Chest TraumaTTSS/TRISS/ERNCT06707441
Thorax vs. Trauma Injury Severity Scores as Outcome Predictors in Chest Trauma
An observational study of Chest Trauma, run by Al-Nahrain University at 1 site in Iraq.
Trial 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. Read more about this study
- Who is it for?
- Ages 16 years and older
- Conditions the study is for
- Chest Trauma
- How many people
- 150 participants
- Where
- 1 siteIraq
- Study dates
- 20 Jan 2025to 20 Dec 2026
- Phase
- Observational
- Are there results?
- Not yet: the study is under way
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 16 years and older
- All sexes
- No healthy volunteers
- Child, Adult, Older adult
Study population: The study population will consist of adult patients (18 years and older) who present to the Emergency Department (ER) of Al-Kadhimiya Teaching Hospital with chest trauma. This population will be classified based on the severity of their injuries, ranging from minor to critical, and include both blunt and penetrating trauma cases.
Who may be able to join
- 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
Who cannot join
- 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.
Trial locations and contacts
1 site in 1 country. Contact the study team or a site near you to ask about taking part.
Iraq1 site, 1 recruiting
- Recruiting
College of Medicine - Al-Nahrain University
Baghdad
Yaser aamer Eisa Alhaibi, Assistant professor, 009647705051684, yaseraamer@nahrainuniv.edu.iq
Abdulillah R. Khamees
About this study
Official title: Which Score Best Predicts Outcomes in Chest Trauma? A Prospective Comparison of Thorax and Trauma Injury Severity Scores
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?
Read more
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.
Read the detailed description
Trauma is a significant cause of mortality and morbidity around the world. Approximately 10% of the burden of disease in adults is due to traumatic injuries. Trauma can lead to serious consequences, including disabilities, psychosocial burdens, and increased mortality among the actively working population. Cardiopulmonary arrest, unplanned admissions to intensive care units, and nosocomial infections are some complications faced by trauma patients admitted to trauma centers. The estimated mortality rate for hospitalized trauma patients is 11%. The in-hospital mortality rate for trauma patients who undergo cardiopulmonary resuscitation (CPR) is 92.7%. Trauma-related mortality and morbidity depend on injury severity, diagnostic delays, and the time taken to reach a medical facility. Timely evaluation, effective post-trauma care, and appropriate triage can significantly reduce long-term mortality and morbidity among trauma patients, with rapid assessment of trauma severity being crucial for the primary triage of multiple trauma patients.
Trauma scoring systems are essential tools in the medical field for evaluating the severity of injuries and predicting patient outcomes. Two notable scoring systems are the Thorax Trauma Severity Score (TTSS) and the Trauma and Injury Severity Score (TRISS), each serving unique purposes in assessing thoracic injuries and overall trauma severity. The TTSS was developed to provide a comprehensive assessment of thoracic injuries by incorporating both anatomical and physiological parameters. It specifically focuses on various aspects of chest trauma, including:
Age of the patient Ratio of arterial oxygen partial pressure to fractional inspired oxygen (PaO2/FiO2) Presence of pleural injuries Lung contusions Rib fractures The scoring system ranges from 0 to 25 points, where higher scores indicate more severe injuries and worse prognoses. Research has shown that a TTSS score of 7 or above is highly predictive of morbidity and mortality, achieving 100% sensitivity and 97.73% specificity for poor outcomes in isolated thoracic trauma cases. The TRISS is another critical scoring system used to evaluate overall injury severity across multiple body regions. It is based on the Injury Severity Score (ISS), which categorizes injuries according to their anatomical location using the Abbreviated Injury Scale (AIS). The ISS is calculated by taking the highest AIS scores from the three most severely injured body regions, squaring them, and summing these values.
Despite their utility, both TTSS and TRISS have limitations, especially when applied to diverse patient populations. The TTSS may not adequately account for the severity of injuries outside the thoracic region, which can significantly impact patient outcomes. For instance, a study highlighted that in patients with an Injury Severity Score (ISS) greater than 15, only 44% had a TTSS above 8, indicating that critical extra-thoracic injuries were not reflected in the TTSS scoring. Older patients or those with comorbidities may present with less obvious thoracic injuries that the TTSS fails to identify. This oversight can lead to underestimating the risk of complications or mortality, as older individuals often have a higher propensity for severe outcomes despite seemingly minor trauma. The TISS may not capture specific details related to chest trauma effectively. This limitation is crucial in regions with variable healthcare infrastructure, like Iraq, where injury mechanisms and patient demographics can differ widely. The TRISS's general approach may overlook critical factors that influence trauma severity in these populations.
