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CTRI Number  CTRI/2025/10/095579 [Registered on: 03/10/2025] Trial Registered Prospectively
Last Modified On: 10/02/2026
Post Graduate Thesis  No 
Type of Trial  Observational 
Type of Study   Follow Up Study 
Study Design  Other 
Public Title of Study   Using routine blood test to forecast functional outcomes in head injury patients following road traffic accidents 
Scientific Title of Study   Systemic inflammatory markers in predicting poor neurological outcomes following moderate and severe traumatic brain injury. 
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  SEHAM SYEDA 
Designation  ASSISTANT PROFESSOR 
Affiliation  M S Ramaiah Medical College and Hospitals 
Address  Department of Anesthesiology, M S Ramaiah Medical College and Hospitals , Bangalore

Bangalore
KARNATAKA
560054
India 
Phone  9886094357  
Fax    
Email  sehamsyeda@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  SEHAM SYEDA 
Designation  ASSISTANT PROFESSOR 
Affiliation  M S Ramaiah Medical College and Hospitals 
Address  Department of Anesthesiology, M S Ramaiah Medical College and Hospitals , Bangalore


KARNATAKA
560054
India 
Phone  9886094357  
Fax    
Email  sehamsyeda@gmail.com  
 
Details of Contact Person
Public Query
 
Name  SEHAM SYEDA 
Designation  ASSISTANT PROFESSOR 
Affiliation  M S Ramaiah Medical College and Hospitals 
Address  Department of Anesthesiology, M S Ramaiah Medical College and Hospitals , Bangalore


KARNATAKA
560054
India 
Phone  9886094357  
Fax    
Email  sehamsyeda@gmail.com  
 
Source of Monetary or Material Support  
NIL 
 
Primary Sponsor  
Name  M S Ramaiah Medical College and Hospitals 
Address  M S Ramaiah Medical College , M S Ramaiah Nagar, MSRIT post, Bangalore-560054 
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 Seham Syeda  Ramaiah Memorial Hospital  Neurocritical care unit, M S Ramaiah Institute of Neurosciences
Bangalore
KARNATAKA 
9886094357

sehamsyeda@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Ramaiah Medical College  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: S060||Concussion, (2) ICD-10 Condition: S062||Diffuse traumatic brain injury, (3) ICD-10 Condition: S064||Epidural hemorrhage, (4) ICD-10 Condition: S061||Traumatic cerebral edema, (5) ICD-10 Condition: S066||Traumatic subarachnoid hemorrhage, (6) ICD-10 Condition: S065||Traumatic subdural hemorrhage,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Nil  Nil 
Comparator Agent  Nil  Nil 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  80.00 Year(s)
Gender  Both 
Details  Age more than 18 years
Diagnosed with moderate and severe TBI with GCS less than 13
Presenting within 24 hours of injury
Complete Blood Count and Liver Function Test available 
 
ExclusionCriteria 
Details  Age less than 18 years
Preadmission immunomodulatory therapy
Severe polytrauma 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
GOSE- Glasgow Outcome Score Extended  6 months  
 
Secondary Outcome  
Outcome  TimePoints 
1. ICU stay duration
2.Hospital stay duration
3.GCS at discharge
 
At discharge from hospital 
 
Target Sample Size   Total Sample Size="150"
Sample Size from India="150" 
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)   20/10/2025 
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="0"
Months="6"
Days="0" 
Recruitment Status of Trial (Global)
Modification(s)  
Not Applicable 
Recruitment Status of Trial (India)  Open to Recruitment 
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   Traumatic brain injury is a leading cause of mortality and morbidity worldwide. Accurate prognostication of these patients is of paramount importance in order to counsel family members , to guide clinical decisions and proper resource allocation in a developing country like India. Systemic inflammation and Immune regulation play an important role in pathophysiology of TBI. Neutrophil - Lymphocyte Ratio (NLR), Platelet- Lymphocyte Ratio (PLR) and Neutrophil - Albumin Ratio (NAR) are reflective of the balance between the two. We hypothesise that an elevation of these ratios in the first 24 hours following TBI correlates with poor prognosis as evaluated using Glasgow Outcome Score Extended (GOSE). Hence we designed this comprehensive study using these inexpensive and routinely available haematological markers . 
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