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CTRI Number  CTRI/2024/12/077936 [Registered on: 10/12/2024] Trial Registered Prospectively
Last Modified On: 10/12/2024
Post Graduate Thesis  Yes 
Type of Trial  Observational 
Type of Study   Cohort Study 
Study Design  Other 
Public Title of Study   Study of post surgery confusion state in orthopaedic patients 
Scientific Title of Study   Incidence, risk factors and symptom profile of delirium in orthopaedic post operative patients, a prospective cohort 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  Miti Shah 
Designation  Junior Resident 
Affiliation  Kasturba Medical College, Manipal 
Address  Department of Psychiatry, Kasturba Medical College, Manipal
Manipal Academy of Higher Education, Madhav Nagar, Manipal
Udupi
KARNATAKA
576104
India 
Phone  9870819602  
Fax    
Email  miti.shah99.ms@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Suma Udupa 
Designation  Associate Professor 
Affiliation  Kasturba Medical College, Manipal 
Address  Department of Psychiatry, Kasturba Medical College, Manipal
Manipal Academy of Higher Education, Madhav Nagar, Manipal
Udupi
KARNATAKA
576104
India 
Phone  9901790003  
Fax    
Email  udupa.drsuma@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Suma Udupa 
Designation  Associate Professor 
Affiliation  Kasturba Medical College, Manipal 
Address  Department of Psychiatry, Kasturba Medical College, Manipal
Manipal Academy of Higher Education, Madhav Nagar, Manipal
Udupi
KARNATAKA
576104
India 
Phone  9901790003  
Fax    
Email  udupa.drsuma@gmail.com  
 
Source of Monetary or Material Support  
Department of Psychiatry (OPD No 33) and Department of Orthopaedics (OPD No 4), Kasturba Medical College, Manipal, Udupi district, Karnataka, India 576104 
 
Primary Sponsor  
Name  Department of Psychiatry 
Address  OPD No 33, Department of Psychiatry, Kasturba Medical College, Manipal, Udupi district, Karnataka 576104 
Type of Sponsor  Private medical college 
 
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 Miti Shah  Kasturba Hospital  OPD No 33, Department of Psychiatry; OPD No 4, Department of Orthopaedics; Post operative ICU and wards
Udupi
KARNATAKA 
9870819602

miti.shah99.ms@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  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: V00-Y99||External causes of morbidity,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  NIL  NIL 
Comparator Agent  NIL  NIL 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  99.00 Year(s)
Gender  Both 
Details  Any patient undergoing a major orthopaedic surgery.
Patient able to understand English, Hindi or Kannada.
Consent is obtained from patient or their nominated representative. 
 
ExclusionCriteria 
Details  Preoperative GCS less than 15 based on records 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
Inccidence of Delirium  Post operative Day 1, Day 3, Day 5 and Day 7 or at time of discharge 
 
Secondary Outcome  
Outcome  TimePoints 
Risk factors and symptom profile of delirium  Post operative Day 1, Day 3, Day 5 and Day 7 or at time of discharge 
 
Target Sample Size   Total Sample Size="576"
Sample Size from India="576" 
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)   01/01/2025 
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="0"
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  
All patients fitting the inclusion criteria, with their consent or their nominated representatives consent will be involved in the study. The CAM Algorithm will be administered on all the subjects by the Principal Investigator at 4 time points (unless they get discharged) which are post operative day 1, 3, 5 and 7 or on day of discharge (whichever is earlier). It will be initiated in the post operative ICU and the patient will be followed up in the ward thereafter. CAM ICU will be used for patients who aren’t able to respond verbally (eg: intubated) while CAM will be used on the rest. Relevant sociodemographic details will be collected and AD8 Dementia Screening Interview will be administered in individuals above 60 years. Additionally, Delirium Rating Scale-R-98 (DRS-R-98) will be administered on patients developing delirium. Data analysis will be done.
 
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