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CTRI Number  CTRI/2025/02/079871 [Registered on: 03/02/2025] Trial Registered Prospectively
Last Modified On: 31/01/2025
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Process of Care Changes 
Study Design  Single Arm Study 
Public Title of Study   Study comparing the effect of a prevention bundle on incidence of delirium in critically ill patients  
Scientific Title of Study   Effectiveness of a prevention bundle on the incidence of delirium in a critical care unit  
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.Anupam S Thomas 
Designation  Drnb Critical Care Medicine trainee 
Affiliation  Pushpagiri Institute of Medical Sciences and Research Centre 
Address  Drnb Critical Care Medicine trainee Pushpagiri Institute of Medical Sciences and Research Centre Tiruvalla

Pathanamthitta
KERALA
689101
India 
Phone  9496730548  
Fax    
Email  anupamsthomas@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Mathew Pulicken 
Designation  Head of Department 
Affiliation  Pushpagiri Institute of Medical Sciences and Research Centre 
Address  Department of Critical Care Medicine Pushpagiri Institute of Medical Sciences and Research Centre Tiruvalla

Pathanamthitta
KERALA
689101
India 
Phone  7736883088  
Fax    
Email  pulicken@yahoo.com  
 
Details of Contact Person
Public Query
 
Name  Dr Anupam S Thomas 
Designation  Drnb Critical Care Medicine trainee 
Affiliation  Pushpagiri Institute of Medical Sciences and Research Centre 
Address  Drnb Critical Care Medicine trainee Pushpagiri Institute of Medical Sciences and Research Centre Tiruvalla

Pathanamthitta
KERALA
689101
India 
Phone  09496730548  
Fax    
Email  anupamsthomas@gmail.com  
 
Source of Monetary or Material Support  
Pushpagiri Institute of Medical Sciences and Research Centre Tiruvalla Kerala India 689101  
 
Primary Sponsor  
Name  Dr Anupam S Thomas 
Address  Drnb Critical Care Medicine Trainee Department of Critical Care Medicine Pushpagiri Institute of Medical Sciences and Research Centre Tiruvalla Kerala India 689101  
Type of Sponsor  Other [Primary investigator] 
 
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 Anupam S Thomas  Pushpagiri Institute of Medical Sciences and Research Centre   MICU1 Department of Critical Care Medicine Pushpagiri Institute of Medical Sciences and Research Centre Tiruvalla 689101
Pathanamthitta
KERALA 
9496730548

anupamsthomas@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
PUSHPAGIRI INSTITUTE OF MEDICAL SCIENCES AND RESEARCH CENTRE I N S T I T U T I O N A L E T H I C S C O M M I T T E E  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: G00-G99||Diseases of the nervous system,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Delirium prevention bundle  Give the patient MORE M Music Early Mobilization O Opening of blinds during day switching Off lights at night R Reorientation and cognitive stimulation E Eye Ear protocols Eye bandage and ear plugs during sleep if they ask for it Spectacles and Hearing aid for those who use it Duration of interventio 3 months  
Comparator Agent  NOT APPLICABLE  NOT APPLICABLE 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  99.00 Year(s)
Gender  Both 
Details  Admission to the MICU during the specified period
Age more than18 years 
 
ExclusionCriteria 
Details  1 Any amount of time was spent in an ICU (internal
or external) before Critical care unit admission
2 Cerebral palsy mental retardation, or stroke documented
3 Admission to the MICU1 before the first day of evaluation period
4. MICU stay less than or equal to 24 hours
5. Presentation to the MICU delirious
6. Do not have a recorded CAM ICU Score.
7. Do not give consent 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Open Label 
Primary Outcome  
Outcome  TimePoints 
Incidence of delirium in ICU of a tertiary care centre   Baseline and 3 months after implenting prevention bundle  
 
Secondary Outcome  
Outcome  TimePoints 
Association of delirium with risk factors  3 months 
 
Target Sample Size   Total Sample Size="88"
Sample Size from India="88" 
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)   12/02/2025 
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="0"
Months="7"
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 - YES
  1. What data in particular will be shared?
    Response - Individual participant data that underlie the results reported in this article, after de-identification (text, tables, figures, and appendices).

  2. What additional supporting information will be shared?
    Response -  Study Protocol
    Response -  Statistical Analysis Plan
    Response - Informed Consent Form
    Response - Clinical Study Report
    Response -  Analytic Code

  3. Who will be able to view these files?
    Response - Anyone

  4. For what types of analyses will this data be available?
    Response (Others) -  NIL

  5. By what mechanism will data be made available?
    Response (Others) -  NIL

  6. For how long will this data be available start date provided 01-01-2026 and end date provided 01-05-2026?
    Response (Others) -  NIL

  7. Any URL or additional information regarding plan/policy for sharing IPD? 
    Additional Information - NIL
Brief Summary   The study will happen in 2 phases.
Phase 1 cosnsists of a 3 month baseline assessment period where all patients who meet the inclusion criteria will be screened for the presence of delirium
Phase 2 consists of a 3 month assessment period for delirium after implementation of a delirium prevention bundle which was mentioned above
The doctors and nurses will be trained on implementation of protocol 
After data collection of phase 2 the incidence of delirium will be calculated
The staff willl also be queried based on  a questionnaire the difficulties faced during implementation.

 
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