Work

Evaluation of MGAP and GAP Trauma Scores to Predict Prognosis of Multiple-Trauma Patients

Year: 2026

Type: article

Abstract: Accurate early prognosis is critical in trauma care. This study evaluated the GAP (Glasgow Coma Scale, Age, systolic Pressure) and MGAP (Mechanism, GAP) scores for predicting mortality in multiple-trauma patients. In a retrospective analysis of 708 patients admitted to a single emergency center in 2023, deceased patients (6.9%) showed significantly lower GAP and MGAP scores than survivors (p<0.001). The area under the ROC curve was 0.887 for GAP and 0.899 for MGAP, demonstrating very good discriminatory performance. Optimal cut-off points were 18.5 for GAP and 22.5 for MGAP. Both scores are effective tools for predicting mortality at admission, with MGAP providing only marginal incremental value over the simpler GAP score.

Source: ACTA MEDICA IRANICA

DOI: 10.18502/acta.v64i10.23197

Authors: Jafar Ghobadi-Samian, Mohammadali Jafari-zarea, Firouz Amani, Naser Javidzadeh, Fatemeh Eghtedari, Mohammad Bahrami

Institutions: Ardabil University of Medical Sciences, Zanjan University of Medical Sciences

Language: English

Topic: Trauma and Emergency Care Studies

Subfield: Emergency Medicine

Field: Medicine

Domain: Health Sciences

Open Access status: diamond

OpenAlex ID: W7225777017

FWCI:

Cites:

Cited by:

Related to: