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CTRI Number  CTRI/2024/09/073246 [Registered on: 02/09/2024] Trial Registered Prospectively
Last Modified On: 27/12/2024
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Biological 
Study Design  Other 
Public Title of Study   Correlation of inflammatory markers with trauma severity scores in critically ill trauma elderly patients  
Scientific Title of Study   Study of inflammatory markers in critically ill trauma elderly patients and its correlation with trauma severity score: 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  Dr Logesh R 
Designation  Junior Resident 
Affiliation  Institute of Medical Sciences, Banaras Hindu University 
Address  Department of Anaesthesiology office, 1st floor, Sir Sunderlal Hospital, Banaras Hindu University, Pandit Madan Mohan Malviya Road, Kabir colony

Varanasi
UTTAR PRADESH
221005
India 
Phone  9442307171  
Fax    
Email  mailme2logesh@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Shashi Prakash 
Designation  Professor 
Affiliation  Institute Of Medical Sciences, Banaras Hindu University 
Address  Department of Anaesthesiology office, 1st floor, Sir Sunderlal Hospital, Banaras Hindu University, Pandit Madan Mohan Malviya Road, Kabir colony

Varanasi
UTTAR PRADESH
221005
India 
Phone  9453047154  
Fax    
Email  drshashiprakash@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Logesh R 
Designation  Junior Resident  
Affiliation  Institute Of Medical Sciences, Banaras Hindu University 
Address  Department of Anaesthesiology office, 1st floor, Sir Sunderlal Hospital, Banaras Hindu University, Pandit Madan Mohan Malviya Road, Kabir colony

Varanasi
UTTAR PRADESH
221005
India 
Phone  9442307171  
Fax    
Email  mailme2logesh@gmail.com  
 
Source of Monetary or Material Support  
By Institute of Medical Sciences, Banaras Hindu University, Varanasi 
 
Primary Sponsor  
Name  Banaras Hindu University 
Address  Department of Anaesthesiology office, 1st floor, Sir Sunderlal Hospital, Banaras Hindu University, Pandit Madan Mohan Malviya Road, Kabir colony 
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 Logesh R  Institute of Medical Sciences, Banaras Hindu University  Department of Anaesthesiology office, 1st floor, Sir Sunderlal Hospital, Banaras Hindu University, Pandit Madan Mohan Malviya Road, Kabir colony
Varanasi
UTTAR PRADESH 
9442307171

mailme2logesh@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institute of Medical Sciences_ethics _committee  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: O||Medical and Surgical,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Inflammatory biochemical markers in critically ill trauma elderly patients  Blood samples for Inflammatory biochemical markers- TNF-alpha, IL-6 and CRP will be taken at 24 hours of trauma as a baseline investigation and procalcitonin will be taken at 72 hours of trauma as a baseline investigation.The total duration of study is 30 days for a patient and no further follow up samples will be taken.  
Comparator Agent  Trauma Severity Scores in critically ill trauma elderly patients  The trauma scores- Revised Trauma Score, Injury Severity Score, Trauma and Injury Severity Score, Probability of Survival- Ps17 and Geriatric Trauma Outcome Score will be assessed at the time of admission as Baseline, only once.The total duration of study is 30 days for a patient and no further assessment will be done during follow up period. 
 
Inclusion Criteria  
Age From  60.00 Year(s)
Age To  99.00 Year(s)
Gender  Both 
Details  1.Geriatric patients of age between 60 and 99 years
2.Geriatric trauma patients requiring ICU admissions 
 
ExclusionCriteria 
Details  1.Non traumatic causes requiring ICU admissions
2.Patients dying within first 24 hours of trauma /died in the Emergency Department
3.Patients with known pre-existing immunological
disorders and malignancies
4.Patients on immunosuppressants and anticoagulants
5.patients discharged against medical advice
6.patients/attendants of patients who are not willing to participate in the study  
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
1.To correlate inflammatory markers with trauma severity score.   1.Initial baseline inflammatory markers and trauma severity scores will be taken to correlate 30 day mortality. 
 
Secondary Outcome  
Outcome  TimePoints 
1.Length of hospital stay
 
Patient will be assessed every 24 hours after admission till discharge/death of patient whichever is earlier 
2.Requirement of mechanical ventilation/vasopressors  Patient will be assessed every 24 hours after admission till discharge/death of patient whichever is earlier 
 
Target Sample Size   Total Sample Size="116"
Sample Size from India="116" 
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)   02/09/2024 
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)
Modification(s)  
Not Applicable 
Recruitment Status of Trial (India)  Open to Recruitment 
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 carried out in patients who will be admitted to ICU, Trauma Centre, Institute of Medical Sciences, Banaras Hindu University. Patient data will be collected from the patient/ relative and from the admission record. Data is collected in the form of age and sex of the patient, date and time of injury, date and time of admission to ICU, severity of injury in the form of trauma scorings - 1. Revised Trauma Score (RTS), 2. Injury Severity Score (ISS), .3 Trauma and Injury Severity Score (TRISS), 4. Probability of Survival (Ps17) and 5. Geriatric Trauma Outcome Score (GTOS).

Within 24 hours of trauma, the blood samples for IL-6, TNF-alpha, PCT and at 72 hours for CRP will be sent to lab where the samples undergo cooling centrifugation, plasma will be aliquoted, frozen and stored. Levels of biomarkers will be assessed after final sample collected using ELISA method. In the meantime, patient will be followed up every 24 hours for 30 days for assessing 30-day mortality. In addition, the patients assessed every 24 hours for length of hospital stay and use of mechanical ventilation/ vasopressors till the discharge / death of the patient whichever is earlier.

The obtained data will be recorded and the results will be statistically analysed by appropriate statistical methods. A p value of 0.05 will be considered as significant. 

 
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