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CTRI Number  CTRI/2024/09/073418 [Registered on: 04/09/2024] Trial Registered Prospectively
Last Modified On: 02/09/2024
Post Graduate Thesis  Yes 
Type of Trial  Observational 
Type of Study   Prospective 
Study Design  Other 
Public Title of Study   Standardized Mortality Ratio In Pediatric ICU 
Scientific Title of Study   STANDARDISED MORTALITY RATIO IN PICU 
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 Gauri Gupta 
Designation  Junior Resident 
Affiliation  Kasturba Medical college Manipal 
Address  Pediatrics Department, Kasturba hospital Manipal

Udupi
KARNATAKA
576104
India 
Phone  9910874479  
Fax    
Email  gaurigtabest@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  DR SUNEEL MUNDKUR C 
Designation  MD Pediatrics, Professor and HEAD OF UNIT 
Affiliation  Kasturba Medical College Manipal 
Address  Department of pediatrics, Kasturba Medical College, MAHE, Manipal, Udupi

Udupi
KARNATAKA
576104
India 
Phone  9845150802  
Fax    
Email  suneel.mundkur@manipal.edu  
 
Details of Contact Person
Public Query
 
Name  Leslie Edward S Lewis 
Designation  MD Paediatrics, Professor and HOD, Department of Paediatrics 
Affiliation  Kasturba Medical College,Manipal 
Address  Department of pediatrics, Kasturba Medical College, MAHE, Manipal, Udupi

Udupi
KARNATAKA
576104
India 
Phone  9449208476  
Fax    
Email  leslie.lewis@manipal.edu  
 
Source of Monetary or Material Support  
Kasturba Medical college , Manipal, Kasturba Medical College, Madhav Nagar, Manipal, 576104 Udupi Karnataka ,India 
 
Primary Sponsor  
Name  NA 
Address  NA 
Type of Sponsor  Other [NA] 
 
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 Gauri  Kasturba Medical college and Hospital   2nd floor, PICU , Women and children block, Department of Paediatrics, Kasturba Medical College, Madhav Nagar, Manipal, 576104 Udupi Karnataka
Udupi
KARNATAKA 
9910874479

gaurigtabest@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional ethics comittee  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: R688||Other general symptoms and signs, (2) ICD-10 Condition: R688||Other general symptoms and signs,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  NIL  NIL 
 
Inclusion Criteria  
Age From  1.00 Month(s)
Age To  18.00 Year(s)
Gender  Both 
Details  Patients admitted in PICU over study period 
 
ExclusionCriteria 
Details  Patients admitted in Pediatric intensive care unit from Postop care, immunosuppressed ,on dialysis.  
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
To
To analyze the Standardized Mortality Ratio in PICU.
 
8 WEEKS
 
 
Secondary Outcome  
Outcome  TimePoints 
1) To analyze the standardized Mortality Ratio in PICU.
2) To study the pattern of Standardized Mortality Ratio in Systemic diseases. 
At discharge 
 
Target Sample Size   Total Sample Size="850"
Sample Size from India="850" 
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)   20/09/2024 
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="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   Any patient who is one month to 18 years admitted in PICU will be included in the study. Patient’s  data will be recorded including UNIQUE ID no. , main diagnosis in PICU (defined as the primary cause of admission in PICU),Outcome(death, or discharge or DAMA).The Data will be based on the patients medical history, physical examination and laboratory findings which were recorded by PI during first visit(immediately after admission to PICU).All lab investigations will be done as a part of the routine care and only the records will be reviewed. The components of the PRISM score will be recorded. The PRISM 3 score will be calculated for each patient and the probability of mortality will be seen. To calculate the standardised mortality ratio , the probability of death for each child that was determined based on PRISM 3 model and total amount of probability of death in the study population will be obtained. Then SMR will be calculated by dividing the number of deaths occurred to the expected. Standardized Mortality Ratio = Observed death/Expected death * 100.An SMR<1 indicates that the actual mortality is lower than the expected one; thus  the quality of therapeutic management is considered to be appropriate. An SMR >1 means that actual mortality is higher than the expected one, which is evidence of poor quality of service. Pattern of SMR in various systemic diseases will be seen. 
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