Testing the STUMBL chest-injury risk score
Validation of the STUMBL Score for Risk Stratification in Emergency Department Patients With Blunt Thoracic Trauma: A Prospective Observational Study in Iraq
This project will test whether the STUMBL score can predict serious outcomes for adults who arrive at the emergency department with blunt chest injuries in Baghdad.
Quick facts
| Study type | Observational |
|---|---|
| Enrollment | 188 (estimated) |
| Ages | 18 Years and up |
| Sex | All |
| Sponsor | Al-Nahrain University Academic / other |
| Drugs / interventions | radiation |
| Locations | 1 site (Baghdad) |
| Trial ID | NCT06734338 on ClinicalTrials.gov |
What this trial studies
This is a prospective observational study enrolling adults with blunt thoracic trauma presenting to the emergency department at Al‑Nahrain University in Baghdad. Clinicians will calculate the STUMBL score on arrival using age, number of rib fractures, chronic lung disease, anticoagulant use, and oxygen saturation, and patients will be followed for outcomes such as mortality, ICU admission, and need for advanced interventions. Demographic and clinical data including injury mechanism, comorbidities, and length of stay will be collected to examine factors that modify score performance. The study aims to measure the score's predictive accuracy and risk-stratification utility in a resource-limited setting.
Who should consider this trial
Good fit: Adults (18 years and older) who present within 4 hours of blunt thoracic trauma to the Al‑Nahrain University emergency department and can provide informed consent (or have a legal guardian consent) are the ideal candidates.
Not a fit: Pregnant women, children under 18, patients with penetrating chest trauma, those with other life‑threatening injuries that overshadow the chest injury, or people with prior major thoracic surgery are excluded and likely will not benefit from this study.
Why it matters
Potential benefit: If successful, the STUMBL score could help clinicians quickly identify which chest-injury patients need higher-level care and reduce missed severe injuries in a resource-limited ED.
How similar studies have performed: Previous validations in higher-resource settings have shown the STUMBL score can predict complications after blunt chest wall trauma, but it has limited external validation in resource-limited settings like Iraq.
Eligibility criteria
Show full inclusion / exclusion criteria
Inclusion Criteria: * Patients presenting to the emergency department with blunt thoracic trauma (e.g., motor vehicle accidents, falls, or direct impacts to the chest). * Patients who present within 4 hours of sustaining the injury. * Patients or their legal guardians must provide informed consent to participate in the study. Exclusion Criteria: * Patients with penetrating chest trauma (e.g., stab wounds, gunshot wounds). * Patients with other life-threatening injuries that overshadow the thoracic trauma (e.g., head or abdominal trauma). * Pregnant women due to potential risks related to radiation or certain diagnostic procedures. * Pediatric patients under 18 years of age. * Patients with a history of major thoracic surgery (e.g., prior lung or heart surgery) that may interfere with the assessment of trauma severity.
Where this trial is running
Baghdad
- College of Medicine - Al-Nahrain University — Baghdad, Iraq (Recruiting)
Study contacts
- Study coordinator: Abdulillah R. Khamees Al-Mamoori
- 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.