Evaluation of the Blunt Abdominal Trauma Severity Score (BATSS) in Blunt Abdominal Trauma

NCT07803211 | Not Yet Recruiting

• 1 other identifier: BATSS in Blunt Abdomen Trauma
• Study Type: observational
• Target: 120
• Locations: 0 countries
• Sites: N/A

Brief Summary

Blunt abdominal trauma (BAT) is a leading cause of trauma-related morbidity and mortality, commonly caused by motor vehicle collisions, falls, and assaults. Early identification of significant intra-abdominal injury remains a major diagnostic challenge because physical examination alone has limited sensitivity in patients with altered consciousness or distracting injuries. The Blunt Abdominal Trauma Severity Score (BATSS) is a rapid bedside assessment tool that integrates clinical signs, hemodynamic parameters, and Focused Assessment with Sonography for Trauma (FAST) findings to risk-stratify patients presenting with blunt abdominal trauma. This prospective observational cohort study aims to evaluate the diagnostic accuracy and clinical utility of BATSS in adult patients presenting with blunt abdominal trauma to the Emergency Department at Assiut University Hospitals. Enrolled participants will be scored upon initial presentation and categorized into low-, moderate-, or high-risk groups to assess the score's ability to predict the definitive mode of management (operative intervention versus conservative observation), intensive care unit (ICU) admission, in-hospital mortality, and post-traumatic complications.

Conditions

Blunt Abdominal Trauma; Abdominal Injuries; Intra-Abdominal Injury

Keywords

Blunt Abdominal Trauma Severity Score; BATSS; Focused Assessment with Sonography for Trauma; FAST examination; Trauma scoring system; Operative management; Emergency trauma assessment

Outcome Measures

Primary Outcomes (1)

• Number of Participants Requiring Operative Management

  Number of participants with blunt abdominal trauma who undergo surgical operative intervention (such as exploratory laparotomy) during hospitalization.

  7 days

Study Arms (1)

Blunt Abdominal Trauma Patients

Adult patients aged 18 years or older presenting with blunt abdominal trauma to the Emergency Department within 24 hours of injury. All enrolled patients undergo initial trauma assessment according to the ATLS protocol, including a Focused Assessment with Sonography for Trauma (FAST) examination. The Blunt Abdominal Trauma Severity Score (BATSS) is calculated upon admission to stratify patients into low-risk (\<8 points), moderate-risk (8-11 points), and high-risk (≥12 points) groups. Subsequent diagnostic evaluations (such as contrast-enhanced CT) and management pathways (operative intervention vs. conservative observation) are recorded and followed up to assess outcomes.

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Age Groups: Adult (18-64), Older Adult (65+)
• Sampling Method: Non-Probability Sample

Study Population

Adult patients presenting with blunt abdominal trauma to the Emergency Department at Assiut University Hospital within 24 hours of injury.

You may qualify if:

• Patients aged 18 years or older
• Patients presenting with blunt abdominal trauma
• Patients presenting within 24 hours of injury
• Patients who undergo initial trauma assessment including Focused Assessment with Sonography for Trauma (FAST) examination
• Patients (or their legal guardians) who provide written informed consent

You may not qualify if:

• Penetrating abdominal trauma
• Patients younger than 18 years of age
• Pregnant women
• Patients referred after definitive surgical intervention at another hospital
• Patients with incomplete clinical or radiological data
• Patients who refuse participation

Sponsors & Collaborators

• Assiut University: lead

MeSH Terms

Conditions

Abdominal Injuries

Condition Hierarchy (Ancestors)

Wounds and Injuries

Study Design

• Study Type: observational
• Observational Model: COHORT
• Time Perspective: PROSPECTIVE
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Resident at Emergency Department

Study Record Dates

• First Submitted: August 31, 2026
• First Posted: September 3, 2026
• Study Start: October 1, 2026
• Primary Completion (Estimated): October 1, 2027
• Study Completion (Estimated): November 1, 2027
• Last Updated: September 3, 2026

Record last verified: 2026-08