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CTRI Number  CTRI/2024/07/071418 [Registered on: 26/07/2024] Trial Registered Prospectively
Last Modified On: 25/07/2024
Post Graduate Thesis  No 
Type of Trial  Observational 
Type of Study   Prospective Observational Study 
Study Design  Other 
Public Title of Study   An ultrasound-based prospective study on assessment of the thickness of two different muscle groups to evaluate nutritional risk in patients admitted to ICU. 
Scientific Title of Study   Rectus abdominis and rectus femoris muscle thickness in determining nutritional risk in critically ill patients: 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  LOVELY 
Designation  Senior Resident, Department of Anaesthesiology 
Affiliation  AIIMS Patna 
Address  C5B,Department of anaesthesiology, 5th floor, IPD complex, AIIMS Patna, Phulwari Sharif, Patna, BIHAR 801507, India

Patna
BIHAR
801507
India 
Phone  8210760298  
Fax    
Email  iamdrlovelysingh@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Umesh kumar bhadani 
Designation  HOD, department of Anaesthesiology, AIIMS Patna 
Affiliation  AIIMS Patna 
Address  C5B,Department of anaesthesiology, 5th floor, IPD complex, AIIMS Patna, Phulwari Sharif, Patna, BIHAR 801507, India

Patna
BIHAR
801507
India 
Phone  8969169123  
Fax    
Email  umeshbhadani@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Umesh kumar bhadani 
Designation  HOD, department of Anaesthesiology, AIIMS Patna 
Affiliation  AIIMS Patna 
Address  C5B,Department of anaesthesiology, 5th floor, IPD complex, AIIMS Patna, Phulwari Sharif, Patna, BIHAR 801507, India

Patna
BIHAR
801507
India 
Phone  8969169123  
Fax    
Email  umeshbhadani@gmail.com  
 
Source of Monetary or Material Support  
Department of Anaesthesiology, B6B ICU, 6th Floor, IPD Block, AIIMS, Phulwari Sharif, Patna, Bihar PIN- 801507 
 
Primary Sponsor  
Name  AIIMS Patna 
Address  Department of Anaesthesiology, B6B ICU, AIIMS Patna, Bihar 801507, India 
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 LOVELY PDF Department of Anaesthesiology  All India Institute of Medical Sciences, Patna  6th floor ICU, B6B, Department of Anaesthesiology, All India Institute of Medical Sciences, Patna, Bihar, PIN- 801507
Patna
BIHAR 
8210760298

iamdrlovelysingh@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
The Institutional Ethics Committee, AIIMS, Patna  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: J181||Lobar pneumonia, unspecified organism,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  NIL  NIL 
Comparator Agent  NIL  NIL 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  90.00 Year(s)
Gender  Both 
Details  Patients of more than 18 years of age admitted in B6B ICU, AIIMS Patna 
 
ExclusionCriteria 
Details  Less than 18 years of age
Pregnant women
Patients who had undergone abdominal surgery
Patients with a known muscular disorder
BMI more than 35
Patients not providing consent 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
Rectus abdominis muscle (RAM) and rectus femoris muscle (RFM) thickness measured by ultrasonography will be recorded on both
sides for each patient. Sensitivity, Specificity, Positive and Negative predictive
values, and accuracy of RAM and RFM, Area under curve (AUC) will be calculated
mNUTRIC score will be calculated for each patient based on the five variables -
Age, APACHE II, SOFA, Number of comorbidities, and days from hospital to ICU
admission 
After admission to the ICU, within the first 24 hours 
 
Secondary Outcome  
Outcome  TimePoints 
Length of ICU stay is noted
The need and duration of invasive mechanical ventilation is noted.
Patient status (Alive/ Dead) is noted 
Patients after admission to ICU will be followed till discharge or upto 28 days, whichever is earlier 
 
Target Sample Size   Total Sample Size="145"
Sample Size from India="145" 
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)   05/08/2024 
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="0"
Months="7"
Days="4" 
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  
Nutritional status plays a pivotal role in the prognosis and recovery of critically ill patients. Several scoring systems and tools are used to determine nutritional risk. However, only a few of them are useful in critically ill patients. The modified Nutrition Risk in Critically Ill (mNUTRIC) scoring system is recommended for screening. Although it is not the gold standard but is the most widely accepted and studied standard scoring system. There is a paucity of Nutritional risk assessment tools and methods providing quantitative results specific to critically ill patients. we are conducting this study to find a quantitative and practical evaluation method by determining the correlation of ultrasonographic measurement of rectus abdominis and rectus femoris muscle thickness in critically ill patients in the ICU with mNUTRIC score.
 
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