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CTRI Number  CTRI/2026/04/108656 [Registered on: 20/04/2026] Trial Registered Prospectively
Last Modified On: 17/04/2026
Post Graduate Thesis  Yes 
Type of Trial  Observational 
Type of Study   Cohort Study 
Study Design  Other 
Public Title of Study   study to assess whether a clinical scoring system and blood test can predict failure of non invasive ventilation in patients with severe breathing difficulty  
Scientific Title of Study   Evaluation of the Heart rate Acidosis Consciousness Oxygenation Respiratory rate HACOR Score as a Predictor of Non-Invasive Ventilation Failure in Patients with Hypoxemic Respiratory Failure 
Trial Acronym  Heart rate Acidosis Consciousness Oxygenation Respiratory rate  
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  MOHINI RAMAKANT PATIL 
Designation  General Medicine Resident 
Affiliation  Jawaharlal Nehru Medical College 
Address  Kle hospital belgavi

Belgaum
KARNATAKA
590001
India 
Phone  8600451300  
Fax    
Email  mrpatil788@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  DR ANJALI R METGUDMATH 
Designation  General Medicine Resident 
Affiliation  Jawaharlal Nehru Medical College 
Address  Kle hospital belgavi
Jawaharlal Nehru Medical College
Belgaum
KARNATAKA
590001
India 
Phone  O8312437769  
Fax    
Email  metgudanjali@gmail.com  
 
Details of Contact Person
Public Query
 
Name  MOHINI RAMAKANT PATIL 
Designation  General Medicine Resident 
Affiliation  Jawaharlal Nehru Medical College 
Address  Kle belgavi
Jawaharlal Nehru Medical College

KARNATAKA
590001
India 
Phone  8600451300  
Fax    
Email  mrpatil788@gmail.com  
 
Source of Monetary or Material Support  
NIL 
 
Primary Sponsor  
Name  Jawaharlal Nehru Medical College and Hospital 
Address  JNMC Campus, JNMC KLE University Campus, Nehru Nagar, Belagavi, Karnataka 590010 
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 Mohini Ramakant Patil  KLE DR PRABHAKAR KORE HOSPITAL AND MRC  JNMC KLE University general medicine department
Belgaum
KARNATAKA 
8600451300

mrpatil788@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
JNMC INSTITUTIONAL ETHICS COMMITTEE  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: J960||Acute respiratory failure,  
 
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  All patients above age of 18 years admitted in medical intensive care unit requiring
non-invasive ventilation fulfilling the criteria of Hypoxemic Respiratory failure:
1)Partial pressure of oxygen( PA02)<60
2)Partial pressure of carbon dioxide (PACO2)- Normal/Decreased 
 
ExclusionCriteria 
Details  1)Pregnancy
2)Patients who directly require Mechanical ventilation.
3)Hypercapnic Respiratory failure.
4)Patients who underwent the use of non-invasive ventilation after extubation.
5)Patient who had undergone non-invasive ventilation more than 2hrs before being
admitted in medical intensive care unit.
6)Upper airway obstruction. 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
1. Change in HACOR score between 0 and 24 hours.
2. Correlation between HACOR score and NIV failure. 
0 and 24 hours. 
 
Secondary Outcome  
Outcome  TimePoints 
1. Incidence of NIV failure
2. ICU length of stay
3. ICU mortality
4. Hospital mortality 
0 and 24 hrs, till discharge or death 
 
Target Sample Size   Total Sample Size="72"
Sample Size from India="72" 
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)   30/04/2026 
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="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 - NO
Brief Summary   Hypoxemic respiratory failure is commonly managed with non-invasive ventilation, but delay recognition of NIV failure increases morbidity mortality hacker score, helps predict NIV failure
This prospective observational study helps to evaluate the hacor score in predicting NIV failure 
 
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