Which score best predicts survival in chest trauma?
NCT ID NCT07812038
First seen Sep 10, 2026 · Last updated Sep 11, 2026 · Updated 1 time
Summary
Chest trauma is a leading cause of preventable death after accidents, and emergency doctors need fast, reliable ways to judge how sick a patient is. This study at Assiut University compares three scoring systems, the Glasgow Coma Scale, the Revised Trauma Score, and the Chest Trauma Score, in 100 adults arriving with blunt or penetrating chest injuries. Researchers will check how accurately each tool identifies patients at risk of complications or death. The goal is to find which score gives the clearest picture for triage decisions.
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 one scoring tool proves more accurate, emergency teams could triage chest trauma patients faster and send the right people to surgery or intensive care sooner.
- What could go wrong
- This is a single-center observational study of 100 patients, so the results may not apply to other hospitals or populations. Scoring tools can also miss injuries or overestimate risk in individual cases.
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
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About 100 people
The number the study aims to enrol. It can still change while the study runs.
- Expected to start
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Oct 2026
An estimate. Start dates often move.
- Expected to finish
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Dec 2027
An estimate. End dates often move.
- Lead sponsor
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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
Patients with documented clinical or radiological evidence of chest injury (e.g., rib fractures, pulmonary contusion, pneumothorax, or hemothorax confirmed via X-ray, chest CT, or FAST).
- Ages
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18 years and older
- Sex
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Anyone
- Healthy volunteers
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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 Hide 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: * Age threshold: Patients aged 18 years and older (pediatric physiology requires entirely different trauma scoring systems). * Mechanism of injury: Patients presenting with acute blunt or penetrating thoracic trauma or both. * Diagnostic confirmation: Patients with documented clinical or radiological evidence of chest injury (e.g., rib fractures, pulmonary contusion, pneumothorax, or hemothorax confirmed via X-ray, chest CT, or FAST). * Time of presentation: Patients presenting directly to the emergency department within 24 hours of the trauma incident. Exclusion Criteria: * Inter-facility transfers: Exclude patients transferred from other hospitals. If they were already intubated, given sedatives, or resuscitated elsewhere, their admission scores will be artificially altered and will not reflect their true initial presentation. * Dead on Arrival (DOA): Patients who arrive in cardiac arrest or expire before the initial primary survey and scoring can be completed. * Isolated severe head trauma or massive burns: Patients whose clinical picture and need for intubation are overwhelmingly driven by severe traumatic brain injury (e.g., GCS \< 8 from head injury alone without significant chest trauma) or massive burns, rather than the thoracic injury. * Severe chronic cardiopulmonary disease: patients with known end-stage COPD, severe baseline heart failure, or those on home oxygen. Their baseline hypoxia or need for ventilation can confound the trauma scores' predictive value. * Incomplete data: Patients whose medical records are missing the crucial variables needed to calculate the GCS, RTS, or CTS upon arrival.
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The official record
The full official record for this study. This one lists no contact details, but it is the first place any would appear.
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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.
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Other studies related to the condition(s) this trial covers.
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