This study seeks to address the specific needs of the Iraqi healthcare system by comparing the TTSS and TRISS as predictive tools for chest trauma outcomes in emergency settings. The aim is to identify which scoring system is more reliable and practical for use in Iraq, considering the unique challenges faced by emergency departments, such as high patient volumes and resource constraints. The research fills a critical gap in the literature by providing data specific to Iraq, where comparative analyses of these scoring systems are lacking. Insights gained from this study could inform local protocols, enhance triage efficiency, and improve patient outcomes in Iraqi emergency departments .
- Conditions
- Chest Trauma
- Keywords
- TTSS, ER, TRISS
- Medical subject headings
- Thoracic Injuries
What is being measured
The primary outcome is the main question the study is designed to answer.
In hospital mortality
Mortality (death) during hospitalization.
Measured: In-Hospital Phase (average of 7-10 days through discharge)
Accuracy Assessment of Thorax Trauma Severity Score (TTSS)
Range: from 0 to 25, with higher scores indicating more severe thoracic trauma.
Measured: the first 6 hours after ER admission
Accuracy Assessment of Trauma and Injury Severity Score (TRISS)
Range: 0 (represents a 0% probability of survival) to 1 (represents a 100% probability of survival), with higher scores indicating greater trauma severity.
Measured: the first 6 hours after ER admission
Secondary outcomes (2)
Length of Hospitalization
Description: The total duration of a patient's stay in the hospital, measured from the date of admission to the date of discharge. This includes all days spent in general wards, intensive care units (ICU), and other hospital departments as part of their treatment course.
Measured: Up to discharge, an average of 7-10 days
Rate of admission to the intensive care unit (ICU)
The requirement for admission to the intensive care unit (ICU) is determined by the presence of severe clinical deterioration, significant complications, or the need for advanced monitoring and life-support measures.
Measured: Up to discharge, an average of 7-10 days
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted27 Nov 2024
- Study start20 Jan 2025
- Primary completion10 Dec 2026 (estimated)
- Study completion20 Dec 2026 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (13)Papers the sponsor has linked to this study.
- Other trials for Chest TraumaStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Observational
- Observational model
- Cohort
- Time perspective
- Prospective
- Enrolment
- 150 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Al-Nahrain University
- Sponsor type
- University, hospital or other
- Responsible party
- Principal investigator, Abdulillah R. Khamees, Al-Nahrain University
- Investigators
- Yaser aamer Eisa Alhaibi, Assistant professor, Study director, College Of Medicine - Nahrain University
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT06707441
- Sponsor's protocol ID
- UNCOMIRB20241125
- Acronym
- TTSS/TRISS/ER
- Status last verified
- Mar 2026
- First submitted
- 24 Nov 2024
- Last updated
- 4 Mar 2026
- Results posted
- No
- Data monitoring committee
- Yes
- Individual data sharing
- No
Publications
Indurkar SK Sr, Ghormade PS, Akhade S, Sarma B. Use of the Trauma and Injury Severity Score (TRISS) as a Predictor of Patient Outcome in Cases of Trauma Presenting in the Trauma and Emergency Department of a Tertiary Care Institute. Cureus. 2023 Jun 14;15(6):e40410. doi: 10.7759/cureus.40410. eCollection 2023 Jun.
PubMed 37456404Zahran, M.R., Elwahab, A.A.E.M.A., El Nasr, M.M.A. et al. Evaluation of the predictive value of thorax trauma severity score (TTSS) in thoracic-traumatized patients. Cardiothorac Surg 28, 3 (2020). https://doi.org/10.1186/s43057-020-0015-7
Imhoff BF, Thompson NJ, Hastings MA, Nazir N, Moncure M, Cannon CM. Rapid Emergency Medicine Score (REMS) in the trauma population: a retrospective study. BMJ Open. 2014 May 2;4(5):e004738. doi: 10.1136/bmjopen-2013-004738.
