Thorax Trauma Severity Score to predict outcomes after chest injuries in Iraq
Reliability of Thoracic Trauma Severity Scores in Predicting Outcomes Among Chest Trauma Patients in Low-Resource Settings: A Prospective Cohort Study From Iraq
This project will test whether the Thorax Trauma Severity Score (TTSS) can predict complications, ICU need, and death in adults with chest injuries seen at a Baghdad hospital.
Quick facts
| Study type | Observational |
|---|---|
| Enrollment | 166 (estimated) |
| Ages | 16 Years and up |
| Sex | All |
| Sponsor | Al-Nahrain University Academic / other |
| Locations | 1 site (Baghdad) |
| Trial ID | NCT06744959 on ClinicalTrials.gov |
What this trial studies
This is a prospective observational study enrolling patients aged 16 and older who present with thoracic trauma to the emergency department at Al-Nahrain University. Clinicians will record a TTSS score on arrival and collect demographic and clinical data including injury mechanism, comorbidities, and length of stay. Outcomes such as ICU admission, advanced interventions, and in-hospital mortality will be tracked to measure how well TTSS stratifies risk. Statistical analyses will examine TTSS accuracy and how patient factors influence its predictive performance in a resource-constrained setting.
Who should consider this trial
Good fit: Adults (age ≥16) who arrive at the emergency department with thoracic trauma and can provide informed consent (or have a legal guardian consent) are ideal candidates.
Not a fit: Patients likely to receive no benefit include those who die before scoring, those discharged before scoring, pregnant patients, people with chronic respiratory disease, malignancy or end-organ failure, and those with severe head or abdominal injuries needing immediate surgery.
Why it matters
Potential benefit: If successful, TTSS could give emergency teams a quick, evidence-based way to spot high-risk chest trauma patients and prioritize care in hospitals with limited resources.
How similar studies have performed: Previous observational work and other thoracic scoring systems have shown promise in predicting outcomes, but TTSS validation is limited and results vary across settings.
Eligibility criteria
Show full inclusion / exclusion criteria
Inclusion Criteria: * patients above 16 years of age. * Patients presenting to the emergency department with thoracic trauma. * Patients or their legal guardians must provide informed consent to participate in the study. 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 succumb to their injuries before scoring or baseline data collection. * chronic respiratory diseases * malignancy and end-organ failure * Patients with severe head injury (having extradural, subdural, subarachnoid, or intraparenchymal hemorrhage and skull bone fracture) or those requiring prior neurosurgical intervention * patients with severe abdominal injury requiring surgical intervention like laparotomy
Where this trial is running
Baghdad
- College of Medicine - Al-Nahrain University — Baghdad, Iraq (Recruiting)
Study contacts
- Study coordinator: Abdulillah R. Khamees Al-Mamoori, MBBCH
- Email: allaabed987@ced.nahrainuniv.edu.iq
- Phone: 07838571013
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.