Comparison of the BIG Score and the Pediatric Trauma Score (BIG|PTS)
Comparison of the BIG Score and the Pediatric Trauma Score in Predicting Mortality Among Pediatric Trauma Patients.
The goal of this observational study is to evaluate and compare the predictive performance of the BIG Score and the Pediatric Trauma Score (PTS) in predicting mortality among pediatric trauma patients presenting to the emergency department.
The main questions it aims to answer are:
Does the BIG Score accurately predict mortality in pediatric trauma patients?
Is the Pediatric Trauma Score (PTS) effective in predicting mortality among pediatric trauma patients?
Which scoring system demonstrates better sensitivity, specificity, and overall predictive accuracy for mortality?
Researchers will compare the BIG Score with the Pediatric Trauma Score to determine which scoring system provides superior prognostic value in pediatric trauma cases.
Participants will:
Undergo routine clinical assessment upon admission to the emergency department.
Have vital signs, Glasgow Coma Scale (GCS), and trauma-related clinical parameters recorded.
Undergo laboratory investigations including Base Deficit and International Normalized Ratio (INR).
Be followed during hospitalization to assess outcomes, including survival or mortality.
Aperçu de l'étude
Statut
Les conditions
Intervention / Traitement
Description détaillée
This study focuses on assessing the clinical usefulness of two pediatric trauma scoring systems in emergency settings and determining their role in early prognostic evaluation after traumatic injury. Accurate prediction of patient outcomes during the initial hours of admission is essential for prioritizing management decisions, optimizing intensive care utilization, and improving overall quality of trauma care.
The BIG Score incorporates biochemical and neurological indicators that reflect the physiological impact of trauma, while the Pediatric Trauma Score relies mainly on bedside clinical findings obtained during the primary assessment. Evaluating the performance of these tools in real clinical practice may help identify the most practical and reliable method for risk stratification among injured children.
Data collection will include demographic characteristics, type and mechanism of trauma, hemodynamic status at presentation, neurological findings, and relevant laboratory parameters obtained during the initial emergency evaluation. Both scores will be calculated for each patient shortly after admission and analyzed in relation to clinical outcomes observed during hospitalization.
The study will also explore the association between trauma severity scores and the need for advanced supportive measures such as intensive care admission, ventilatory support, blood product administration, and prolonged hospitalization. Statistical analysis will be performed to determine the prognostic performance and clinical applicability of each scoring system in pediatric trauma assessment.
Type d'étude
Inscription (Estimé)
Contacts et emplacements
Coordonnées de l'étude
- Nom: Mohamed Kadry Elsayed, Resident
- Numéro de téléphone: +201152295048
- E-mail: Mohamed.Kadry@med.sohag.edu.eg
Sauvegarde des contacts de l'étude
- Nom: Ahmed Mohamed Abdel Moneim, Professor
- Numéro de téléphone: +201005768450
Critères de participation
Critère d'éligibilité
Âges éligibles pour étudier
- Enfant
Accepte les volontaires sains
Méthode d'échantillonnage
Population étudiée
La description
Inclusion Criteria:
- Pediatric trauma patients from birth up to 16 years of age.
- Presentation to the Emergency Department within 24 hours of the primary injury.
Exclusion Criteria:
- Patients with minor traumas who are treated and discharged directly from the ED.
- Patients initially managed at and referred from another hospital.
- Patients whose legal guardians discharge them against medical advice (AMA) before outcome data can be ascertained.
Plan d'étude
Comment l'étude est-elle conçue ?
Détails de conception
Cohortes et interventions
Groupe / Cohorte |
Intervention / Traitement |
|---|---|
|
Pediatric patients presenting to the emergency department with traumatic injury.
Pediatric trauma patients presenting to the emergency department and meeting the inclusion criteria will be enrolled.