PubMed 24793256Karajizadeh M, Nasiri M, Yadollahi M, Zolfaghari AH, Pakdam A. Mortality Prediction from Hospital-Acquired Infections in Trauma Patients Using an Unbalanced Dataset. Healthc Inform Res. 2020 Oct;26(4):284-294. doi: 10.4258/hir.2020.26.4.284. Epub 2020 Oct 31.
PubMed 33190462Konesky KL, Guo WA. Revisiting traumatic cardiac arrest: should CPR be initiated? Eur J Trauma Emerg Surg. 2018 Dec;44(6):903-908. doi: 10.1007/s00068-017-0875-6. Epub 2017 Nov 25.
PubMed 29177620Mulvey HE, Haslam RD, Laytin AD, Diamond CA, Sims CA. Unplanned ICU Admission Is Associated With Worse Clinical Outcomes in Geriatric Trauma Patients. J Surg Res. 2020 Jan;245:13-21. doi: 10.1016/j.jss.2019.06.059. Epub 2019 Aug 5.
PubMed 31394403Todd KH, Lee T, Hoffman JR. The effect of ethnicity on physician estimates of pain severity in patients with isolated extremity trauma. JAMA. 1994 Mar 23-30;271(12):925-8.
PubMed 8120961Mondello S, Cantrell A, Italiano D, Fodale V, Mondello P, Ang D. Complications of trauma patients admitted to the ICU in level I academic trauma centers in the United States. Biomed Res Int. 2014;2014:473419. doi: 10.1155/2014/473419. Epub 2014 Jun 3.
PubMed 24995300Ramos-Pascua LR. Complications and trauma sequelae. Injury. 2018 Sep;49 Suppl 2:S1-S2. doi: 10.1016/j.injury.2018.06.045. Epub 2018 Jul 7. No abstract available.
PubMed 30097308Haagsma JA, Graetz N, Bolliger I, Naghavi M, Higashi H, Mullany EC, Abera SF, Abraham JP, Adofo K, Alsharif U, Ameh EA, Ammar W, Antonio CA, Barrero LH, Bekele T, Bose D, Brazinova A, Catala-Lopez F, Dandona L, Dandona R, Dargan PI, De Leo D, Degenhardt L, Derrett S, Dharmaratne SD, Driscoll TR, Duan L, Petrovich Ermakov S, Farzadfar F, Feigin VL, Franklin RC, Gabbe B, Gosselin RA, Hafezi-Nejad N, Hamadeh RR, Hijar M, Hu G, Jayaraman SP, Jiang G, Khader YS, Khan EA, Krishnaswami S, Kulkarni C, Lecky FE, Leung R, Lunevicius R, Lyons RA, Majdan M, Mason-Jones AJ, Matzopoulos R, Meaney PA, Mekonnen W, Miller TR, Mock CN, Norman RE, Orozco R, Polinder S, Pourmalek F, Rahimi-Movaghar V, Refaat A, Rojas-Rueda D, Roy N, Schwebel DC, Shaheen A, Shahraz S, Skirbekk V, Soreide K, Soshnikov S, Stein DJ, Sykes BL, Tabb KM, Temesgen AM, Tenkorang EY, Theadom AM, Tran BX, Vasankari TJ, Vavilala MS, Vlassov VV, Woldeyohannes SM, Yip P, Yonemoto N, Younis MZ, Yu C, Murray CJ, Vos T. The global burden of injury: incidence, mortality, disability-adjusted life years and time trends from the Global Burden of Disease study 2013. Inj Prev. 2016 Feb;22(1):3-18. doi: 10.1136/injuryprev-2015-041616. Epub 2015 Dec 3.
PubMed 26635210GBD 2021 Causes of Death Collaborators. Global burden of 288 causes of death and life expectancy decomposition in 204 countries and territories and 811 subnational locations, 1990-2021: a systematic analysis for the Global Burden of Disease Study 2021. Lancet. 2024 May 18;403(10440):2100-2132. doi: 10.1016/S0140-6736(24)00367-2. Epub 2024 Apr 3.
PubMed 38582094Lafta RK, Al-Nuaimi MA. National perspective on in-hospital emergency units in Iraq. Qatar Med J. 2013 Nov 1;2013(1):19-27. doi: 10.5339/qmj.2013.4. eCollection 2013.
