Comparative Predictive Accuracy of EMTRAS, REMS, and GAP Scores for Mortality, Intubation, and Hospital Stay in Trauma Patients in Iraq

What this Trial Is About

Trauma is a major global health problem causing millions of deaths and disabilities every year, especially in low and middle income countries where most trauma deaths occur and many could be prevented with proper care. Early identification of severe injuries is crucial to provide timely treatment and improve outcomes. This research focuses on comparing three trauma scoring systems—the Emergency Trauma Score (EMTRAS), Rapid Emergency Medicine Score (REMS), and Glasgow Coma Scale Age Pressure (GAP) score—that use minimal resources and can be applied early in emergency care to predict key outcomes in trauma patients. The study evaluates how well EMTRAS, REMS, and GAP scores predict mortality, the need for endotracheal intubation, and length of hospital stay among trauma patients admitted to hospitals in Iraq. These scores rely on physiological data such as age, Glasgow Coma Scale, blood pressure, and other vital signs available within 30 minutes of emergency department arrival. This prospective multicenter cohort study collects these scores at admission and monitors patients during hospitalization to compare the accuracy of the three scoring tools in a resource-limited setting. Participants will be assessed using the three trauma scores upon arrival to the emergency department and followed throughout their hospital stay for outcomes including survival, intubation requirements, and length of hospitalization up to 30 days. Researchers will analyze the predictive ability of each score for mortality, intubation need, hospital length, and morbidity. The study aims to provide evidence that can improve trauma triage and decision-making in settings with limited resources. The total monitoring period is from admission to hospital discharge or death, up to 30 days.

Comparison of EMTRAS, REMS, and GAP Scores in Trauma