New score aims to flag deadliest brain injuries
NCT ID NCT07816016
First seen Sep 11, 2026 · Last updated Sep 16, 2026 · Updated 2 times
Summary
Researchers at Al-Nahrain University are developing a new clinical score called fREMS to predict the risk of dying in the hospital for patients with traumatic brain injury. The score combines the FOUR score, which measures consciousness, with physiological and clinical factors from the Rapid Emergency Medicine Score. The study will collect data from 2,000 patients to see if fREMS can accurately predict in-hospital mortality. This observational study does not test a treatment; it aims to improve early risk assessment.
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 fREMS score works, doctors could quickly identify which traumatic brain injury patients face the highest risk of dying in the hospital, helping guide care decisions.
- What could go wrong
- The score may not predict mortality accurately in different hospitals or patient groups. This observational study cannot prove that using the score improves patient outcomes.
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 2,000 people
The number the study aims to enrol. It can still change while the study runs.
- Expected to start
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Sep 2026
An estimate. Start dates often move.
- Expected to finish
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Oct 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
The study population consisted of adult patients (≥16 years) with acute traumatic brain injury (TBI).
- Ages
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16 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: * 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.
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 places running it
1 site. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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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.
Contacts and locations
Locations
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College Of Medicine - Nahrain University
Baghdad, Baghdad Governorate, 10011, Iraq
More trials for these conditions
Other studies related to the condition(s) this trial covers.
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- Brain injury and mental exhaustion: a new test on the horizon?
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- Zapping a nerve in the neck may help rewire the brain after traumatic injury
- Rhythmic sound may retrain the brain to walk better after TBI