Accuracy and External Validation of mREMS in Road Traffic Injuries

Launched by AL-NAHRAIN UNIVERSITY · Dec 14, 2024

Keywords

ClinConnect Summary

This clinical trial is studying a tool called the Modified Rapid Emergency Medicine Score (mREMS) to see how well it can predict the outcomes for patients who have been injured in road traffic accidents. The researchers are particularly interested in understanding how accurate this scoring system is in a local hospital setting in Baghdad. By using mREMS, they hope to better assess patients' conditions when they arrive at the emergency department and to track their recovery, including whether they need surgery, how long they stay in the hospital, and their overall health outcomes.

To participate in this trial, patients must have been injured in a road traffic accident and come to the emergency department within four hours of their injury. They will need to give permission for their medical information to be used, or a family member can provide consent if they are unable to do so. Participants will have their health monitored throughout their hospital stay, and the study aims to gather important data to improve care for future patients with similar injuries. It's important to note that patients with other types of injuries, pregnant women, or those with serious pre-existing health conditions may not be eligible to join the study.

Gender

ALL

Eligibility criteria

• Inclusion Criteria:
• • Patients with road traffic injuries (RTIs) admitted to the emergency department.
• • Written informed consent provided by the patient or a legal representative (if the patient is unconscious or unable to provide consent).
• • Patients presenting to the emergency department within 4 hours of the injury.
• • Availability of complete physiological data for MREMS calculation.
• • Patients whose clinical outcomes (e.g., mortality, length of hospital stay, need for intensive care) are available for follow-up and analysis.
• Exclusion Criteria:
• • Patients with injuries not related to road traffic accidents (e.g., falls, burns, or violence-related injuries).
• • Pregnant women, due to the potential risk involved in the study and unique considerations in trauma care.
• • Patients with pre-existing severe chronic conditions (e.g., end-stage renal disease, terminal cancer) that could severely affect outcomes.
• • Patients who are unable or unwilling to provide informed consent.
• • Patients who were transferred from another hospital.
• • Incomplete or missing data for mREMS parameters.
• • Patients who leave against medical advice (LAMA) or are discharged before outcome data can be collected.