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CTRI Number  CTRI/2025/03/082199 [Registered on: 12/03/2025] Trial Registered Prospectively
Last Modified On: 18/02/2025
Post Graduate Thesis  Yes 
Type of Trial  Observational 
Type of Study   Cohort Study 
Study Design  Other 
Public Title of Study   Dysnatremia in critically ill patients.  
Scientific Title of Study   Incidence and clinical implication of new onset dysnatremia in critically ill patients to ICU in a tertiary care hospital in eastern area. 
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. Sagarika Panda 
Designation  Associate Professor 
Affiliation  IMS AND SUM HOSPITAL, Bhubaneswar 
Address  Department OF Critical Care Medicine, IMS AND SUM HOSPITAL, Kalinga Nagar

Khordha
ORISSA
751003
India 
Phone  7500340205  
Fax    
Email  sp.ruby@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr. Sagarika Panda 
Designation  Associate Professor  
Affiliation  IMS AND SUM HOSPITAL, BHUBANESWAR 
Address  DEPARTMENT OF CRITICAL CARE MEDICINE, IMS AND SUM HOSPITAL, KALINGA NAGAR


ORISSA
751003
India 
Phone  7500340205  
Fax    
Email  sp.ruby@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Anushapreethi S 
Designation  DM Resident  
Affiliation  IMS AND SUM HOSPITAL, BHUBANESWAR 
Address  Department Of Critical Care Medicine, IMS AND SUM HOSPITAL, Kalinga Nagar


ORISSA
751003
India 
Phone  7500340205  
Fax    
Email  anushapreethi87@gmail.com  
 
Source of Monetary or Material Support  
IMS And SUM Hospital, Kalinga Nagar, Bhubaneswar-751003 
 
Primary Sponsor  
Name  Anushapreethi S 
Address  IMS And SUM Hospital, Kalinga Nagar, Bhubaneswar- 751003 
Type of Sponsor  Other [SELF] 
 
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 ANUSHAPREETHI S  IMS AND SUM HOSPITAL  Department Of Critical Care Medicine
Khordha
ORISSA 
07500340205

anushapreethi87@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
INSTITUTIONAL ETHICSE, INSTITUTE OF MEDICAK SCIENCES (IMS) AND SUM HOSPITAL COMMITTE  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: E871||Hypo-osmolality and hyponatremia,  
 
Intervention / Comparator Agent  
Type  Name  Details 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  99.00 Year(s)
Gender  Both 
Details  All adult patients admitted to the ICU for conditions other than primary sodium disorders. 
 
ExclusionCriteria 
Details  Patients admitted to the ICU primarily due to a sodium disorder.
Patients receiving 3%sodium chloride for cerebro-protective strategy
Patients under 18 years of age, pregnant women, and those with end-stage renal disease on chronic dialysis.
 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   Other 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
To investigate the impact of incidental sodium disorders on 28-day mortality of critically ill patients.  till 28 days ICU stay or death or discharge 
 
Secondary Outcome  
Outcome  TimePoints 
Determine the prevalence and progression of sodium disorders.
1. Length of ICU stay, fluctuations in sodium level 
till 28 days ICU stay or death or discharge 
 
Target Sample Size   Total Sample Size="450"
Sample Size from India="450" 
Final Enrollment numbers achieved (Total)= "400"
Final Enrollment numbers achieved (India)="400" 
Phase of Trial   N/A 
Date of First Enrollment (India)   28/03/2025 
Date of Study Completion (India) 30/08/2025 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Date Missing 
Estimated Duration of Trial   Years="0"
Months="6"
Days="0" 
Recruitment Status of Trial (Global)   Not Yet Recruiting 
Recruitment Status of Trial (India)  Completed 
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  

Phase 1: Observational

Collect baseline data on serum sodium at ICU admission and monitor daily sodium levels.

Classify sodium disorders as mild, moderate, or severe.

Phase 2: Interventional

Apply sodium management protocols tailored to each severity category.

Definitions of Sodium Disorders

Mild: Serum sodium levels between 125 to 150 mEq/L or a deviation of less than 10 mEq/L from the normal range.

Moderate: Serum sodium levels between 115 to 125 mEq/L or 150 to 160 mEq/L, or a deviation of 10 to 20 mEq/L from the normal range.

Severe: Serum sodium levels below 115 mEq/L or above 160 mEq/L, or a deviation of more than 20 mEq/L from the normal range.

Monitor outcomes such as mortality, ICU stay length

         Primary Outcomes: Mortality rate and major complication rates.

         Secondary Outcomes: Length of ICU stay, sodium level fluctuations

Until ICU discharge or death 
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