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CTRI Number  CTRI/2026/02/104810 [Registered on: 25/02/2026] Trial Registered Prospectively
Last Modified On: 25/02/2026
Post Graduate Thesis  Yes 
Type of Trial  Observational 
Type of Study   Cohort Study 
Study Design  Other 
Public Title of Study   Study in burn patients to see whether measuring pressure inside the abdomen can help in early detection of kidney injury. 
Scientific Title of Study   Role of Intraabdominal pressure Monitoring in prediction of Acute Kidney Injury in Burns Patients-An observational Prospective Cohort 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 Esther Lalneidiki 
Designation  Junior Resident 
Affiliation  AIIMS,New Delhi 
Address  5th Floor,Academic Block,Department of Anaesthesiology Office,All India Institute of Medical Sciences, Ansari Nagar, New Delhi – 110029

South
DELHI
110029
India 
Phone  8732828658  
Fax    
Email  esseelpachuau@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Surabhi Gupta 
Designation  Assistant Proffesor 
Affiliation  AIIMS,New Delhi 
Address  5th Floor,Academic Block,Office of Department ofAnaesthesiology,All India Institute of Medical Sciences, Ansari Nagar, New Delhi – 110029

South
DELHI
110029
India 
Phone  8076748659  
Fax    
Email  drsurabhi.anaesthesia@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Surabhi Gupta 
Designation  Assistant Proffesor 
Affiliation  AIIMS,New Delhi 
Address  5th Floor,Academic Block,Office of Department of Anaesthesiology,All India Institute of Medical Sciences, Ansari Nagar, New Delhi – 110029

South
DELHI
110029
India 
Phone  8076748659  
Fax    
Email  drsurabhi.anaesthesia@gmail.com  
 
Source of Monetary or Material Support  
All India Institute of Medical Sciences (AIIMS), Ansari Nagar, New Delhi – 110029, India  
 
Primary Sponsor  
Name  AIIMS,New Delhi 
Address  All India Institute of Medical Sciences, Ansari Nagar, New Delhi – 110029 
Type of Sponsor  Research institution 
 
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 Esther Lalneidiki  AIIMS,New Delhi  Department of Anaesthesiology,Pain Medicine and Critical Care. All India Institute of Medical Sciences, Ansari Nagar, New Delhi – 110029
South
DELHI 
8732828658

esseelpachuau@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institute Ethics Committee for Postgraduate Research  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  60.00 Year(s)
Gender  Both 
Details  1. Adult patients aged 18 to 60 years.
2. Thermal or scald burns involving 20–60% Total Body Surface Area (TBSA).
3. Admission to the Burn ICU within 48 hours of burn injury.
4. Presence of indwelling Foley’s catheter for urine output monitoring (as per standard care).
5. Provision of informed written consent by the patient or legally authorized representative.
 
 
ExclusionCriteria 
Details  1. Pre-existing renal disease or history of chronic kidney disease (CKD) (baseline creatinine greater than 1.5 mg/dL or known abnormal renal ultrasound).
2. Pre-existing bladder pathology such as neurogenic bladder, vesicoureteral reflux, bladder outlet obstruction, or recent urological procedures.
3. Abdominal surgery within the past 7 days prior to enrollment.
4. Pregnant women.
5. Patients with electrical burns exceeding 60 percentage TBSA or associated crush injuries.
6. Patients who decline consent or withdraw participation.

 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
Development of AKI as defined by KDIGO 2012 criteria during ICU stay.
 
Baseline and every 24 hours till Day 5 or ICU discharge, whichever is earlier.
 
 
Secondary Outcome  
Outcome  TimePoints 
1. Determine IAP threshold predicting AKI
 
At baseline and daily up to Day 5 or ICU discharge
 
Assess Abdominal perfusion pressure(APP) and Renal Replacement Therapy (RRT) requirement
 
Daily up to Day 5 or ICU discharge
 
Correlation between abdominal girth and IAP
 
Every 12 hours up to Day 5
 
IAP trends and fluid resuscitation
 
During first 5 days of ICU stay
 
Association of IAP with ICU outcomes (Length of stay,ventilation, mortality)
 
At ICU discharge or death
 
 
Target Sample Size   Total Sample Size="155"
Sample Size from India="155" 
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)   10/03/2026 
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="2"
Months="0"
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 - NO
Brief Summary  

This is a prospective observational cohort study conducted in the Burns Intensive Care Unit of AIIMS New Delhi. The study aims to evaluate the role of intra abdominal pressure monitoring in the early prediction of acute kidney injury in adult burn patients. Acute kidney injury is a frequent and serious complication in major burns, and early detection is essential for improving outcomes. Intra abdominal pressure will be measured by the intravesical (bladder) method every 12 hours for five days or until ICU discharge. Renal function will be assessed daily using serum creatinine and urine output as per KDIGO 2012 criteria. The study will include adult patients aged 18 to 60 years with 20 to 60 percent total body surface area burns admitted within 48 hours of injury. Patients with pre existing chronic kidney disease, bladder pathology, recent abdominal surgery, pregnancy, or who decline consent will be excluded. Data will be analyzed to determine whether raised intra abdominal pressure predicts acute kidney injury, to identify threshold pressure values, and to evaluate associations with abdominal perfusion pressure, renal replacement therapy requirement, and clinical outcomes such as ICU length of stay, mechanical ventilation, and mortality. Findings may support integration of intra abdominal pressure monitoring into standard burn resuscitation protocols for early detection and prevention of renal complications.


 
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