Thorax vs. Trauma Injury Severity Scores as Outcome Predictors in Chest Trauma
Which Score Best Predicts Outcomes in Chest Trauma? A Prospective Comparison of Thorax and Trauma Injury Severity Scores
Al-Nahrain University
150 participants
Jan 20, 2025
OBSERVATIONAL
Summary
The goal of this observational study is to compare the predictive utility of the Thorax Trauma Severity Score (TTSS) and the Trauma and Injury Severity Score (TRISS) in determining outcomes among patients presenting with chest trauma to the emergency room. The main questions it aims to answer are: Does the TTSS provide a more accurate prediction of patient outcomes (e.g., mortality, ICU admission) than the TRISS? Are there specific patient subgroups where one score is more effective than the other? Participants will: Have their chest trauma severity assessed using both TTSS and TRISS during their emergency room admission. Have their clinical outcomes (e.g., mortality, ICU admission, length of hospital stay) monitored throughout their hospital stay.
Eligibility
Inclusion Criteria3
- 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 Criteria6
- 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.
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Locations(1)
View Full Details on ClinicalTrials.gov
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NCT06707441