The Predictive Value of Chest Trauma Score and Thoracic Trauma Severity Score in Thoracic Trauma Patients

The Predictive Value of Chest Trauma Score (CTS) and Thoracic Trauma Severity Score (TTSS) in Thoracic Trauma Patients

Status

Completed

Phases

Unknown

Study type

Observational

Source

ClinicalTrials.gov

Registry ID

NCT07822191

Enrollment

Registered

2026-09-16

Start date

2023-09-30

Completion date

2025-10-30

Last updated

2026-09-16

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Blunt Trauma, Thoracic Trauma

Keywords

Thorax Trauma Severity Score, chest Trauma Score, Trauma, Thoracic Trauma Patients

Brief summary

The aim of this prospective study is Comparing the diagnostic accuracy of chest Trauma Score and Thoracic Trauma Severity Score in predicting morbidity and mortality.

Detailed description

Trauma has been recognized as a leading cause of death and disability worldwide over the past few decades. Thoracic trauma is the third most common traumatic death, after head and spinal cord injury. The incidence of chest trauma is reported 10% of trauma admissions and mortality rate is variable ranging from about 10% to 60% . Trauma to thoracic region has a wide spectrum from chest wall injury to vital organs within the thoracic cavity. Thoracic injuries may be penetrating or blunt and management varies from conservative to invasive . Early accurate grading of chest injury severity is decisive for the clinical course of multiple trauma patients. The severity of chest trauma influences decision making in multiple trauma in terms of timing and priority of surgical interventions (early total care versus damage control) in order to avoid posttraumatic complications . Chest trauma can be classified as either blunt or penetrating type. Penetrating chest wounds are those in which an object penetrates the chest wall and creates an opening into the thoracic cavity. These wounds mostly result from stabbings, gunshot wounds and blast injuries . Blunt trauma to the chest occurs as a result of a force that is propelled onto the chest wall but does not leave an open wound. Motor vehicle accidents account for 90% of the entire blunt chest trauma, other possible causes include falls, crush injuries, sports injuries and acts of violence . chest wall injuries typically make breathing very painful; patients often limit inspiration (splinting). A common complication of splinting is atelectasis, which can lead to hypoxemia, pneumonia, or both . The aim of this prospective study is Comparing the diagnostic accuracy of chest Trauma Score and Thoracic Trauma Severity Score in predicting morbidity and mortality.

Interventions

None listed

Study design

Observational model

COHORT

Time perspective

PROSPECTIVE

Eligibility

Sex/Gender

ALL

Age

18 Years to 70 Years

Healthy volunteers

Inclusion criteria

* Age ≥18 years old. * All chest trauma patients

Exclusion criteria

* Age \< 18 years old. * Patients with chest disease

Design outcomes

Primary

Measure	Time frame	Description
The diagnostic accuracy of chest Trauma Score and Thoracic Trauma Severity Score to predict mortality.	18 days	Chest Trauma Scoring (CTS): The Chest Trauma Scoring is composed of four different components with a point system assigned: * Age. * Pulmonary contusion. * Number of rib fractures. * The presence of bilateral rib fracture. The TTSS score includes five parameters (PaO2/FiO2, Rib fractures, Lung contusion, Pleural injuries) and the score ranged from 0 to 25 points.

Secondary

Measure	Time frame
Need and duration of mechanical ventilation	18 days

Countries

Egypt

Outcome results