External validation of the STUMBL score in a frontline military hospital: predictive performance in conflict-injured patients with thoracic trauma.

ABSTRACT:

Purpose

Thoracic 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.

Methods

We 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 opera

SUBMITTER: Battle C 

PROVIDER: S-EPMC12751897 | biostudies-literature | 2025 Dec

REPOSITORIES: biostudies-literature