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Predictors of In-Hospital Mortality in Severe Abdominal Trauma

Recruitingn/aAges 16 Years - anyAllMinia University
NCT07843628 on ClinicalTrials.gov ↗
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In plain words

What the trial is, and whether it could suit you

Severe abdominal trauma is a leading cause of early death from bleeding and of later death from sepsis and organ failure. Clinicians use scoring systems to estimate the risk of dying, but most of these scores were developed and calibrated in high-income trauma systems and may perform differently in high-volume referral hospitals elsewhere, where patients frequently arrive after a prehospital delay and already in established shock. This study will prospectively follow consecutive patients aged 16 years and older admitted to a single tertiary trauma centre with severe abdominal injury over a 12-month period. Severe abdominal trauma is defined as an Abbreviated Injury Scale score of 3 or more for the abdominal region, and/or an abdominal injury requiring emergency laparotomy, laparoscopy or angioembolisation, and/or admission to intensive care for management of an abdominal injury. A total

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📋 Eligibility rules (as published)
Inclusion Criteria: * Age 16 years or older. * Abdominal trauma, blunt or penetrating, meeting at least one criterion for severity: Abbreviated Injury Scale (AIS) for the abdominal region of 3 or more; and/or an abdominal injury requiring emergency laparotomy, laparoscopy or angioembolisation; and/or admission to the intensive care unit for management of an abdominal injury. * Presentation within 24 hours of injury. * Informed consent provided by the patient or, for incapacitated patients, by a legal representative, with deferred consent procedures as specified in the protocol. Exclusion Criteria: * Death on arrival, or within the first 15 minutes of admission before meaningful resuscitation or data capture. * Isolated minor abdominal injury not meeting the severity definition (AIS-abdomen below 3 and not requiring operative or radiological intervention or critical-care admission). * Transfer out of the centre before the primary outcome can be ascertained. * Known pregnancy (managed on a separate obstetric-trauma pathway). * Declined consent.
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What it tests

  • Not listed
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Where

1 site
Minia University Hospitals /Trauma unit- Department of Surgery, Faculty of Medicine, Minia University
Minya, Egypt
🤝 Taking part is your choice, and you can leave at any time. Only the trial team can confirm you are eligible — always decide together with your own doctor.
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