Evaluation of the Blunt Abdominal Trauma Severity Score (BATSS) in Blunt Abdominal Trauma

August 31, 2026 updated by: Alaa Moussa Mahmoud, Assiut University

Prospective Evaluation of the Blunt Abdominal Trauma Severity Score (BATSS) for Predicting Clinical Outcomes in Patients With Blunt Abdominal Trauma at Assiut University Hospitals

Blunt abdominal trauma (BAT) is a leading cause of trauma-related morbidity and mortality, commonly caused by motor vehicle collisions, falls, and assaults. Early identification of significant intra-abdominal injury remains a major diagnostic challenge because physical examination alone has limited sensitivity in patients with altered consciousness or distracting injuries.

The Blunt Abdominal Trauma Severity Score (BATSS) is a rapid bedside assessment tool that integrates clinical signs, hemodynamic parameters, and Focused Assessment with Sonography for Trauma (FAST) findings to risk-stratify patients presenting with blunt abdominal trauma.

This prospective observational cohort study aims to evaluate the diagnostic accuracy and clinical utility of BATSS in adult patients presenting with blunt abdominal trauma to the Emergency Department at Assiut University Hospitals. Enrolled participants will be scored upon initial presentation and categorized into low-, moderate-, or high-risk groups to assess the score's ability to predict the definitive mode of management (operative intervention versus conservative observation), intensive care unit (ICU) admission, in-hospital mortality, and post-traumatic complications.

Study Overview

Status

Not yet recruiting

Conditions

Study Type

Observational

Enrollment (Estimated)

120

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

  • Adult
  • Older Adult

Accepts Healthy Volunteers

N/A

Sampling Method

Non-Probability Sample

Study Population

Adult patients presenting with blunt abdominal trauma to the Emergency Department at Assiut University Hospital within 24 hours of injury.

Description

Inclusion Criteria:

  • Patients aged 18 years or older
  • Patients presenting with blunt abdominal trauma
  • Patients presenting within 24 hours of injury
  • Patients who undergo initial trauma assessment including Focused Assessment with Sonography for Trauma (FAST) examination
  • Patients (or their legal guardians) who provide written informed consent

Exclusion Criteria:

  • Penetrating abdominal trauma
  • Patients younger than 18 years of age
  • Pregnant women
  • Patients referred after definitive surgical intervention at another hospital
  • Patients with incomplete clinical or radiological data
  • Patients who refuse participation

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

Cohorts and Interventions

Group / Cohort
Blunt Abdominal Trauma Patients
Adult patients aged 18 years or older presenting with blunt abdominal trauma to the Emergency Department within 24 hours of injury. All enrolled patients undergo initial trauma assessment according to the ATLS protocol, including a Focused Assessment with Sonography for Trauma (FAST) examination. The Blunt Abdominal Trauma Severity Score (BATSS) is calculated upon admission to stratify patients into low-risk (<8 points), moderate-risk (8-11 points), and high-risk (≥12 points) groups. Subsequent diagnostic evaluations (such as contrast-enhanced CT) and management pathways (operative intervention vs. conservative observation) are recorded and followed up to assess outcomes.

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Number of Participants Requiring Operative Management
Time Frame: 7 days
Number of participants with blunt abdominal trauma who undergo surgical operative intervention (such as exploratory laparotomy) during hospitalization.
7 days

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Sponsor

Assiut University

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start (Estimated)

October 1, 2026

Primary Completion (Estimated)

October 1, 2027

Study Completion (Estimated)

November 1, 2027

Study Registration Dates

First Submitted

August 31, 2026

First Submitted That Met QC Criteria

August 31, 2026

First Posted (Actual)

September 3, 2026

Study Record Updates

Last Update Posted (Actual)

September 3, 2026

Last Update Submitted That Met QC Criteria

August 31, 2026

Last Verified

August 1, 2026

More Information

Terms related to this study

Keywords

Additional Relevant MeSH Terms

Other Study ID Numbers

  • BATSS in Blunt Abdomen Trauma

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.

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