Accuracy and External Validation of mREMS in Road Traffic Injuries

The goal of this prospective observational study is to assess the accuracy and external validation of the Modified Rapid Emergency Medicine Score (mREMS) in predicting outcomes for patients with road traffic injuries (RTIs) admitted to the emergency department of a hospital in Baghdad. The main questions it aims to answer are: How accurate is the mREMS in predicting the prognosis of road traffic injury patients? Does the mREMS provide reliable predictive value in a local context, specifically in Baghdad? Participants will: Be assessed using the mREMS upon admission to the emergency department. Have their clinical outcomes, including mortality, need for surgery, and length of stay, monitored throughout their hospital stay.

Inclusion Criteria: * Written informed consent provided by the patient or a legal representative (if the patient is unconscious or unable to provide consent). * Patients presenting to the emergency department within 4 hours of the injury. * Availability of complete physiological data for MREMS calculation. * Patients whose clinical outcomes (e.g., mortality, length of hospital stay, need for intensive care) are available for follow-up and analysis. Exclusion Criteria: * Pregnant women, due to the potential risk involved in the study and unique considerations in trauma care. * Patients with pre-existing severe chronic conditions (e.g., end-stage renal disease, terminal cancer) that could severely affect outcomes. * Patients who were transferred from another hospital. * Incomplete or missing data for mREMS parameters. * Patients who leave against medical advice (LAMA) or are discharged before outcome data can be collected.