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CTRI Number  CTRI/2024/06/068373 [Registered on: 05/06/2024] Trial Registered Prospectively
Last Modified On: 29/05/2024
Post Graduate Thesis  No 
Type of Trial  Observational 
Type of Study   Cohort Study 
Study Design  Other 
Public Title of Study   Clinical Characteristics and Outcomes of Patients hospitalised with dengue 
Scientific Title of Study   Epidemiology and outcomes of patients hospitalized with Dengue: Protocol for a prospective public health surveillance 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  Bharath Kumar TV 
Designation  Senior Consultant 
Affiliation  Apollo Main Hospital 
Address  Department of Critical Care Medicine, 2nd Floor, Apollo Main Hospital, Greams Lane, Chennai

Chennai
TAMIL NADU
600006
India 
Phone  9591100655  
Fax    
Email  bharath@icuconsultants.com  
 
Details of Contact Person
Scientific Query
 
Name  Bharath Kumar TV 
Designation  Senior Consultant 
Affiliation  Apollo Main Hospital 
Address  Department of Critical Care Medicine, 2nd Floor, Apollo Main Hospital, Chennai


TAMIL NADU
600006
India 
Phone  9591100655  
Fax    
Email  bharath@icuconsultants.com  
 
Details of Contact Person
Public Query
 
Name  Bharath Kumar TV 
Designation  Senior Consultant 
Affiliation  Apollo Main Hospital 
Address  Department of Critical Care Medicine, 2nd Floor, Apollo Main Hospital, Greams Lane, Chennai


TAMIL NADU
600006
India 
Phone  9591100655  
Fax    
Email  bharath@icuconsultants.com  
 
Source of Monetary or Material Support  
European Society of Intensive Care Medicine, Rue Belliard, 19 B-1040 Brussels Belgium 
 
Primary Sponsor  
Name  Apollo Hospitals Educational and Research Foundation 
Address  Krishnadeep Chambers, Wallace Garden, Chennai, 600006 
Type of Sponsor  Research institution and hospital 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NIL 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 2  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Ajay Padmanaban  Apollo Main Hospital  Department of Critical Care Medicine, MDCCU, 2nd floor, 21,Greams Lane, Chennai
Chennai
TAMIL NADU 
9840264784

ajay@icuconsultants.com 
Urvi Shukla  Symbiosis Hospital  Department of Critical Care Medicine, Building 3, 3rd floor, Lavala, Taluka Mushi
Pune
MAHARASHTRA 
9922994977

urvi.shukla@suhrc.siu.edu.in 
 
Details of Ethics Committee  
No of Ethics Committees= 2  
Name of Committee  Approval Status 
Institute Research Committee, Symbiosis Hospital  Approved 
Institutional Ethics Committee  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: B338||Other specified viral diseases,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  NA  NA 
Comparator Agent  NA  NA 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  99.00 Year(s)
Gender  Both 
Details  Patients diagnosed with suspected or confirmed dengue (based on laboratory confirmation or per WHO or respective Ministry of Health diagnostic criteria). and admitted to a participating hospital.  
 
ExclusionCriteria 
Details  lack of informed consent 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
Survival of intensive care unit stay  ICU discharge 
 
Secondary Outcome  
Outcome  TimePoints 
hospital survival, need for organ support  at the time of ICU & hospital discharge 
 
Target Sample Size   Total Sample Size="200"
Sample Size from India="200" 
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)   15/06/2024 
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 Applicable 
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  

Research questions:

  1. For patients hospitalized with Dengue, what are the patterns of clinical presentation, illness severity, treatments received, and outcomes?
  2. What are the patient and  treatment-related predictors of hospital mortality for the cohort of severe dengue patients admitted to ICUs?

 Objectives:

  1. To describe the clinical presentation, demographics, including socio-economic determinants, illness severity, biochemical and hematological abnormalities, treatments received (fluids, vasopressors, organ support strategies, antiviral and anti-inflammatory medications) and outcomes for all dengue patients admitted to participating hospitals and ICUs over a 6-month period.
  2. To evaluate treatment-related predictors of mortality for the cohort of severe dengue patients admitted to ICUs using modern causal inference approaches.

Methods and Measurements:

Study design: Prospective public health surveillance protocol

Inclusion criteria: Patients diagnosed with suspected or confirmed dengue (based on laboratory confirmation or per WHO or respective Ministry of Health diagnostic criteria). and admitted to a participating hospital.

Exclusion criteria:  The only exclusion criteria would be lack of informed consent in jurisdictions that mandate the need for consent.

 

Outcome measures:

Our aim is to describe the clinical presentation (duration of illness, symptoms), demographics including socio-economic determinants, co-morbidities, illness severity (clinical, biochemical, laboratory, need for organ support), treatments received (IV fluids [type, volume, duration], blood and blood product transfusions, organ support provided during hospital stay, experimental therapies [corticosteroids, plasma exchange, IV immunoglobulins etc.], and outcomes [survival, ICU and hospital length of stay). Where feasible, we will also collect information on viral serotype/genotype. We will also evaluate treatment-related predictors of survival for the cohort of severe dengue patients using modern causal inference methods such as target trial emulation with a specific focus on steroids, plasma exchange and IVIg.

 
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