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CTRI Number  CTRI/2019/08/020644 [Registered on: 09/08/2019] Trial Registered Prospectively
Last Modified On: 08/08/2019
Post Graduate Thesis  Yes 
Type of Trial  Observational 
Type of Study   Follow Up Study 
Study Design  Single Arm Study 
Public Title of Study   Role of Intra-abdominal pressure in the outcomes of perforation peritonitis. 
Scientific Title of Study   Evaluation of Serial Measurement of Intra-abdominal Pressure in the Outcomes of Perforation Peritonitis. 
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Pritesh Kumar N  
Designation  Post graduate resident  
Affiliation  Maulana Azad Medical College  
Address  Department of Surgery, 2nd floor, B. L. Taneja Block, Maulana Azad Medical College, New Delhi, Central Delhi, India 110002

Central
DELHI
110002
India 
Phone  9632297674  
Fax    
Email  pkn644@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Pawan Lal  
Designation  Professor 
Affiliation  Maulana Azad Medical College  
Address  Department of Surgery, 2nd floor, B. L. Taneja Block, Maulana Azad Medical College, New Delhi, Central Delhi, India 110002

Central
DELHI
110002
India 
Phone    
Fax    
Email  pawanlal@yahoo.com  
 
Details of Contact Person
Public Query
 
Name  Pawan Lal  
Designation  Professor 
Affiliation  Maulana Azad Medical College  
Address  Department of Surgery, 2nd floor, B. L. Taneja Block, Maulana Azad Medical College, New Delhi, Central Delhi, India 110002

Central
DELHI
110002
India 
Phone    
Fax    
Email  pawanlal@yahoo.com  
 
Source of Monetary or Material Support  
Department of Surgery, 2nd floor, B. L. Taneja Block, Maulana Azad Medical College, New Delhi, Central Delhi, India 110002 
 
Primary Sponsor  
Name  Maulana Azad Medical College New Delhi  
Address  Department of Surgery, 2nd floor, B. L. Taneja Block, Maulana Azad Medical College, New Delhi, Central Delhi, India 110002 
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 
Pritesh Kumar N   Maulana Azad Medical College and associated Lok Nayak Hospital   Department of Surgery, 2nd floor, B. L. Taneja Block, Maulana Azad Medical College, New Delhi, Central Delhi, India 110002
Central
DELHI 
9632297674

pkn644@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional Ethics Committee   Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: K650||Generalized (acute) peritonitis,  
 
Intervention / Comparator Agent  
Type  Name  Details 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  80.00 Year(s)
Gender  Both 
Details  Patients of perforation peritonitis undergoing intervention in the form of emergency laparotomy.
 
 
ExclusionCriteria 
Details  1.Pregnancy
2.History of previous abdominal surgery
3.Failed urethral catheterization 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
Values of intra-abdominal pressure  1.At presentation
2.Just before induction of GA
3.Post-induction of GA
4.24 hours after surgery
5.48 hours after surgery 
 
Secondary Outcome  
Outcome  TimePoints 
All-cause mortality at 30 days post-laparotomy.
Duration of hospital stay,
Occurrence of burst abdomen,
Prolonged ileus.
Organ dysfunction.  
At presentation
24 hours after surgery
48 hours after surgery
72 hours after surgery
Day of discharge
30th day 
 
Target Sample Size   Total Sample Size="40"
Sample Size from India="40" 
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)   15/08/2019 
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   Nil 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Brief Summary   Intra-abdominal pressure is raised in many abdominal surgical emergencies and has implications on patient outcomes in terms of both morbidity and mortality.
An ideal method of measuring the intra-abdominal pressure would be by use of an intra-abdominal transducer. However, indirect methods have been found to give a good estimate of the same. 
The present study utilizes bladder catheterization and saline manometry to measure the intra-abdominal pressure as per WSACS guidelines and to correlate the same with the outcomes of perforation peritonitis using objective scoring systems such as APACHE and SOFA. 

 
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