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CTRI Number  CTRI/2026/02/102850 [Registered on: 03/02/2026] Trial Registered Prospectively
Last Modified On: 02/02/2026
Post Graduate Thesis  Yes 
Type of Trial  Observational 
Type of Study   Cohort Study 
Study Design  Other 
Public Title of Study   Correlation of Eye ultrasound Measurements with Neurological Outcome in Traumatic Brain Injury Patients 
Scientific Title of Study   A Prospective Observational Study for evaluation of prognostic value of Optic Nerve Sheath Diameter (ONSD),Eyeball Transverse Diameter (ETD) and Optic Nerve Sheath Diameter/Eyeball Transverse Diameter (ONSD/ETD) ratio and it’s correlation with neurological outcome in traumatic brain injury patients admitted in ICU. 
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  SHIVANGI BADJATYA  
Designation  Junior Resident  
Affiliation  IMS,BHU 
Address  Department of Anaesthesiology,IMS,BHU,Varanasi,UP

Varanasi
UTTAR PRADESH
221005
India 
Phone  8005318013  
Fax    
Email  shivangibadjatya1992@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  MANJAREE MISHRA  
Designation  Professor  
Affiliation  IMS,BHU 
Address  Department of Anaesthesiology,IMS,BHU

Varanasi
UTTAR PRADESH
221005
India 
Phone  9452030626  
Fax    
Email  mnajari@bhu.ac.in  
 
Details of Contact Person
Public Query
 
Name  MANJAREE MISHRA  
Designation  Professor  
Affiliation  IMS,BHU 
Address  Department of Anaesthesiology,IMS,BHU

Varanasi
UTTAR PRADESH
221005
India 
Phone  9452030626  
Fax    
Email  mnajari@bhu.ac.in  
 
Source of Monetary or Material Support  
Institute of Medical Sciences, Banaras Hindu University, Varanasi , India , Pin code -221005 
 
Primary Sponsor  
Name  Department of Anaesthesiology,IMS,BHU 
Address  IMS,BHU,Varanasi  
Type of Sponsor  Government 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 
SHIVANGI BADJATYA   IMS,BHU  Department of Anaesthesiology IMS,BHU
Varanasi
UTTAR PRADESH 
8005618013

shivangibadjatya1992@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
IMS,BHU  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: S09||Other and unspecified injuries ofhead, (2) ICD-10 Condition: S069||Unspecified intracranial injury,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Nil  Nil 
Intervention  Nil  Nil 
Intervention  Nil  Nil 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  65.00 Year(s)
Gender  Both 
Details  Relatives giving written informed consent
Patients of traumatic brain injury admitted in ICU within 48 hrs 
 
ExclusionCriteria 
Details  Age less than 18 years
Age more than 65 years
Consent refusal
Orbital trauma
Pre-existing ocular diseases
Other neurological diseases  
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
Glasgow outcome scale
ICU length of stay
 
At day 14 of ICU admission
At day 28 of ICU admission  
 
Secondary Outcome  
Outcome  TimePoints 
NIL  NIL 
 
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)   14/02/2026 
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 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 prospective observational study aims to evaluate the prognostic value of Optic Nerve Sheath Diameter (ONSD), Eyeball Transverse Diameter (ETD), and the ONSD/ETD ratio, measured using ultrasound, in predicting neurological outcomes in traumatic brain injury (TBI) patients admitted to the ICU. Because ONSD varies with age, sex, and individual anatomical differences, combining ONSD with ETD to form the ONSD/ETD ratio may provide a more reliable estimate of raised intracranial pressure (ICP). The study fills a gap in existing literature by integrating these ultrasound parameters with established clinical and radiological scoring systems—GCS, ISS, Rotterdam CT Score, and GOS. A total of 100 adult TBI patients (18–65 years) admitted within 48 hours will be evaluated on Day 1 and Day 7 using ultrasound to measure ONSD, ETD, and their ratio. Neurological outcomes will be assessed using the Glasgow Outcome Scale (GOS), with secondary analysis of ICU stay duration and mortality. Statistical analysis will include ROC curves, sensitivity, specificity, and correlation tests to determine predictive accuracy. 
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