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CTRI Number  CTRI/2025/07/091187 [Registered on: 18/07/2025] Trial Registered Prospectively
Last Modified On: 18/07/2025
Post Graduate Thesis  Yes 
Type of Trial  Observational 
Type of Study   Cohort Study 
Study Design  Single Arm Study 
Public Title of Study   To test the usefulness of an intravenous access scale to predict difficult venous cannulation in the South - Indian population 
Scientific Title of Study   Prognostic accuracy of the A- DIVA scale to predict difficult intravenous access in a tertiary care hospital in southern India- A prospective observational study 
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 KARTHIKA BABU 
Designation  Postgraduate 
Affiliation  Mahatma Gandhi Medical College and Research Institute 
Address  Room no 211, Department of Anaesthesiology, second floor, Hospital block, Mahatma Gandhi medical college and Research Institute PONDICHERRY

Pondicherry
PONDICHERRY
607402
India 
Phone  07598425969  
Fax    
Email  karthigaalagu@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Charulatha R 
Designation  Professor 
Affiliation  Mahatma Gandhi Medical College and Research Institute 
Address  Room no 211, Department of Anaesthesiology, second floor, Hospital block, Mahatma Gandhi medical college and Research Institute PONDICHERRY, India, 607402

Pondicherry
PONDICHERRY
607402
India 
Phone  9894909652  
Fax    
Email  ravindrancharulatha@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr KARTHIKA BABU 
Designation  Postgraduate 
Affiliation  Mahatma Gandhi Medical College and Research Institute 
Address  Room no 211, Department of Anaesthesiology, second floor, Hospital block, Mahatma Gandhi medical college and Research Institute PONDICHERRY

Pondicherry
PONDICHERRY
607402
India 
Phone  07598425969  
Fax    
Email  karthigaalagu@gmail.com  
 
Source of Monetary or Material Support  
Mahatma Gandhi Medical College and Research Institute, Pondicherry Cuddalore Road, ECR, Pillayarkuppam, Puducherry, India, 607402 
 
Primary Sponsor  
Name  Mahatma Gandhi Medical College and Research Institute 
Address  Pondicherry Cuddalore road, ECR Puducherry  
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 Karthika Babu  Mahatma Gandhi Medical College and Research Institute  Room number 211, Department of Anesthesiology, Second floor, Hospital block
Pondicherry
PONDICHERRY 
07598425969

karthigaalagu@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional Human Ethics Committee, Mahatma Gandhi Medical College and Research Institute  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: M966||Fracture of bone following insertion of orthopedic implant, joint prosthesis, or bone plate,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  NIL  NIL 
Comparator Agent  NIL  NIL 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  90.00 Year(s)
Gender  Both 
Details  ASA 1-4 physical status 
 
ExclusionCriteria 
Details  1. Patient who cannot answer the history of prior difficult intravenous cannulation due to cognitive or communication disabilities.
2.Prior intraveous access has been obtained in the ward. 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
Failed peripheral intravenous cannulation in the first attempt.  5 minutes 
 
Secondary Outcome  
Outcome  TimePoints 
Number of attempts   5 minutes 
Size of the applied catheter  5 minutes 
Reason for failed attempts  15 minutes 
Reason for second line device  30 minutes 
 
Target Sample Size   Total Sample Size="765"
Sample Size from India="765" 
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)   15/08/2025 
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="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 - 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

  3. Who will be able to view these files?
    Response - Researchers whose proposed use of the data has been approved by an independent review committee identified for this purpose.

  4. For what types of analyses will this data be available?
    Response - For individual participant data meta-analysis.

  5. By what mechanism will data be made available?
    Response - Proposals should be directed to [karthigaalagu@gmail.com].

  6. For how long will this data be available start date provided 01-06-2027 and end date provided 01-06-2030?
    Response - Beginning 9 months and ending 36 months following article publication.

  7. Any URL or additional information regarding plan/policy for sharing IPD? 
    Additional Information - NIL
Brief Summary   The study titled "Prognostic Accuracy of the A-DIVA Scale to Predict Difficult Intravenous Access in a Tertiary Care Teaching Hospital in Southern India" is a prospective observational study conducted at Mahatma Gandhi Medical College and Research Institute, Puducherry. It aims to evaluate the sensitivity and specificity of the Adult Difficult Intravenous Access (A-DIVA) scale in predicting first-attempt peripheral intravenous cannulation failure in surgical patients. The study includes adult patients undergoing elective or emergency surgeries, using consecutive sampling and informed consent. The A-DIVA scale, comprising five clinical predictors, will be applied in the preoperative setting, and outcomes such as cannulation success, number of attempts, and associated risk factors will be documented. With a calculated sample size of 765, the study intends to validate the A-DIVA scale’s prognostic accuracy in the local population and promote early identification of patients requiring alternative access strategies, such as ultrasound guidance, thereby improving patient safety and procedural efficiency 
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