Comparing two scoring systems for predicting mortality in trauma patients
Can NISS or ISS Better Predict Mortality in Blunt Trauma Patients? A Prospective Study
This study is testing if a new scoring system can better predict the chances of survival for trauma patients in emergency rooms compared to an older scoring system.
Quick facts
| Study type | Observational |
|---|---|
| Enrollment | 200 (estimated) |
| Ages | 18 Years and up |
| Sex | All |
| Sponsor | Al-Nahrain University Academic / other |
| Locations | 1 site (Baghdad) |
| Trial ID | NCT06705959 on ClinicalTrials.gov |
What this trial studies
This prospective cohort study aims to evaluate the effectiveness of the New Injury Severity Score (NISS) compared to the Injury Severity Score (ISS) in predicting mortality outcomes for trauma patients admitted to emergency rooms in Iraq. Participants will be assessed using both scoring systems upon ER admission, and their clinical outcomes, including mortality, will be monitored throughout their hospital stay. The study seeks to determine if NISS offers a more accurate prediction of mortality than ISS and to identify specific subgroups of trauma patients where one scoring system may outperform the other.
Who should consider this trial
Good fit: Ideal candidates for this study are trauma patients admitted to the emergency room within 6 hours of injury with sufficient documentation for calculating both NISS and ISS.
Not a fit: Patients under 18 years of age, those with burns as the primary injury, or individuals with pre-existing terminal conditions unrelated to the trauma may not benefit from this study.
Why it matters
Potential benefit: If successful, this study could enhance the accuracy of mortality predictions in trauma patients, leading to improved clinical decision-making and patient outcomes.
How similar studies have performed: Previous studies have shown mixed results regarding the predictive accuracy of NISS and ISS, with some indicating that NISS may provide superior sensitivity in certain trauma populations.
Eligibility criteria
Show full inclusion / exclusion criteria
Inclusion Criteria: * Trauma patients admitted to the emergency room (ER). * Patients with documented injury data are sufficient for calculating both the NISS and ISS. * Patients admitted to the ER within 6 hours of injury. * Patients providing informed consent (or consent obtained from a legal guardian in cases of incapacity). Exclusion Criteria: * Patients under 18 years of age. * Trauma cases involving burns as the primary injury. * Patients with incomplete medical records or insufficient data to calculate NISS and ISS. * Patients with pre-existing terminal conditions (e.g., advanced cancer, end-stage organ failure) unrelated to the trauma. * Patients who died on arrival or before NISS/ISS assessment could be performed. * Cases involving pregnant patients, if the primary focus of injury and risk assessment is maternal-fetal outcomes.
Where this trial is running
Baghdad
- College of Medicine - Al-Nahrain University — Baghdad, Iraq (Recruiting)
Study contacts
- Study coordinator: Abdulillah R. Khamees
- Email: allaabed987@ced.nahrainuniv.edu.iq
- 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.