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CTRI Number  CTRI/2024/09/073704 [Registered on: 10/09/2024] Trial Registered Prospectively
Last Modified On: 30/08/2024
Post Graduate Thesis  Yes 
Type of Trial  Observational 
Type of Study   Cohort Study 
Study Design  Other 
Public Title of Study   Comparison of PRAm and NARCO-SS risk assessment scores 
Scientific Title of Study   Comparison of PRAm and NARCO-SS risk assessment scores in assessing perioperative outcomes in paediatric patients 
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Meshach R 
Designation  Junior Resident 
Affiliation  Kasturba Medical College, Manipal 
Address  Department of Anaesthesiology, Kasturba Medical College, Madhav Nagar, Manipal

Udupi
KARNATAKA
576104
India 
Phone  9043111800  
Fax    
Email  meshachr@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Nisha Sara M Jacob 
Designation  Assistant Professor 
Affiliation  Kasturba Medical College, Manipal 
Address  Department of Anaesthesiology, Kasturba Medical College, Madhav Nagar, Manipal

Udupi
KARNATAKA
576104
India 
Phone  9500574751  
Fax    
Email  nishasara@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Nisha Sara M Jacob 
Designation  Assistant Professor 
Affiliation  Kasturba Medical College, Manipal 
Address  Department of Anaesthesiology, Kasturba Medical College, Madhav Nagar, Manipal

Udupi
KARNATAKA
576104
India 
Phone  9500574751  
Fax    
Email  nishasara@gmail.com  
 
Source of Monetary or Material Support  
Kasturba Medical College, Manipal 
 
Primary Sponsor  
Name  Meshach R 
Address  Department of Anaesthesiology, Kasturba Medical College, Madhav Nagar, Manipal, Karnataka - 576104 
Type of Sponsor  Other [Self] 
 
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 Nisha Sara M Jacob  Kasturba Medical College, Manipal  Department of Anaesthesiology, Kasturba Medical College, Madhav Nagar, Manipal, Karnataka - 576104
Udupi
KARNATAKA 
9500574751

nishasara@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Kasturba Medical College and Kasturba Hospital Institutional Ethics Committee - 2 (Student Research)  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  NIL  NIL 
Comparator Agent  NIL  NIL 
 
Inclusion Criteria  
Age From  0.00 Day(s)
Age To  17.00 Year(s)
Gender  Both 
Details  Patients undergoing elective or emergency non-cardiac surgery
Patients less than 18 years of age of either gender 
 
ExclusionCriteria 
Details  Patients involved in other studies 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
Compare the accuracy of PRAm and NARCO-SS scores in predicting perioperative
outcomes among paediatric patients 
Intraoperative, immediate postoperative period while in
postanaesthesia care unit, each postoperative day until discharge and weekly telephonic follow-up
until 30th postoperative day. 
 
Secondary Outcome  
Outcome  TimePoints 
Inter-observer reliability of PRAm and NARCO-SS  During preoperative assessment of the patient 
 
Target Sample Size   Total Sample Size="377"
Sample Size from India="377" 
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)   10/09/2024 
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="8"
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   This is a prospective observational cohort study comparing the Pediatric Risk Assessment score (PRAm) and the Neurological, Airway, Respiratory, Cardiovascular, Other and Surgical severity (NARCO-SS) score. The primary objective is to compare the accuracy of PRAm and NARCO-SS scores in predicting perioperative outcomes among paediatric patients. The participants will be assessed prior to the surgery and scores will be assigned from the both scoring systems. The participants will then be then be followed up for 30 days after the surgery. The perioperative outcomes that will be recorded are predefined.

The secondary objective is to determine the inter-observer reliability of PRAm and NARCO-SS scores. A subset of the participants will be assessed prior to surgery by multiple observers and they will assign scores from both PRAm and NARCO-SS. This subset will be used to determine the secondary objective.

References
  1. PRAm
    Nasr VG, DiNardo JA, Faraoni D. Development of a Pediatric Risk Assessment Score to Predict Perioperative Mortality in Children Undergoing Noncardiac Surgery. Anesth Analg 2017; 124: 1514–1519.

  2. NARCO-SS
    Malviya S, Voepel-Lewis T, Chiravuri SD, et al. Does an objective system-based approach improve assessment of perioperative risk in children? A preliminary evaluation of the ‘NARCO’. Br J Anaesth 2011; 106: 352–358.
 
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