Comparing three quick scores (EMTRAS, REMS, GAP) to predict outcomes after trauma
Comparative Predictive Accuracy of EMTRAS, REMS, and GAP Scores for Mortality, Endotracheal Intubation, and Length of Hospitalization in Trauma Patients: The First Prospective Cohort Study From Iraq
Al-Nahrain University · NCT07186777
This project tests whether three fast scoring systems (EMTRAS, REMS, GAP) can predict death, the need for a breathing tube, and length of hospital stay for people admitted with trauma.
Quick facts
| Study type | Observational |
|---|---|
| Enrollment | 188 (estimated) |
| Ages | 16 Years and up |
| Sex | All |
| Sponsor | Al-Nahrain University (other) |
| Locations | 1 site (Baghdad) |
| Trial ID | NCT07186777 on ClinicalTrials.gov |
What this trial studies
This is a prospective multicenter cohort enrolling trauma patients at participating hospitals in Iraq. On arrival to the emergency department (within 12 hours of injury), each patient will receive EMTRAS, REMS, and GAP scores and basic clinical data will be recorded. Participants are then followed through their hospitalization to record outcomes including mortality, need for endotracheal intubation, and total length of stay. The study will compare the predictive accuracy and correlation of the three scores for these outcomes.
Who should consider this trial
Good fit: Ideal candidates are people with acute trauma who present to participating emergency departments within 12 hours of injury and can give informed consent (or have a legal guardian provide consent), excluding pregnant patients and those dead on arrival.
Not a fit: Patients who arrive dead, are discharged before scoring can be performed, have incomplete clinical data, are pregnant, or cannot provide consent are unlikely to benefit from participation.
Why it matters
Potential benefit: If successful, the results could help clinicians quickly identify high-risk trauma patients and prioritize care, potentially reducing preventable deaths and delays in treatment.
How similar studies have performed: Previous research has shown REMS and GAP can predict outcomes in some settings, but head-to-head prospective comparisons including EMTRAS—especially in low- and middle-income settings like Iraq—are limited.
Eligibility criteria
Show full inclusion / exclusion criteria
Inclusion Criteria: * Patients presenting to the emergency department with trauma. * Patients or their legal guardians must provide informed consent to participate in the study. * Admission within 12 hours of injury. Exclusion Criteria: * Patients with incomplete clinical data or those discharged before scoring can be performed. * Pregnant patients (due to specific physiological considerations not accounted for by the scoring system). * Patients who died before arrival or were declared dead on arrival. * Patients who refuse participation or for whom informed consent cannot be obtained.
Where this trial is running
Baghdad
- College of Medicine - Al-Nahrain University — Baghdad, Iraq (RECRUITING)
Study contacts
- Study coordinator: Abdulillah R. Khamees, MBBCH
- Email: abdulilah.r.khamis@gmail.com
- Phone: +9647838571013
How to participate
- Review the eligibility criteria above with your treating physician.
- Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
- Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.
Conditions: Trauma Patients, EMTRAS, REMS, GAP, Trauma