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Comparison of the BIG Score and the Pediatric Trauma Score
Sponsor: Sohag University
Summary
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.
Official title: Comparison of the BIG Score and the Pediatric Trauma Score in Predicting Mortality Among Pediatric Trauma Patients.
Key Details
Gender
All
Age Range
Any - 16 Years
Study Type
OBSERVATIONAL
Enrollment
150
Start Date
2026-06-10
Completion Date
2027-02-10
Last Updated
2026-06-03
Healthy Volunteers
No
Conditions
Interventions
blood sampling
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.