ArticleInternational journal of emergency medicine2025
External validation of the STUMBL score in a frontline military hospital: predictive performance in conflict-injured patients with thoracic trauma.
Article in International journal of emergency medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeThoracic trauma is a frequent cause of emergency department admission in both civilian and military settings however injuries sustained in conflict zones differ in mechanism and severity. The STUMBL Score is a clinical prediction tool originally developed for blunt thoracic trauma in civilian populations. This study aimed to externally validate the STUMBL Score in a wartime context.
methodsWe conducted a retrospective, single-centre validation study of adult patients with thoracic trauma admitted to the ED of a frontline Ukrainian hospital between January 2023 and December 2024. The primary composite outcome was defined as in-hospital mortality, pulmonary complications, or ICU admission. Model performance was assessed by discrimination (area under the receiver operating characteristic curve) and calibration (Hosmer-Lemeshow test and calibration belt).
resultsA total of 374 patients were included (87% male; median age 38 [32-44]). Blast injury was the predominant mechanism. The median STUMBL Score was 30 [24-33], and 92% of patients developed the composite outcome. The area under the receiver operating characteristic curve (AUC) was 0.96 (95% CI 0.94-0.98), and calibration assessed by the Hosmer-Lemeshow test yielded a p-value of 0.812. Using a threshold score of 23, the sensitivity was 0.89 and specificity 0.97.
conclusionThe STUMBL Score demonstrated excellent predictive performance in a military population with high-acuity, war-related thoracic trauma. These findings support its potential utility in conflict-zone emergency care, although prospective validation in broader military settings is warranted.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.