (or their legal representatives) must provide informed consent to participate in the study.
• Patients who can be assessed using the Chest Trauma Score at the time of arrival (e.g., having stable enough vitals to allow for evaluation).

You may not qualify if:

• Patients with penetrating chest trauma (e.g., gunshot or stab wounds), as the Chest Trauma Score is typically used for blunt trauma.
• Patients presenting with chest conditions unrelated to trauma (e.g., pneumonia, COPD exacerbation, or other non-traumatic causes of chest pain or respiratory distress).
• Patients with severe pre-existing comorbidities (e.g., end-stage heart failure, terminal cancer) where trauma is unlikely to be the primary cause of morbidity or mortality.
• Patients with missing or incomplete clinical data, including imaging or vital signs necessary to calculate the CTS accurately.
• Patients who refuse consent or do not agree to the use of their data for research purposes.

Sponsors & Collaborators

• Al-Nahrain University: lead

Study Sites (1)

College of Medicine - Al-Nahrain University

Baghdad, Iraq

Location

Related Publications (2)

• 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

• Dogrul BN, Kiliccalan I, Asci ES, Peker SC. Blunt trauma related chest wall and pulmonary injuries: An overview. Chin J Traumatol. 2020 Jun;23(3):125-138. doi: 10.1016/j.cjtee.2020.04.003. Epub 2020 Apr 20.

  PMID: 32417043 RESULT

MeSH Terms

Conditions

Wounds and Injuries

Study Officials

• Yaser aamer Eisa Alhaibi, Assistant professor

  College Of Medicine - Nahrain University

  STUDY DIRECTOR

Central Study Contacts

Abdul-Ilah R. Khamis

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 12, 2024
• First Posted: December 17, 2024
• Study Start: April 20, 2025
• Primary Completion: June 10, 2025
• Study Completion: June 30, 2025
• Last Updated: March 19, 2025

Record last verified: 2025-03

Data Sharing

• IPD Sharing: Will not share

Locations

IR (1)