Comparing two scoring systems for predicting outcomes in chest trauma patients
Which Score Best Predicts Outcomes in Chest Trauma? A Prospective Comparison of Thorax and Trauma Injury Severity Scores
Al-Nahrain University · NCT06707441
This study is testing which scoring system better predicts outcomes for patients with chest injuries when they arrive at the emergency room.
Quick facts
| Study type | Observational |
|---|---|
| Enrollment | 150 (estimated) |
| Ages | 16 Years and up |
| Sex | All |
| Sponsor | Al-Nahrain University (other) |
| Locations | 1 site (Baghdad) |
| Trial ID | NCT06707441 on ClinicalTrials.gov |
What this trial studies
This observational study aims to evaluate the effectiveness of the Thorax Trauma Severity Score (TTSS) compared to the Trauma and Injury Severity Score (TRISS) in predicting clinical outcomes for patients with chest trauma. Participants will have their chest injury severity assessed using both scoring systems upon emergency room admission, and their outcomes, such as mortality and ICU admissions, will be monitored throughout their hospital stay. The study seeks to determine if one scoring system is more accurate than the other and if specific patient subgroups benefit more from one assessment over the other.
Who should consider this trial
Good fit: Ideal candidates include adults with chest injuries requiring assessment using TTSS and TRISS within 6 hours of admission.
Not a fit: Patients under 18 years or those with non-traumatic chest injuries or severe co-morbidities may not benefit from this study.
Why it matters
Potential benefit: If successful, this study could improve the accuracy of outcome predictions for chest trauma patients, leading to better clinical decision-making and patient care.
How similar studies have performed: While trauma scoring systems are commonly used, this specific comparison of TTSS and TRISS in chest trauma is novel and has not been extensively tested.
Eligibility criteria
Show full inclusion / exclusion criteria
Inclusion Criteria: * Patients with chest injuries that require clinical assessment using the Thorax Trauma Severity Score (TTSS) and the Trauma Injury Severity Score (TISS) within 6 hours of admission. * Patients (or their legal guardians) must provide informed consent for participation in the study. This ensures ethical standards are maintained. * Patients presenting with thoracic injuries, including rib fractures, pulmonary contusions, pneumothorax, hemothorax, and other chest-related injuries. This will include both isolated chest trauma and trauma with multiple injuries Exclusion Criteria: * Patients younger than 16 years. * Patients with chest injuries caused by conditions unrelated to trauma, such as spontaneous pneumothorax, infections, or other medical conditions (e.g., non-traumatic rib fractures or cancer). * Patients with severe co-morbidities (e.g., terminal illnesses, advanced stages of cancer, or end-stage organ failure) that would significantly affect outcomes unrelated to the chest trauma. * Patients with pre-existing severe neurological conditions or other comorbidities that would interfere with trauma assessment and clinical management (e.g., severe brain injury, vegetative state). * Patients or their legal representatives who refuse consent for participation in the study. * Pregnant women due to potential risks associated with trauma and interventions during pregnancy.
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.
Conditions: Chest Trauma, TTSS, ER, TRISS