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CTRI Number  CTRI/2021/07/035295 [Registered on: 30/07/2021] Trial Registered Prospectively
Last Modified On: 07/01/2022
Post Graduate Thesis  No 
Type of Trial  Observational 
Type of Study   Cross Sectional Study 
Study Design  Other 
Public Title of Study   Prospective registry of STEMI management in Covid era -INDIA (PRESCO-INDIA) - A Cardiological Society of India Study  
Scientific Title of Study   Prospective registry of STEMI management in Covid era -INDIA (PRESCO-INDIA) 
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr Padhinhare P Mohanan 
Designation  Sr. Consultant Cardiologist 
Affiliation  Director, Westfort Hi- Tech Hospital 
Address  Room No- 111, Westfort Hi-Tech Hospital,Punkunnam PO, Thrissur, Kerala

Thrissur
KERALA
680002
India 
Phone  9846076006  
Fax    
Email  csiamistudy@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Padhinhare P Mohanan 
Designation  Sr. Consultant Cardiologist 
Affiliation  Director, Westfort Hi- Tech Hospital 
Address  Room No- 111, Westfort Hi-Tech Hospital,Punkunnam PO, Thrissur, Kerala

Thrissur
KERALA
680002
India 
Phone  9846076006  
Fax    
Email  csiamistudy@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Padhinhare P Mohanan 
Designation  Sr. Consultant Cardiologist 
Affiliation  Director, Westfort Hi- Tech Hospital 
Address  Room No - 111, Westfort Hi-Tech Hospital,Punkunnam PO, Thrissur, Kerala

Thrissur
KERALA
680002
India 
Phone  9846076006  
Fax    
Email  csiamistudy@gmail.com  
 
Source of Monetary or Material Support  
Cardiological Society of India P-60, C.I.T ROAD, SCHEME -VII-M KANKURGACHI, KOLKATA - 700054, INDIA 
 
Primary Sponsor  
Name  Cardiological Society of India 
Address  P-60, C.I.T ROAD, SCHEME VII-M, KANKURGACHI, KOLKATA - 700054, INDIA 
Type of Sponsor  Research institution 
 
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 L Sridhar  Sri Jayadeva Institute of Cardiovascular Sciences and Research  Bannerghatta Road, Jayanagar, 9th Block, Bangalore 560069
Bangalore
KARNATAKA 
08022977395

crc.jayadeva@gmail.com 
 
Details of Ethics Committee
Modification(s)  
No of Ethics Committees= 29  
Name of Committee  Approval Status 
Apollo Hospital, Hyderabad  Approved 
Billroth Hospital, Chennai  Approved 
CIMS, Ahmedabad  Approved 
CK Birla Hospitals, Kolkata  Approved 
Coimbatore Medical College, Coimbatore  Approved 
Eternal Heart Care Center & Research Institute, Jaipur  Approved 
Excelcare Hospitals, Guwahati  Approved 
G. Kuppuswamy Naidu Memorial Hospital, Coimbathore  Approved 
Galaxy Hospital, Varanasi  Approved 
IGIMS, Patna  Approved 
Kasturba Hospital, Manipal  Approved 
King Georges Medical University, Lucknow  Approved 
Kishori Ram Hospital and Diabetes Care Centre, Bathinda, Punjab  Approved 
Maulana Azad Medical College and Associated Hospital, New Delhi  Approved 
Medica Superspecialty Hospital, Kolkata  Approved 
Moulana Hospital, Perintalmanna  Approved 
NHRTIICS, Kolkata  Approved 
North Eastern Indira Gandhi Regional Institute of Health and Medical Science, Shillong  Approved 
Osmania Medical College, Hyderabad   Approved 
Pandit Bhagwat Dayal Sharma Post Graduate Institute of Medical Sciences, Rohtak, Haryana   Approved 
Pt. Jawahar Lal Nehru Memorial Medical College, Raipur  Approved 
Rajendra Institute of Medical Sciences, Ranchi  Approved 
RG Kar Medical College, Kolkata  Approved 
Shri Guru Ram Rai Institute of Medical & Health Sciences, Dehradun  Approved 
Sri Jayadeva Institute Ethics Committee  Approved 
Sri Jayadeva Institute of Cardiovascular sciences & Research, Mysore   Approved 
Sunshine Hospitals, Secunderabad  Approved 
The Mahatma Gandhi Mission Medical College, Mumbai  Approved 
Yashoda Hospital, Secunderabad  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: I20||Angina pectoris,  
 
Intervention / Comparator Agent  
Type  Name  Details 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  90.00 Year(s)
Gender  Both 
Details  All consecutive patients above 18 years of age with STEMI as per 4thuniversal definition of MI during the study period 
 
ExclusionCriteria 
Details  Patients below 18 years,
Patients not willing to give informed consent, Patients with life-threatening diseases like severe COVID 19 infection on ventilator,
Terminal malignancy,
Debilitating stroke and CKD patients on maintenance haemodialysis,
MI/PCI/CABG within past 14 days of STEMI admission,
Patients thrombolysed elsewhere,
Patients enrolled in any other research studies
 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
To study the initial treatment strategy employed for hospitalized patients with STEMI in India during the current COVID-19 pandemic and to document the differences in the primary outcome of death, re-infarction and stroke in-hospital and at 30 days post discharge based on the initial treatment strategy.   5 months or when target of 3000 patients are recruited which ever happens first 
 
Secondary Outcome  
Outcome  TimePoints 
To evaluate the major in-hospital complications of STEMI patients in relation to the initial reperfusion strategy employed.
To study the differences in left ventricular function(LVEF) assessed by echocardiography during hospital admission and at 30 days post discharge among STEMI patients treated with various reperfusion strategies.
To study the time delay in the presentation of STEMI and the various reperfusion strategies employed.
 
5 months or when target of 3000 patients are recruited which ever happens first 
 
Target Sample Size   Total Sample Size="3000"
Sample Size from India="3000" 
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)   09/08/2021 
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="5"
Days="0" 
Recruitment Status of Trial (Global)
Modification(s)  
Not Applicable 
Recruitment Status of Trial (India)  Open to Recruitment 
Publication Details   NIL 
Individual Participant Data (IPD) Sharing Statement

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

Response - NO
Brief Summary  

This prospective study will help to identify the initial treatment strategies employed during COVID-19 pandemic in India. The study will also evaluate the patient outcomes with lysis followed by a delayed PCI strategy often widely employed in India. The demographics, presentation patterns, major complications and in-hospital outcomes would be analysed. Multivariate analysis on factors leading to outcomes will be carried out. Finally, the use of guidelines based medications in the country in STEMI management would also be assessedThis is the first and largest prospective study on STEMI on presentation and management of STEMI in India during COVID times and will provide insights into the STEMI management in the country and the outcomes.

 
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