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Can a brainstem reflex score better predict which trauma patients will die?

NCT ID NCT07819279

Knowledge-focused Sponsor: Al-Nahrain University Source: ClinicalTrials.gov ↗

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Recruitment status, easiest to join first

Recruiting now
This trial is taking on new participants right now.
Not yet recruiting This study
Registered, but not yet taking participants.
By invitation only
Not open to general applications. Only people the study team invites can take part.
Paused
Paused for now. It may or may not start again.
Ongoing
Running, but no longer taking on new participants.
Completed
The trial has finished. Results may not be published yet.
Stopped early
Stopped early, before it reached the end. That can be for many reasons, including safety.
Cancelled
Cancelled before anyone took part.

Expanded access (not trials)

Expanded access
Not a trial. This treatment can be requested outside a study, case by case, for people who qualify.
Expanded access (paused)
Not a trial. The treatment can normally be requested outside a study, but is unavailable right now.
Expanded access (ended)
Not a trial. The treatment could once be requested outside a study, but no longer can.
Approved
The treatment has been approved, so it is available normally rather than through this programme.

When the status isn't known

Details not published
The full record has not been published yet, so there is little to show here.
Status unknown
This status has not been confirmed recently, so it may be out of date.

First seen Sep 14, 2026 · Last updated Sep 15, 2026 · Updated 1 time

Summary

Researchers are studying whether adding the FOUR Score, a detailed measure of consciousness, to four existing trauma scoring systems improves their ability to predict death in adult trauma patients. The study enrolls about 2,000 injured adults across multiple hospitals. Participants receive routine clinical assessments, including the Glasgow Coma Scale and the FOUR Score, and researchers record demographic, physiological, and injury data. No experimental treatment is given. The goal is to see whether the modified scores predict mortality more accurately than the original versions.

What this could mean

Our plain-language read of the trial. This is informational only, not medical advice or a prediction.

What this could lead to
If the modified scores predict death more accurately, hospitals could use them to flag the most severely injured trauma patients sooner and direct care where it is needed most.
What could go wrong
This is an observational study, so it cannot prove that any scoring change saves lives. The findings may not hold up in other hospitals or patient groups, and better prediction does not guarantee better treatment.

This is an AI summary of the original study and may miss details. Read our disclaimer.

Study facts

What this study's own registry entry says, in plain language.

Participants

About 2,000 people

The number the study aims to enrol. It can still change while the study runs.

Expected to start

Oct 2026

An estimate. Start dates often move.

Expected to finish

Nov 2027

An estimate. End dates often move.

Lead sponsor

Other sponsor

The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.

Who can take part

This study's own entry requirements. Only the study team can say for certain whether you qualify.

Who is studied

The study population will be recruited from adult trauma patients presenting to participating trauma centers across multiple hospitals. Participants will be prospectively enrolled during the study period, with standardized collection of clinical, physiological, and injury-related data at initial trauma assessment. The study will evaluate the performance of established trauma scoring systems and their corresponding FOUR Score-modified versions for mortality prediction.

Ages

16 years and older

Sex

Anyone

Healthy volunteers

Not accepted

This study is not open to healthy volunteers. The entry requirements below say who it is open to.

Show the full entry requirements

Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.

Inclusion Criteria: * Patients with sufficient clinical data to calculate the fREMS score, including the FOUR Score and other required physiological variables. * Patients with a documented mortality outcome . Exclusion Criteria: * Patients transferred from another hospital after initial resuscitation. * Patients who died before the required initial clinical assessment

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Conditions

The condition(s) this trial relates to.

Accidental Injuries injury

As listed by the trial registrant

The condition terms exactly as the trial's registrant entered them.

Four score Modified trauma scoring systems Trauma injury

How to take part

Only the study team decides who joins. These are the ways to reach them.

  1. The places running it

    1 site. The list below names each one and where it is.

  2. The official record

    ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.

    Open the record ↗

  3. A doctor treating you

    A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.

Contacts and locations

Locations

  • College of Medicine - Al-Nahrain University

    Baghdad, Please Select, 10011, Iraq

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