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CTRI Number  CTRI/2024/09/074017 [Registered on: 18/09/2024] Trial Registered Prospectively
Last Modified On: 12/09/2024
Post Graduate Thesis  Yes 
Type of Trial  Observational 
Type of Study   Cohort Study 
Study Design  Other 
Public Title of Study   A study to see the effects of new onset irregular heart beat on the mortality in critically ill medical ICU patients 
Scientific Title of Study   New onset arrhythmias in critically ill medical patients- patient profile, ICU course and outcomes  
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Pooja Upmanyoo 
Designation  DrNB resident 
Affiliation  MAX Super Speciality hospital, Saket, New Delhi 
Address  Department of Critical Care Medicine MAX Super Speciality hospital, Press Enclave Road, Saket, New Delhi

South
DELHI
110017
India 
Phone  9896737514  
Fax    
Email  pooja.upmanyoo@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Omender Singh 
Designation  Principal Director 
Affiliation  MAX Super Speciality hospital, Saket, New Delhi 
Address  Department of Critical Care Medicine MAX Super Speciality hospital, Press Enclave Road, Saket, New Delhi

South
DELHI
110017
India 
Phone  9810734246  
Fax    
Email  omender.singh@maxhealthcare.com  
 
Details of Contact Person
Public Query
 
Name  Omender Singh 
Designation  Principal Director 
Affiliation  MAX Super Speciality hospital, Saket, New Delhi 
Address  Department of Critical Care Medicine MAX Super Speciality hospital, Press Enclave Road, Saket, New Delhi

South
DELHI
110017
India 
Phone  9810734246  
Fax    
Email  omender.singh@maxhealthcare.com  
 
Source of Monetary or Material Support  
Department of critical care medicine MAX Superspeciality hospital ,press enclave road, saket, new delhi, 110017  
 
Primary Sponsor  
Name  max superspeciality hospital 
Address  Department of Critical Care Medicine,MAX Super Speciality hospital,Press Enclave Road, Saket, New Delhi, 110017 
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 pooja upmanyoo  Department of Critical Care Medicine, max superspeciality hospital  MICU, West Block, Department of Critical Care Medicine, Max Super Speciality Hospital, Press Enclave road, Saket, New Delhi-110017
South
DELHI 
9896737514

pooja.upmanyoo@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Max Healthcare Ethics Committee  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: I442||Atrioventricular block, complete, (2) ICD-10 Condition: I440||Atrioventricular block, first degree, (3) ICD-10 Condition: I441||Atrioventricular block, second degree, (4) ICD-10 Condition: I484||Atypical atrial flutter, (5) ICD-10 Condition: I443||Other and unspecified atrioventricular block, (6) ICD-10 Condition: I498||Other specified cardiac arrhythmias, (7) ICD-10 Condition: I458||Other specified conduction disorders, (8) ICD-10 Condition: I480||Paroxysmal atrial fibrillation, (9) ICD-10 Condition: I479||Paroxysmal tachycardia, unspecified, (10) ICD-10 Condition: I481||Persistent atrial fibrillation, (11) ICD-10 Condition: I470||Re-entry ventricular arrhythmia, (12) ICD-10 Condition: I495||Sick sinus syndrome, (13) ICD-10 Condition: I471||Supraventricular tachycardia, (14) ICD-10 Condition: I483||Typical atrial flutter, (15) ICD-10 Condition: I489||Unspecified atrial fibrillation and atrial flutter, (16) ICD-10 Condition: I490||Ventricular fibrillation and flutter, (17) ICD-10 Condition: I472||Ventricular tachycardia,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  nil  nil 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  99.00 Year(s)
Gender  Both 
Details  All patients with new onset arrhythmia after admission to general medical ICU.
All study subjects who are willing to give informed consent for participation in the study.
 
 
ExclusionCriteria 
Details  1.Patients with baseline chronic arrhythmia.
2.Arrhythmias and other waveforms which occur during ACLS or chest compressions will be excluded.
 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
To assess the ICU course and outcomes in terms of ICU mortality of patients developing new onset arrhythmias in medical ICU.  till discharge/LAMA/death 
 
Secondary Outcome  
Outcome  TimePoints 
1.Probable causes of new onset arrhythmias
2.Length of hospital and ICU stay
 
Till discharge/LAMA/death 
 
Target Sample Size   Total Sample Size="96"
Sample Size from India="96" 
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)   25/09/2024 
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="2"
Months="1"
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   Arrhythmias are common clinical events in the intensive care unit (ICU) setting. The frequency and prognosis associated with arrhythmias vary according to the clinical setting in which they occur. Arrhythmias have been reported to occur in 15.7 and 19.7 % of patients in the surgical and medical ICU settings, respectively. In one epidemiologic study of critically ill patients, it was reported to be as high as 78 %. Nevertheless, the clinical impact of many arrhythmias in the continuum of critical illness is somewhat unclear. In some studies, arrhythmias have been implicated as a marker of disease severity in critically ill patients. They have also been associated with increased length of stay in the ICU, worse clinical outcome, and increased mortality. The clinical course of patients receiving care in the medical ICU is usually complex in nature with the presence of multiple concomitant insults to target organs in the form  of renal, cardiac, and pulmonary illness. The majority of published studies evaluating the prevalence and relevance of arrhythmias in critically ill patients focus on cardiac vs. non-cardiac surgical patients, while data in the setting of a general medical ICU is less abundant. Our study is focused on medical ICU patients who develop new onset arrhythmias and is aimed to elucidate the probable causes, the type of arrhythmias, management and outcomes of these patients in terms of length of hospital stay and ICU mortality. 
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