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CTRI Number  CTRI/2024/07/070994 [Registered on: 22/07/2024] Trial Registered Prospectively
Last Modified On: 20/07/2024
Post Graduate Thesis  Yes 
Type of Trial  Observational 
Type of Study   Cross Sectional Study 
Study Design  Single Arm Study 
Public Title of Study   Abnormal findings on Echocardiographic studies in babies born prematurely and who requires support for breathing 
Scientific Title of Study   Echocardiographic abnormalities in very preterm babies requiring cardiorespiratory support- a prospective observational 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  Asha P T 
Designation  Senior Resident 
Affiliation  Kerala Institute Of Medical Sciences, Kerala 
Address  Department of Neonatology, 4th Floor, East Building, KIMSHEALTH, Anayara, Trivandrum

Thiruvananthapuram
KERALA
695029
India 
Phone  9604983439  
Fax    
Email  ptashanam@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Jyothi Prabhakar 
Designation  Consultant 
Affiliation  Kerala Institute Of Medical Sciences, Kerala 
Address  Department of Neonatology, KIMSHEALTH Hospital, Anayara , Trivandrum

Thiruvananthapuram
KERALA
695029
India 
Phone  9604983439  
Fax    
Email  jyothimeloor@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Asha P T 
Designation  Senior Resident 
Affiliation  Kerala Institute Of Medical Sciences, Kerala 
Address  Department of Neonatology, 4th Floor, East Building, KIMSHEALTH, Anayara, Trivandrum

Thiruvananthapuram
KERALA
675011
India 
Phone  9604983439  
Fax    
Email  ptashanam@gmail.com  
 
Source of Monetary or Material Support  
Kerala Institute of Medical Sciences,Anayara, Thiruvananthapuram, Kerala , India, Pincode- 695029 
 
Primary Sponsor  
Name  Kerala Institute of Medical Sciences 
Address  Anayara, Trivandrum, 695029 
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 = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
DR ASHA PT  Kerala Institute Of Medical Sciences  Department of Neonatology, 4th Floor, East Building, KIMSHEALTH, Pin code- 695029
Thiruvananthapuram
KERALA 
9604983439

ptashanam@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
IHECKIMS HEALTH  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  , (1) ICD-10 Condition: P229||Respiratory distress of newborn, unspecified,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  NIL  NIL 
 
Inclusion Criteria  
Age From  0.00 Day(s)
Age To  7.00 Day(s)
Gender  Both 
Details  1.Very Preterm babies requiring cardiorespiratory support
2.Very preterm babies requiring upgradation in respiratory support in the first week of life 
 
ExclusionCriteria 
Details  Preterm babies not requiring cardiorespiratory support

Babies with lethal congenital anomalies 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
Proportions of echocardiographic studies with abnormalities  3monnths, 6 months, 9months, 12months, 15 months, 18 months 
 
Secondary Outcome  
Outcome  TimePoints 
1.
The proportion of babies abnormal echocardiographic findings having hemodynamic instability
2.
The proportion of babies having abnormal second echocardiography
3.
The short term outcomes in babies - period of NICU stay, survival 
3 months, 6 months, 9 months, 12months, 15 months, 18 months 
 
Target Sample Size   Total Sample Size="150"
Sample Size from India="150" 
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)   03/08/2024 
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="6"
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   All preterm babies (less than 32 weeks of gestation) requiring cardiorespiratory support will be included in the study. Functional echocardiography will be performed by a neonatologist trained in cardiac echocardiography within 24 hours starting of cardiorespiratory support in the first week of life. Results of the echo will be confirmed by a pediatric cardiologist.Parameters like left ventricular output, right ventricular output, mitral valve EA ratio, fractional shortening, inferior vena cava collapsibility index, PDA assessment, tricuspid regurgitation, TAPSE and septal motion will be documented in each echo examination. Echo findings will be compared with the hemodynamic status of each baby at that point of time. If any abnormal echo findings is documented that baby will be followed up by a repeat echo after 24 hrs. Any change in management plan done based on the echocardiographic findings if done will also be noted.
Unit. 
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