Comparing NISS and ISS for Mortality Prediction in Trauma Patients
Trial Parameters
Brief Summary
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
Inclusion Criteria: * 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). Exclusion Criteria: * 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. * Patients who died on arrival or before NISS/ISS assessment could be performed. * Cases involving pregnant patients, if the primary focus of injury and risk assessment is maternal-fetal outcomes.