Evaluation of the Blunt Abdominal Trauma Severity Score (BATSS) in Blunt Abdominal Trauma
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.
Aperçu de l'étude
Statut
Type d'étude
Inscription (Estimé)
Critères de participation
Critère d'éligibilité
Âges éligibles pour étudier
- Adulte
- Adulte plus âgé
Accepte les volontaires sains
Méthode d'échantillonnage
Population étudiée
La 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
Plan d'étude
Comment l'étude est-elle conçue ?
Détails de conception
Cohortes et interventions
Groupe / Cohorte |
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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.
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Que mesure l'étude ?
Principaux critères de jugement
Mesure des résultats |
Description de la mesure |
Délai |
|---|---|---|
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Number of Participants Requiring Operative Management
Délai: 7 days
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Number of participants with blunt abdominal trauma who undergo surgical operative intervention (such as exploratory laparotomy) during hospitalization.
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7 days
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Collaborateurs et enquêteurs
Parrainer
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
Mots clés
Termes MeSH pertinents supplémentaires
Autres numéros d'identification d'étude
- BATSS in Blunt Abdomen Trauma
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