PubMed 25003053Donaldson RI, Shanovich P, Shetty P, Clark E, Aziz S, Morton M, Hasoon T, Evans G. A survey of national physicians working in an active conflict zone: the challenges of emergency medical care in Iraq. Prehosp Disaster Med. 2012 Apr;27(2):153-61. doi: 10.1017/S1049023X12000519. Epub 2012 May 17.
PubMed 22591705
Study at a glance
From the registry record, last updated by the sponsor on 4 Mar 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Which Score Best Predicts Outcomes in Chest Trauma? A Prospective Comparison of Thorax and Trauma Injury Severity Scores
- ClinicalTrials.gov ID
- NCT06707441
- Acronym / sponsor ID
- TTSS/TRISS/ER / UNCOMIRB20241125
- Conditions
- Chest Trauma
- Keywords
- TTSS, ER, TRISS
- Study type
- Observational
- Recruitment status
- Recruiting
- Enrolment
- 150 participants (estimated)
- Lead sponsor
- Al-Nahrain UniversityUniversity, hospital or other
- Study start
- 20 Jan 2025 (actual)
- Primary completion
- 10 Dec 2026 (estimated)
- Study completion
- 20 Dec 2026 (estimated)
- First posted
- 27 Nov 2024 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
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.
Detailed description
Trauma is a significant cause of mortality and morbidity around the world. Approximately 10% of the burden of disease in adults is due to traumatic injuries. Trauma can lead to serious consequences, including disabilities, psychosocial burdens, and increased mortality among the actively working population. Cardiopulmonary arrest, unplanned admissions to intensive care units, and nosocomial infections are some complications faced by trauma patients admitted to trauma centers. The estimated mortality rate for hospitalized trauma patients is 11%. The in-hospital mortality rate for trauma patients who undergo cardiopulmonary resuscitation (CPR) is 92.7%. Trauma-related mortality and morbidity depend on injury severity, diagnostic delays, and the time taken to reach a medical facility. Timely evaluation, effective post-trauma care, and appropriate triage can significantly reduce long-term mortality and morbidity among trauma patients, with rapid assessment of trauma severity being crucial for the primary triage of multiple trauma patients.
Trauma scoring systems are essential tools in the medical field for evaluating the severity of injuries and predicting patient outcomes. Two notable scoring systems are the Thorax Trauma Severity Score (TTSS) and the Trauma and Injury Severity Score (TRISS), each serving unique purposes in assessing thoracic injuries and overall trauma severity. The TTSS was developed to provide a comprehensive assessment of thoracic injuries by incorporating both anatomical and physiological parameters. It specifically focuses on various aspects of chest trauma, including:
Age of the patient Ratio of arterial oxygen partial pressure to fractional inspired oxygen (PaO2/FiO2) Presence of pleural injuries Lung contusions Rib fractures The scoring system ranges from 0 to 25 points, where higher scores indicate more severe injuries and worse prognoses. Research has shown that a TTSS score of 7 or above is highly predictive of morbidity and mortality, achieving 100% sensitivity and 97.73% specificity for poor outcomes in isolated thoracic trauma cases. The TRISS is another critical scoring system used to evaluate overall injury severity across multiple body regions. It is based on the Injury Severity Score (ISS), which categorizes injuries according to their anatomical location using the Abbreviated Injury Scale (AIS). The ISS is calculated by taking the highest AIS scores from the three most severely injured body regions, squaring them, and summing these values.
Despite their utility, both TTSS and TRISS have limitations, especially when applied to diverse patient populations. The TTSS may not adequately account for the severity of injuries outside the thoracic region, which can significantly impact patient outcomes. For instance, a study highlighted that in patients with an Injury Severity Score (ISS) greater than 15, only 44% had a TTSS above 8, indicating that critical extra-thoracic injuries were not reflected in the TTSS scoring. Older patients or those with comorbidities may present with less obvious thoracic injuries that the TTSS fails to identify. This oversight can lead to underestimating the risk of complications or mortality, as older individuals often have a higher propensity for severe outcomes despite seemingly minor trauma. The TISS may not capture specific details related to chest trauma effectively. This limitation is crucial in regions with variable healthcare infrastructure, like Iraq, where injury mechanisms and patient demographics can differ widely. The TRISS's general approach may overlook critical factors that influence trauma severity in these populations.
