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CTRI Number  CTRI/2025/09/094236 [Registered on: 04/09/2025] Trial Registered Prospectively
Last Modified On: 30/08/2025
Post Graduate Thesis  Yes 
Type of Trial  Observational 
Type of Study   Descriptive / Analytical 
Study Design  Other 
Public Title of Study   A Study on Patients with Upper Gastrointestinal Bleeding: Causes, Patterns, and Recovery 
Scientific Title of Study   Evaluation of Clinical and Demographic Profiles and Outcomes in Patients with Upper Gastrointestinal Bleeding: 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 Darshil Khared 
Designation  Junior Resident Doctor 
Affiliation  Datta Meghe Institute of Higher Education & Research 
Address  Datta Meghe Institute of Higher Education & Research, (Deemed to be University), Sawangi (Meghe), Wardha - 442107, Maharashtra, India

Wardha
MAHARASHTRA
442107
India 
Phone  9879727398  
Fax    
Email  dr.darshilkhared@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Aditya Pundkar 
Designation  Professor & Head, Department of Emergency Medicine 
Affiliation  Datta Meghe Institute of Higher Education & Research 
Address  Datta Meghe Institute of Higher Education & Research, (Deemed to be University), Sawangi (Meghe), Wardha - 442107, Maharashtra, India.

Wardha
MAHARASHTRA
442107
India 
Phone  9975170898  
Fax    
Email  draditya.pundkar@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Darshil Khared 
Designation  Junior Resident Doctor 
Affiliation  Datta Meghe Institute of Higher Education & Research 
Address  Datta Meghe Institute of Higher Education & Research, (Deemed to be University), Sawangi (Meghe), Wardha - 442107, Maharashtra, India.

Wardha
MAHARASHTRA
442107
India 
Phone  9879727398  
Fax    
Email  dr.darshilkhared@gmail.com  
 
Source of Monetary or Material Support  
Datta Meghe Institute of Higher Education & Research, (Deemed to be University), Sawangi (Meghe), Wardha - 442107 Maharashtra 
 
Primary Sponsor  
Name  Dr Darshil Khared 
Address  Room No G5, Raghobaji PG Boys Hostel, Datta Meghe Institute of Higher Education & Research, (Deemed to be University), Sawangi (Meghe), Wardha - 442107 Maharashtra 
Type of Sponsor  Other [Self] 
 
Details of Secondary Sponsor  
Name  Address 
Datta Meghe Institute of Higher Education Research  Datta Meghe Institute of Higher Education & Research, (Deemed to be University), Sawangi (Meghe), Wardha - 442107 Maharashtra 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr Darshil Khared  Jawaharlal Nehru Medical College and Acharya Vinoba Bhave Rural Hospital  Jawaharlal Nehru Medical College and Acharya Vinoba Bhave Rural Hospital, Datta Meghe Institute of Higher Education and Research (DU), Sawangi (Meghe),Wardha.Maharashtra 442107
Wardha
MAHARASHTRA 
9879727398

dr.darshilkhared@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Datta Meghe Institute of Higher Education & Research Institutional Ethics Committee  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: K920||Hematemesis, (2) ICD-10 Condition: K921||Melena,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Nil  Nil 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  99.00 Year(s)
Gender  Both 
Details  1. Adults aged more then 18 years presenting to the Emergency Medicine Department with suspected or confirmed UGIB.

2. Patients presenting with hematemesis, melena, or both, or clinical suspicion of UGIB based on history and clinical examination.

3. Patients providing written informed consent (or proxy consent if critically ill, as per ethical guidelines).

 
 
ExclusionCriteria 
Details  1. Patients with UGIB directly related to recent trauma.

2. Patients with UGIB directly related to poisoning.

3. Patients previously enrolled in the study presenting with recurrent UGIB during the study period.

4. Patients transferred from another facility with prior definitive UGIB management (e.g., endoscopy or surgery) before ED arrival.
 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
1. To Describe Clinical Profile of patients presenting with Upper Gastrointestinal bleeding.
2. To assess Demographic Profile of patients presenting with Upper Gastrointestinal bleeding.
3. To Evaluate Outcomes in Upper Gastrointestinal bleeding patients.
 
18 Months 
 
Secondary Outcome  
Outcome  TimePoints 
1. To identify key Risk Factors associated with Upper Gastrointestinal bleeding  18 Months 
 
Target Sample Size   Total Sample Size="100"
Sample Size from India="100" 
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)   01/10/2025 
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="6"
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  

Primary Purpose of the Protocol
The primary purpose of this study is to evaluate the clinical presentations, demographic characteristics, and outcomes of adult patients presenting with upper gastrointestinal bleeding (UGIB) to the Emergency Department of a tertiary care hospital in rural Maharashtra. By assessing clinical profiles, risk factors, and outcomes, the study aims to provide region-specific data relevant to a predominantly rural population, thereby improving early diagnosis, risk stratification, and management strategies.

Study Hypothesis
It is hypothesized that among patients from a largely rural population, specific demographic and clinical profiles such as advanced age, comorbidities, hemodynamic instability, and underlying etiology of bleeding are significantly associated with adverse outcomes. Recognition of these predictors will enable more effective risk stratification and outcome-oriented management in emergency settings.

 
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