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CTRI Number  CTRI/2024/12/078273 [Registered on: 18/12/2024] Trial Registered Prospectively
Last Modified On: 21/10/2025
Post Graduate Thesis  Yes 
Type of Trial  Observational 
Type of Study   Cohort Study 
Study Design  Single Arm Study 
Public Title of Study   Using simple Calculations to predict Kidney Damage in Seriously Ill ICU Patients 
Scientific Title of Study   A Prospective Observational Study To Analyse The Efficacy Of RENAL ANGINA INDEX In Predicting The Course Of ACUTE KIDNEY INJURY In Critically Ill Adult Patients 
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 Preethi Rajsri Anandhan 
Designation  DrNB Resident 
Affiliation  Meenakshi Mission Hospital & Research Centre 
Address  Department of Critical Care Medicine and Toxicology , Meenakshi Mission Hospital & Research Centre , Lake Area , Melur Road , Madurai

Madurai
TAMIL NADU
625107
India 
Phone  09943720201  
Fax    
Email  g5preeths@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr K S Anand 
Designation  Head Of Department 
Affiliation  Meenakshi Mission Hospital & Research Centre  
Address  Department of Critical Care Medicine and Toxicology , Meenakshi Mission Hospital & Research Centre , Lake Area , Melur Road , Madurai

Madurai
TAMIL NADU
625107
India 
Phone  9943720201  
Fax    
Email  anand2000xx@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr K S Anand 
Designation  Head Of Department 
Affiliation  Meenakshi Mission Hospital & Research Centre 
Address  Department of Critical Care Medicine and Toxicology , Meenakshi Mission Hospital & Research Centre , Lake Area , Melur Road , Madurai

Madurai
TAMIL NADU
625107
India 
Phone  9943720201  
Fax    
Email  anand2000xx@gmail.com  
 
Source of Monetary or Material Support  
Department of Critical Care Medicine and Toxicology , Meenakshi Mission Hospital & Research Centre , Lake Area , Melur Road , Madurai 
 
Primary Sponsor  
Name  MEENAKSHI MISSION HOSPITAL AND RESEARCH CENTRE 
Address  LAKE AREA , MELUR ROAD , MADURAI 625107 
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 Preethi Rajsri Anandhan  Meenakshi Mission Hospital & Research Centre   Department of Critical Care Medicine and Toxicology , Meenakshi Mission Hospital & Research Centre , Lake Area , Melur Road , Madurai
Madurai
TAMIL NADU 
9943720201

g5preeths@GMAIL.COM 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
INSTITUTIONAL ETHICS COMMITTEE , MEENAKSHI MISSION HOSPITAL AND RESEARCH CENTRE  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: N179||Acute kidney failure, unspecified,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  NIL  NIL 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  75.00 Year(s)
Gender  Both 
Details  Patient admitted to ICU for more than 24 hours 
 
ExclusionCriteria 
Details  Presence of AKI on admission
Serum Creatinine more than 2.5mg/dl on admission
Patients already on Renal Replacement Therapy
Chronic Kidney Disease
History of Kidney Transplantation
Pregnant patient
 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
Use of Renal Angina Index to predict the course of Acute Kidney Injury   Day 0,1,3,7 
 
Secondary Outcome  
Outcome  TimePoints 
Analysing the Role of Renal Angina Index in predicting progression to Acute Kidney Disease and requirement of Renal Replacement Therapy
To study the correlation between Renal Angina Index Value and stage of AKI as per KDIGO guidelines 
Day 0,1,3,7 
 
Target Sample Size   Total Sample Size="120"
Sample Size from India="120" 
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="1"
Months="2"
Days="0" 
Recruitment Status of Trial (Global)
Modification(s)  
Not Applicable 
Recruitment Status of Trial (India)  Open to Recruitment 
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   AKI can increase the risk of Chronic Kidney Disease through a number of mechanisms that lead to tubulointerstitial damage and fibrosis. Hence Timely Diagnosis and Timely management can save the nephrons from going for a irreversible injury leading to Chronic Kidney Disease. Recently, the Renal angina index (RAI), which is determined based on changes in renal function, was proposed to risk stratify critically ill children at high risk of AKI.The concept of renal angina has come into use to highlight the characteristics of renal injury as an analogy to the concept of angina pectoris, which is used to increase the suspicion of acute coronary syndrome in cardiology. The RAI is assumed to serve as a potential biomarker for detecting early signs of persistent AKI for 1 week. The RAI in adults was proposed.In our study we want to analyse the efficacy of Renal Angina Index in early prediction of AKI , so that Nephroprotective measures can be initiated early to prevent the further Renal injury. In our Study , we have hypothesized that Renal Angina Index more than 8 does not correlate with Acute Kidney Injury in critically ill adult patients. 
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