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CTRI Number  CTRI/2024/09/073650 [Registered on: 09/09/2024] Trial Registered Prospectively
Last Modified On: 27/08/2024
Post Graduate Thesis  Yes 
Type of Trial  Observational 
Type of Study   Cohort Study 
Study Design  Other 
Public Title of Study   Predictions of complications arising after major abdominal surgeries by assessing laboratory parameters. 
Scientific Title of Study   Diagnostic value of post operative C Reactive Protein (CRP) to Albumin ratio (CAR) for predicting complications after major abdominal surgeries 
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 SHYAM SUNDAR P 
Designation  Associate professor  
Affiliation  Amrita Institute of Medical Sciences , Kochi 
Address  Department of Anaesthesiology and Critical Care Amrita Institute of Medical Sciences Ponnekara PO Kochi

Ernakulam
KERALA
682041
India 
Phone  04842856162  
Fax  04842802020  
Email  pssundar@rediffmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr SHYAM SUNDAR P 
Designation  Associate professor  
Affiliation  Amrita Institute of Medical Sciences , Kochi 
Address  Department of Anaesthesiology and Critical Care Amrita Institute of Medical Sciences Ponnekara PO Kochi

Ernakulam
KERALA
682041
India 
Phone  04842856162  
Fax  04842802020  
Email  pssundar@rediffmail.com  
 
Details of Contact Person
Public Query
 
Name  MINNUMOL THOMAS 
Designation  post graduate -Junior resident  
Affiliation  Amrita Institute of Medical Sciences , Kochi 
Address  Department of Anaesthesiology and Critical Care Amrita Institute of Medical Sciences Ponnekara PO Kochi

Ernakulam
KERALA
682041
India 
Phone  04842856162  
Fax  04842802020  
Email  minnumolthomas@yahoo.in  
 
Source of Monetary or Material Support  
Amrita Institute of Medical sciences Ponekkara PO Kochi Kerala , India PIN 682041 Phone 04842856162  
 
Primary Sponsor  
Name  Amrita Institute of Medical Sciences 
Address  Amrita Institute of Medical Sciences Ponnekkara P.O Kochi Kerala pin: 682041 
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 Minnumol Thomas  Amrita Institute of Medical Sciences  Department of Anesthesia and Critical care unit, Ponekkara PO Kochi PIN 682041
Ernakulam
KERALA 
9400024666

minnumolthomas@yahoo.in 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Ethics Committee of Amrita School of Medicine   Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: R190||Intra-abdominal and pelvic swelling, mass and lump, (2) ICD-10 Condition: R00-R99||Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  NIL  NIL 
Comparator Agent  NIL  NIL 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  80.00 Year(s)
Gender  Both 
Details  - Duration of surgery for more than 3 hours
- ASA 1 , 2, 3
-Elective Surgeries 
 
ExclusionCriteria 
Details  1.Patients getting discharged within 48hrs after surgery
2.Incomplete laboratory data
3.patients getting albumin infusion within two post operative days
4.patient getting reoperated prior to POD 3
 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
To evaluate association between CRP/Albumin ratio and post operative length of ICU stay.  CRP/Albumin levels will be noted preoperatively and on POD day 3 
 
Secondary Outcome  
Outcome  TimePoints 
1. To evaluate association between CRP/Albumin ratio and post operative surgical site infection.

2. To evaluate association between CRP/Albumin ratio to post operative complications as per Clavein Dindo classification. 
-CRP/Albumin levels noted preoperatively and on POD day 3.
- post op complications will be assessed till POD 30 
 
Target Sample Size   Total Sample Size="100"
Sample Size from India="100" 
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)   01/10/2024 
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="0"
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   This is a prospective Cohort study in which we assess the  CRP to albumin ratio pre operatively and on POD 3, to determine its association towards predicting post operative complications in major abdominal surgeries .Post operative complications will be assessed based on the total post operative length of ICU stay , grading as per Clavein Dindo classification and Surgical site infections. At the end of the study the collected data will be analyzed statistically. 
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