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CTRI Number  CTRI/2024/05/066596 [Registered on: 01/05/2024] Trial Registered Prospectively
Last Modified On: 26/04/2024
Post Graduate Thesis  Yes 
Type of Trial  Observational 
Type of Study   Cohort Study 
Study Design  Other 
Public Title of Study   Fever with special focus on Central fever in a traumatic brain injury patients admitted in Trauma ICU 
Scientific Title of Study   Fever with special emphasis on Central fever in a traumatic brain injury patients admitted in Trauma ICU: A Prospective Cohort study 
Trial Acronym  Nil 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Sonal Goswami 
Designation  Junior Resident 
Affiliation  Institute of Medical sciences, Banaras Hindu University 
Address  Department of Anaesthesiology , Institute of Medical sciences , Banaras Hindu University , Varanasi

Varanasi
UTTAR PRADESH
221005
India 
Phone  7518408902  
Fax    
Email  sonal26mbbs@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Ghanshyam Yadav 
Designation  Assistant Professor  
Affiliation  Institute of Medical sciences, Banaras Hindu University 
Address  Department of Anaesthesiology , Institute of Medical sciences , Banaras Hindu University , Varanasi

Varanasi
UTTAR PRADESH
221005
India 
Phone  8608617315  
Fax    
Email  ghanshyamx@rediffmail.com  
 
Details of Contact Person
Public Query
 
Name  Sonal Goswami  
Designation  Junior Resident 
Affiliation  Institute of Medical sciences, Banaras Hindu University 
Address  Department of Anaesthesiology , Institute of Medical sciences , Banaras Hindu University , Varanasi

Varanasi
UTTAR PRADESH
221005
India 
Phone  7518408902  
Fax    
Email  sonal26mbbs@gmail.com  
 
Source of Monetary or Material Support  
Department of Anaesthesiology , Institute of Medical science, Banaras Hindu University  
 
Primary Sponsor  
Name  Nil 
Address  Nil 
Type of Sponsor  Other [Nil] 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NIL 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr Sonal Goswami  Trauma centre , Sir Sundarlal Hospital   Department Of Anaesthesiology, First floor , Banaras Hindu University
Varanasi
UTTAR PRADESH 
7518408902

sonal26mbbs@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional Ethical Committee, Banaras Hindu University   Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: S098||Other specified injuries of head,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Nil 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  65.00 Year(s)
Gender  Both 
Details  Patients having fever episodes with history of traumatic brain injury
Traumatic brain injury patients requiring mechanical ventilation.
Body temperature more than 38 degree Celsius (100.94 degree Fahrenheit) at least for 2 consecutive days OR single episode of more than 39.5 degree Celsius (103.1 degree Fahrenheit)
 
 
ExclusionCriteria 
Details  . Refusal to give consent
. History of Malignant Hyperthermia , heat stroke , neuroleptic malignant syndrome and serotonin syndrome
. Patient getting referred from other ICU facility
. Patient with possible endocrine issues ( like pheochromocytoma , adrenal crisis , thyrotoxicosis )
. Immunocompromised / on chemotherapy/ neutropenic patients  
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
Analysis of the incidence of various causes of fever in Trauma ICU in traumatic brain injury patients.  Within 28 days 
 
Secondary Outcome  
Outcome  TimePoints 
To analyze the association of various laboratory and clinical variables with the central fever in the patients of traumatic brain injury in Trauma ICU.  Day1 ,Day3 and Day5  
 
Target Sample Size   Total Sample Size="120"
Sample Size from India="120" 
Final Enrollment numbers achieved (Total)= "Applicable only for Completed/Terminated trials"
Final Enrollment numbers achieved (India)="Applicable only for Completed/Terminated trials" 
Phase of Trial   N/A 
Date of First Enrollment (India)   12/05/2024 
Date of Study Completion (India) Applicable only for Completed/Terminated trials 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Applicable only for Completed/Terminated trials 
Estimated Duration of Trial   Years="1"
Months="0"
Days="0" 
Recruitment Status of Trial (Global)   Not Yet Recruiting 
Recruitment Status of Trial (India)  Not Yet Recruiting 
Publication Details   N/A 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Response - NO
Brief Summary   This study will be conducted in department of Anaesthesiology,IMS,BHU,Varanasi after obtaining written and informed consent and institutional ethical approval.After CTRI registration, patients fulfilling inclusion criteria will be included in this study and will be further evaluated by sending laboratory investigations and analyzing the clinical parameters. Demographic data and empirical antibiotics in use on patient will also be recorded. Various laboratory investigations include Complete blood count , C- reactive protein, chest X-ray , pro calcitonin levels and culture . Patients having positive culture reports will be classified as infectious fever and antibiotic escalation/deescalation will be done based on sensitivity report. Patients with negative culture report will be further evaluated to identify various other causes of fever and will be classified separately to calculate the incidence of various causes of fever . Patients included under neurogenic fever will be further evaluated and all the relevant clinical data from the onset of fever will be collected .This will include medical history , presenting symptoms and result of diagnostics tests.
Based on objective of study , descriptive and inferential statistics will be drawn to determine the association of provided variables with neurogenic fever and a comprehensive list of variables will be formulated . This list will consists of variables that demonstrate high diagnostic accuracy for Central fever . 

 
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