Clinical data, laboratory parameters, BIG Score, and Pediatric Trauma Score (PTS) will be collected at admission to evaluate their ability to predict in-hospital mortality, ICU admission, and the need for emergency surgical intervention.
|
Pediatric trauma patients presenting to the emergency department will undergo routine clinical and laboratory evaluation according to institutional trauma management protocols. Upon admission, physiological and laboratory parameters required for calculation of the BIG Score and the Pediatric Trauma Score (PTS) will be collected. The BIG Score will be determined using Base Deficit, International Normalized Ratio (INR), and Glasgow Coma Scale (GCS), while the Pediatric Trauma Score will be calculated using airway status, systolic blood pressure, level of consciousness, skeletal injury, cutaneous injury, and body weight. Both scores will be assessed during the initial evaluation phase and correlated with patient outcomes, including mortality, intensive care unit admission, need for mechanical ventilation, blood transfusion, and length of hospital stay. No additional therapeutic intervention beyond standard trauma care will be introduced as part of the study.
Autres noms:
|
Que mesure l'étude ?
Principaux critères de jugement
Mesure des résultats |
Description de la mesure |
Délai |
|---|---|---|
|
In-hospital mortality among pediatric trauma patients.
Délai: From admission to discharge (up to 30 days)
|
The proportion of enrolled pediatric trauma patients who die during hospitalization within 30 days of admission.
|
From admission to discharge (up to 30 days)
|
Mesures de résultats secondaires
Mesure des résultats |
Description de la mesure |
Délai |
|---|---|---|
|
ICU admission among pediatric trauma patients.
Délai: From admission to discharge (up to 30 days)
|
The proportion of enrolled pediatric trauma patients requiring admission to the intensive care unit during hospitalization will be assessed.
|
From admission to discharge (up to 30 days)
|
|
Emergency surgical intervention among pediatric trauma patients
Délai: From admission to discharge (up to 30 days)
|
The proportion of enrolled pediatric trauma patients requiring emergency surgical intervention during hospitalization will be assessed .
|
From admission to discharge (up to 30 days)
|
Collaborateurs et enquêteurs
Parrainer
Les enquêteurs
- Chercheur principal: Mohamed Kadry Elsayed, Resident, Faculty of Medicine Sohag University
Publications et liens utiles
Publications générales
- Az A, Dogan Y, Sogut O, Akdemir T. Comparison of the BIG Score and Pediatric Trauma Score for Predicting Mortality. Pediatr Emerg Care. 2024 Dec 1;40(12):839-843. doi: 10.1097/PEC.0000000000003267. Epub 2024 Aug 27.
- Schuster A, Klute L, Kerschbaum M, Kunkel J, Schaible J, Straub J, Weber J, Alt V, Popp D. Injury Pattern and Current Early Clinical Care of Pediatric Polytrauma Comparing Different Age Groups in a Level I Trauma Center. J Clin Med. 2024 Jan 22;13(2):639. doi: 10.3390/jcm13020639.
Dates d'enregistrement des études
Dates principales de l'étude
Début de l'étude (Estimé)
Achèvement primaire (Estimé)
Achèvement de l'étude (Estimé)
Dates d'inscription aux études
Première soumission
Première soumission répondant aux critères de contrôle qualité
Première publication (Réel)
Mises à jour des dossiers d'étude
Dernière mise à jour publiée (Réel)
Dernière mise à jour soumise répondant aux critères de contrôle qualité
Dernière vérification
Plus d'information
Termes liés à cette étude
Termes MeSH pertinents supplémentaires
- Techniques d'investigation
- Manipulation des échantillons
- Techniques de laboratoire clinique
- Techniques et procédures de diagnostic
- Diagnostic
- Perforation
- Procédures chirurgicales, opératoires
- Tests hématologiques
- Tests de coagulation sanguine
- Collection d'échantillons de sang
- Rapport Normalisé International
Autres numéros d'identification d'étude
- Soh-Med-26-5-1MS
Plan pour les données individuelles des participants (IPD)
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Informations sur les médicaments et les dispositifs, documents d'étude
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