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CTRI Number  CTRI/2020/02/023209 [Registered on: 10/02/2020] Trial Registered Retrospectively
Last Modified On: 07/02/2020
Post Graduate Thesis  Yes 
Type of Trial  Observational 
Type of Study   Cohort Study 
Study Design  Other 
Public Title of Study   To study the clinical presentation, risk factors and outcomes of patients admitted with chest pain in general medical wards in our hospital. 
Scientific Title of Study   To study the Clinical characteristics, RIsk factors, long term Morbidity & Mortality of patients with Acute Coronary Syndrome admitted in general medical wards ( CRIMM ACS study ) 
Trial Acronym  CRIMM ACS study 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr Jaifrin Daniel 
Designation  PG registrar 
Affiliation  Christian Medical College. Vellore 
Address  Department of Medicine- Unit 2 Christian Medical College Hospital Vellore

Vellore
TAMIL NADU
632004
India 
Phone  9789230877  
Fax    
Email  jdaniel.m07@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Thambu David Sudarsanam 
Designation  Professor and Head  
Affiliation  Christian Medical College. Vellore 
Address  Department of Medicine- Unit 2 Christian Medical College Hospital Vellore

Vellore
TAMIL NADU
632004
India 
Phone  9486660653  
Fax    
Email  thambu@cmcvellore.ac.in  
 
Details of Contact Person
Public Query
 
Name  Dr Jaifrin Daniel 
Designation  PG registrar 
Affiliation  Christian Medical College. Vellore 
Address  Department of Medicine- Unit 2 Christian Medical College Hospital Vellore

Vellore
TAMIL NADU
632004
India 
Phone  9789230877  
Fax    
Email  jdaniel.m07@gmail.com  
 
Source of Monetary or Material Support  
Christian Medical College Vellore, Fluid Research Grant 
 
Primary Sponsor  
Name  Christian Medical College Vellore 
Address  Christian Medical College Hospital Vellore Tamilnadu 632004 
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 Jaifrin Daniel  Christian Medical College Vellore  Department of Medicine OPD Buildding, 2nd floor
Vellore
TAMIL NADU 
9789230877

jdaniel.m07@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional Review Board  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: I219||Acute myocardial infarction, unspecified,  
 
Intervention / Comparator Agent  
Type  Name  Details 
 
Inclusion Criteria  
Age From  15.00 Year(s)
Age To  99.00 Year(s)
Gender  Both 
Details  All proven patients of Acute Coronary Syndrome based clinical findings, ECG changes and elevated cardiac troponins admitted in general medical wards  
 
ExclusionCriteria 
Details  Patients admitted in Coronary care units 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Case Record Numbers 
Blinding/Masking   Open Label 
Primary Outcome  
Outcome  TimePoints 
1. To determine mortality - in hospital, one month and six months of patients with Acute Coronary Syndrome.
2. To determine morbidity - in hospital, one month and six months of patients with Acute Coronary Syndrome 
At hospitalisation, One month and 6 months of discharge. 
 
Secondary Outcome  
Outcome  TimePoints 
a) To study the risk factors predisposing to Acute Coronary Syndrome
b) To assess the association between socioeconomic strata and mortality from acute coronary syndromes.

c) To assess the predictors of 6 month mortality among these patients
 
March 2016 to February 2017 
 
Target Sample Size   Total Sample Size="149"
Sample Size from India="149" 
Final Enrollment numbers achieved (Total)= "149"
Final Enrollment numbers achieved (India)="149" 
Phase of Trial   N/A 
Date of First Enrollment (India)   01/03/2016 
Date of Study Completion (India) 31/07/2017 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Date Missing 
Estimated Duration of Trial   Years="1"
Months="0"
Days="0" 
Recruitment Status of Trial (Global)   Not Applicable 
Recruitment Status of Trial (India)  Completed 
Publication Details   Not published 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Brief Summary  

                  Acute coronary syndrome is an important cardiovascular illness which is in a rise due to various risk factors and lifestyle changes. NSTEMI, STEMI and UA constitute ACS. There is a rise in patients admitted in general medical wards with NSTEMI as compared to STEMI in our hospital. It is important to understand the clinical presentation, risk factors and lifestyle associated predisposing to it. There is a paucity of data on morbidity and mortality – in hospital and long term, in proven cases of STEMI and NSTEMI admitted to general medical wards in our institution. On studying the clinical presentation and identifying the predisposing factors will help in better understanding of the disease, early recognition which would translate to better outcomes and prevention of further cardiovascular events in the future. The risk of death or recurrent Myocardial infarction at admission will be calculated using the TIMI score/GRACE and compared with our data of morbidity and mortality. We will also see whether there is any variation of outcome among patients with different economic strata.

 
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