Can a simple nutrition score flag High-Risk rib fracture patients?

NCT ID NCT07823712

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Recruiting now This study
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First seen Sep 16, 2026 · Last updated Sep 18, 2026 · Updated 2 times

Summary

Researchers are studying whether two nutrition-based scores, the Geriatric Nutritional Risk Index and the Prognostic Nutritional Index, can predict short-term complications in adults aged 65 and older who come to the emergency department with multiple rib fractures from blunt chest trauma. The study plans to enroll 294 participants and will record routine clinical, laboratory, and imaging data without testing any experimental drug or device. The goal is to see if these scores help identify patients at higher risk of problems like pneumonia, intensive care admission, or longer hospital stays.

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 scores work, emergency doctors could use a simple blood test and body measurement to flag which older rib-fracture patients need closer monitoring.
What could go wrong
This is an observational study, so it can only show a link between nutrition scores and outcomes, not prove cause and effect. The findings may not apply to patients with other injuries or in different hospitals.

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 294 people

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

Started

Sep 2026

Expected to finish

Sep 2027

An estimate. End dates often move.

Lead sponsor

A government agency

The lead sponsor is a government body.

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 consist of adults aged 65 years or older presenting to the Emergency Department of Ankara Etlik City Hospital with isolated blunt thoracic trauma and more than three radiologically confirmed rib fractures. Eligible participants will be prospectively enrolled and followed during the index hospitalization and for 30 days after enrollment.

Ages

65 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: 1. Age 65 years or older. 2. Presentation to the emergency department with blunt thoracic trauma. 3. More than three rib fractures confirmed by thoracic computed tomography or another appropriate radiologic method. 4. Isolated thoracic trauma without major extra-thoracic injury. 5. Serum albumin level, total lymphocyte count, height, and weight available within the first 24 hours after presentation. 6. Written informed consent obtained from the patient or the legally authorized representative. Exclusion Criteria: 1. Penetrating thoracic trauma. 2. Single rib fracture. 3. Intubation at presentation. 4. Polytrauma or major extra-thoracic injury. 5. Known advanced liver failure, nephrotic syndrome, end-stage renal disease, or hematologic disease that may substantially affect albumin or lymphocyte levels. 6. Active malignancy or cachexia related to advanced malignancy. 7. Missing data. 8. Refusal to participate in the study.

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Conditions

The condition(s) this trial relates to.

Emergencies

As listed by the trial registrant

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

How to take part

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  1. The places running it

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  2. The official record

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  3. A doctor treating you

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Contacts and locations

Locations

  • Ankara Etlik City Hospital, Department of Emergency Medicine

    RECRUITING

    Ankara, Ankara, 06170, Turkey (Türkiye)