Comparing NISS and ISS for Mortality Prediction in Trauma Patients
ConditionTrauma
Trial statusRecruiting
Trial phaseNot listed
Trial typeObservational
Biological sexAll
Age18+
SponsorAl-Nahrain University
About this trial
The goal of this prospective cohort study is to compare the predictive utility of the New Injury Severity Score (NISS) and the Injury Severity Score (ISS) in determining mortality outcomes among trauma patients admitted to emergency rooms (ER) in Iraq.
The main questions it aims to answer are:
* Does the NISS provide a more accurate prediction of mortality than the ISS? * Are there specific subgroups of trauma patients where one scoring system outperforms the other?
Participants will:
Be assessed using both the NISS and the ISS upon their ER admission. Have their clinical outcomes, including mortality, monitored throughout their hospital stay.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Trauma patients admitted to the emergency room (ER).
Patients with documented injury data are sufficient for calculating both the NISS and ISS.
Patients admitted to the ER within 6 hours of injury.
Patients providing informed consent (or consent obtained from a legal guardian in cases of incapacity).
Disqualifiers
Patients under 18 years of age.
Trauma cases involving burns as the primary injury.
Patients with incomplete medical records or insufficient data to calculate NISS and ISS.
Patients with pre-existing terminal conditions (e.g., advanced cancer, end-stage organ failure) unrelated to the trauma.
Trial population
The study population will consist of trauma patients aged 18 years and older who are admitted to the emergency room (ER) at Al-Kadhimiya Teaching Hospital in Baghdad, Iraq. This group will include individuals with various types of injuries, such as those from road traffic accidents, falls, and assaults, excluding burns as the primary injury.
Trial design
Design model
Cohort
Time perspective
Prospective
Treatments tested in this trial
Not listed
Trial groups
No trial groups listed
Trial outcomes
Primary outcomes
1
In hospital mortality
Mortality (death) during hospitalization
Time frame
In-Hospital Phase (average of 7 days through discharge)2
Accuracy Assessment of New Injury Severity Score (NISS)
Range: 0 to 75. Higher values indicate worse outcomes, reflecting greater injury severity.
Time frame
the first 6 hours after ER admission3
Accuracy Assessment of Injury Severity Score (ISS)
Range: 0 to 75 Higher values indicate worse outcomes, reflecting greater injury severity.
Time frame
the first 6 hours after ER admissionSecondary outcomes
1
Length of Hospitalization
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.
Time frame
Up to discharge, an average of 7 days2
The requirement for 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.
Time frame
Up to discharge, an average of 7 daysSponsors and contacts
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Source ClinicalTrials.gov