Background: Trauma is a major cause of morbidity and mortality worldwide, especially in low- and middle-income countries like India. The Revised Trauma Score (RTS) is a widely used physiological scoring system designed to predict trauma outcomes and aid in patient triage. This study aimed to evaluate the diagnostic accuracy of RTS in predicting clinical outcomes among trauma patients in a tertiary care hospital in North India.

Methods: A prospective study was conducted on 50 trauma patients aged 16 years and above admitted to the Department of General Surgery at Dr. Rajendra Prasad Government Medical College, Kangra. Data on demographics, trauma mechanism, Glasgow Coma Scale (GCS), systolic blood pressure, respiratory rate, and outcomes were collected. RTS was calculated at admission, and its predictive performance was assessed using the Area Under the Receiver Operating Characteristic Curve (AUC).

Results: The study population predominantly consisted of young adult males (76%) with road traffic accidents (64%) as the most common trauma mechanism. Blunt trauma accounted for 84% of cases. Most patients (94%) had high GCS scores at admission. The RTS demonstrated limited discriminatory ability for predicting outcomes, with an AUC of 0.589 (95% CI: 0.282–0.872, p=0.565), indicating poor predictive performance in this cohort.

Conclusion: In this setting, the Revised Trauma Score showed limited accuracy in predicting trauma outcomes, possibly due to the predominance of mild injuries and preserved neurological status in patients. Reliance on RTS alone may be insufficient for outcome prediction, and alternative or complementary scoring systems should be considered to improve trauma patient management in similar healthcare contexts.