Comparing three quick scores (EMTRAS, REMS, GAP) to predict outcomes after trauma
Official title: 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
Run by Al-Nahrain University · NCT07186777 · Data updated 2026-11-12
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 |
|---|---|
| Ages | 16 Years and up |
| Sex | All |
| Enrollment | 188 (estimated) |
| Sponsor | Al-Nahrain University Academic / other |
| Locations | 1 site (Baghdad) |
| Status | Recruiting |
| Started | September 15, 2025 |
| Main results expected | December 1, 2026 |
| Study ends | December 15, 2026 |
| Registry record updated | March 4, 2026 |
| Trial ID | NCT07186777 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a 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.
✕Probably 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.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
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.
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 gone: 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.
Who can join: the full rules
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 it's running
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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
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.