This study seeks to address the specific needs of the Iraqi healthcare system by comparing the TTSS and TRISS as predictive tools for chest trauma outcomes in emergency settings. The aim is to identify which scoring system is more reliable and practical for use in Iraq, considering the unique challenges faced by emergency departments, such as high patient volumes and resource constraints. The research fills a critical gap in the literature by providing data specific to Iraq, where comparative analyses of these scoring systems are lacking. Insights gained from this study could inform local protocols, enhance triage efficiency, and improve patient outcomes in Iraqi emergency departments .
Study design
- Observational model
- Cohort
- Time perspective
- Prospective
Who may qualify
- Ages
- 16 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Child, Adult, Older adult
- Study population
- The study population will consist of adult patients (18 years and older) who present to the Emergency Department (ER) of Al-Kadhimiya Teaching Hospital with chest trauma. This population will be classified based on the severity of their injuries, ranging from minor to critical, and include both blunt and penetrating trauma cases.
Key inclusion criteria (3 listed)
- 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
Key exclusion criteria (6 listed)
- 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.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Primary outcome
In hospital mortality
Time frame: In-Hospital Phase (average of 7-10 days through discharge)
Mortality (death) during hospitalization.
Accuracy Assessment of Thorax Trauma Severity Score (TTSS)
Time frame: the first 6 hours after ER admission
Range: from 0 to 25, with higher scores indicating more severe thoracic trauma.
Accuracy Assessment of Trauma and Injury Severity Score (TRISS)
Time frame: the first 6 hours after ER admission
Range: 0 (represents a 0% probability of survival) to 1 (represents a 100% probability of survival), with higher scores indicating greater trauma severity.
2 secondary outcomes
Length of Hospitalization
Time frame: Up to discharge, an average of 7-10 days
Rate of admission to the intensive care unit (ICU)
Time frame: Up to discharge, an average of 7-10 days
Results and safety
This study is still under way. Results are not available in the source record yet.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 4 Mar 2026.
- Results publication: PubMed 37456404Indurkar SK Sr, Ghormade PS, Akhade S, Sarma B. Use of the Trauma and Injury Severity Score (TRISS) as a Predictor of Patient Outcome in Cases of Trauma Presenting in the Trauma and Emergency Department of a Tertiary Care Institute. Cureus. 2023 Jun 14;15(6):e40410. doi: 10.7759/cureus.40410. eCollection 2023 Jun.
- Results publicationZahran, M.R., Elwahab, A.A.E.M.A., El Nasr, M.M.A. et al. Evaluation of the predictive value of thorax trauma severity score (TTSS) in thoracic-traumatized patients. Cardiothorac Surg 28, 3 (2020). https://doi.org/10.1186/s43057-020-0015-7
- Results publication: PubMed 24793256Imhoff BF, Thompson NJ, Hastings MA, Nazir N, Moncure M, Cannon CM. Rapid Emergency Medicine Score (REMS) in the trauma population: a retrospective study. BMJ Open. 2014 May 2;4(5):e004738. doi: 10.1136/bmjopen-2013-004738.
- Results publication: PubMed 33190462Karajizadeh M, Nasiri M, Yadollahi M, Zolfaghari AH, Pakdam A. Mortality Prediction from Hospital-Acquired Infections in Trauma Patients Using an Unbalanced Dataset. Healthc Inform Res. 2020 Oct;26(4):284-294. doi: 10.4258/hir.2020.26.4.284. Epub 2020 Oct 31.
- Results publication: PubMed 29177620Konesky KL, Guo WA. Revisiting traumatic cardiac arrest: should CPR be initiated? Eur J Trauma Emerg Surg. 2018 Dec;44(6):903-908. doi: 10.1007/s00068-017-0875-6. Epub 2017 Nov 25.
- Results publication: PubMed 31394403Mulvey HE, Haslam RD, Laytin AD, Diamond CA, Sims CA. Unplanned ICU Admission Is Associated With Worse Clinical Outcomes in Geriatric Trauma Patients. J Surg Res. 2020 Jan;245:13-21. doi: 10.1016/j.jss.2019.06.059. Epub 2019 Aug 5.
