Actively Recruiting

Age: 16Years +
All Genders
ID06732791

Comparative Analysis of MGAP and GAP Trauma Scores in Predicting Outcomes for Multiple Trauma Patients in a Prospective Observational Study

Led by Al-Nahrain University · Updated on 2026-03-04

522

Participants Needed

1

Research Sites

1 weeks

Total Duration

On this page

AI-Summary

What this Trial Is About

This research aims to compare the accuracy of two trauma scoring systems, MGAP and GAP, in predicting outcomes for patients with multiple injuries admitted to the emergency department. It focuses on patients in Iraq, where trauma is a major health issue, especially in low- and middle-income countries. The study seeks to determine if one score predicts patient outcomes like mortality and length of hospital stay better than the other, and if certain patient groups benefit more from one scoring method. Participants will be assessed using both the MGAP and GAP scores shortly after arriving at the emergency department, within the first four hours. These scores evaluate factors like injury mechanism, Glasgow Coma Scale, age, and blood pressure to estimate trauma severity. The study observes patients throughout their hospital stay, typically 7 to 10 days, tracking outcomes such as death, need for surgery, length of hospitalization, and ICU admission. During the study, patients' clinical information and outcomes will be monitored and recorded to evaluate how well each score predicts mortality and other important health events. The main measures include in-hospital death rates and the predictive accuracy of both trauma scores assessed in the emergency room. Secondary measures include hospital stay duration, ICU needs, and surgery requirements. The study lasts from admission to discharge, with data collected continuously to provide insights into trauma prognosis in a low-resource setting.

CONDITIONS

Brief Title

Comparative Analysis of MGAP and GAP Trauma Scores in Predicting Outcomes for Multiple Trauma Patients

Who Can Participate

Age: 16Years +
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Aged 16 years or older
  • Patients with multiple trauma involving two or more body regions or organ systems
  • Presenting to the emergency department within 6 hours of injury
  • Provided informed consent or have legal representative consent
Not Eligible

You will not qualify if you...

  • Transferred from other facilities after interventions affecting score reliability
  • Pregnant women
  • Primary trauma due to burn injuries
  • Incomplete medical records or lack of follow-up
  • Deceased upon arrival at the emergency department
  • Discharged against medical advice

AI-Screening

AI-Powered Screening

Complete this quick 3-step screening to check your eligibility

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Your Study Journey

Screening

Duration - 2 to 4 weeks

Participants are screened for eligibility to participate in the trial.

1 visit (in-person)

Diagnostic Evaluation

Duration - First 4 hours after emergency room admission

Participants undergo assessment using MGAP and GAP trauma scores within the first 4 hours after emergency room admission to evaluate injury severity.

1 visit (in-person)

Monitoring

Duration - Up to discharge, an average of 7 to 10 days

Participants are observed throughout their hospital stay to monitor mortality, length of hospitalization, need for ICU admission, and surgical intervention.

Daily assessments during hospital stay

Trial Site Locations

Total: 1 location

1

College of Medicine - Al-Nahrain University

Baghdad, Iraq

Actively Recruiting

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Research Team

A

Abdulillah R. Khamees

How is the study designed?

Study Type

OBSERVATIONAL

Masking

N/A

Allocation

N/A

Model

N/A

Primary Purpose

N/A

Number of Arms

0

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Published Research Related To This Trial

Revised trauma scoring system to predict in-hospital mortality in the emergency department: Glasgow Coma Scale, Age, and Systolic Blood Pressure score.

Yutaka Kondo, Toshikazu Abe, Kiyotaka Kohshi...

https://pubmed.ncbi.nlm.nih.gov/21831280

Mechanism, glasgow coma scale, age, and arterial pressure (MGAP): a new simple prehospital triage score to predict mortality in trauma patients.

Danielle Sartorius, Yannick Le Manach, Jean-Stéphane David...

https://pubmed.ncbi.nlm.nih.gov/20068467

Effect of pre-existing medical conditions on in-hospital mortality: analysis of 20,257 trauma patients in Japan.

Tomohisa Shoko, Atsushi Shiraishi, Masahito Kaji...

https://pubmed.ncbi.nlm.nih.gov/20800190

Global, regional, and national age-sex specific mortality for 264 causes of death, 1980-2016: a systematic analysis for the Global Burden of Disease Study 2016.

GBD 2016 Causes of Death Collaborators

https://pubmed.ncbi.nlm.nih.gov/28919116