- Results publication: PubMed 8120961Todd KH, Lee T, Hoffman JR. The effect of ethnicity on physician estimates of pain severity in patients with isolated extremity trauma. JAMA. 1994 Mar 23-30;271(12):925-8.
- Results publication: PubMed 24995300Mondello S, Cantrell A, Italiano D, Fodale V, Mondello P, Ang D. Complications of trauma patients admitted to the ICU in level I academic trauma centers in the United States. Biomed Res Int. 2014;2014:473419. doi: 10.1155/2014/473419. Epub 2014 Jun 3.
- Results publication: PubMed 30097308Ramos-Pascua LR. Complications and trauma sequelae. Injury. 2018 Sep;49 Suppl 2:S1-S2. doi: 10.1016/j.injury.2018.06.045. Epub 2018 Jul 7. No abstract available.
- Results publication: PubMed 26635210Haagsma JA, Graetz N, Bolliger I, Naghavi M, Higashi H, Mullany EC, Abera SF, Abraham JP, Adofo K, Alsharif U, Ameh EA, Ammar W, Antonio CA, Barrero LH, Bekele T, Bose D, Brazinova A, Catala-Lopez F, Dandona L, Dandona R, Dargan PI, De Leo D, Degenhardt L, Derrett S, Dharmaratne SD, Driscoll TR, Duan L, Petrovich Ermakov S, Farzadfar F, Feigin VL, Franklin RC, Gabbe B, Gosselin RA, Hafezi-Nejad N, Hamadeh RR, Hijar M, Hu G, Jayaraman SP, Jiang G, Khader YS, Khan EA, Krishnaswami S, Kulkarni C, Lecky FE, Leung R, Lunevicius R, Lyons RA, Majdan M, Mason-Jones AJ, Matzopoulos R, Meaney PA, Mekonnen W, Miller TR, Mock CN, Norman RE, Orozco R, Polinder S, Pourmalek F, Rahimi-Movaghar V, Refaat A, Rojas-Rueda D, Roy N, Schwebel DC, Shaheen A, Shahraz S, Skirbekk V, Soreide K, Soshnikov S, Stein DJ, Sykes BL, Tabb KM, Temesgen AM, Tenkorang EY, Theadom AM, Tran BX, Vasankari TJ, Vavilala MS, Vlassov VV, Woldeyohannes SM, Yip P, Yonemoto N, Younis MZ, Yu C, Murray CJ, Vos T. The global burden of injury: incidence, mortality, disability-adjusted life years and time trends from the Global Burden of Disease study 2013. Inj Prev. 2016 Feb;22(1):3-18. doi: 10.1136/injuryprev-2015-041616. Epub 2015 Dec 3.
- Results publication: PubMed 38582094GBD 2021 Causes of Death Collaborators. Global burden of 288 causes of death and life expectancy decomposition in 204 countries and territories and 811 subnational locations, 1990-2021: a systematic analysis for the Global Burden of Disease Study 2021. Lancet. 2024 May 18;403(10440):2100-2132. doi: 10.1016/S0140-6736(24)00367-2. Epub 2024 Apr 3.
- Results publication: PubMed 25003053Lafta RK, Al-Nuaimi MA. National perspective on in-hospital emergency units in Iraq. Qatar Med J. 2013 Nov 1;2013(1):19-27. doi: 10.5339/qmj.2013.4. eCollection 2013.
- Individual participant dataSharing planned: No
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part.
Yaser aamer Eisa Alhaibi, Assistant professor study director
College Of Medicine - Nahrain University
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
An observational study of Chest Trauma, run by Al-Nahrain University at 1 site in Iraq.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 3 inclusion and 6 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: looking for participants now, as of the sponsor's last update on 4 Mar 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in Iraq. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
This study is still under way. Results are not available in the source record yet.
How can a doctor refer a patient or contact the research team?
Contact Abdulillah R. Khamees (+9647838571013, allaabed987@ced.nahrainuniv.edu.iq), or a site near the patient. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
In hospital mortality (time frame: In-Hospital Phase (average of 7-10 days through discharge)). The study lists 3 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT06707441, which also lists 13 linked publications.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 4 Mar 2026.