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CTRI Number  CTRI/2022/05/042365 [Registered on: 04/05/2022] Trial Registered Prospectively
Last Modified On: 29/04/2022
Post Graduate Thesis  No 
Type of Trial  Observational 
Type of Study   Follow Up Study 
Study Design  Single Arm Study 
Public Title of Study   Research to compare a score called P-POSSUM at admission and before operation for prediction of possibility of death after operation  
Scientific Title of Study   Comparative analysis of P-POSSUM score at admission and pre-operatively mortality in patients undergoing emergency laparotomy 
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Vivek Kumar Roy 
Designation  Assistant Professor 
Affiliation  Indira Gandhi Institute of Medical Sciences (IGIMS), Patna 
Address  Department of Surgery, Indira Gandhi Institute of Medical Sciences, Sheikhpura, Patna, PIN 800014

Patna
BIHAR
800014
India 
Phone  9801716613  
Fax    
Email  roykanu23@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Vivek Kumar Roy 
Designation  Assistant Professor 
Affiliation  Indira Gandhi Institute of Medical Sciences (IGIMS), Patna 
Address  Department of Surgery, Indira Gandhi Institute of Medical Sciences, Sheikhpura, Patna, PIN 800014


BIHAR
800014
India 
Phone  9801716613  
Fax    
Email  roykanu23@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Vivek Kumar Roy 
Designation  Assistant Professor 
Affiliation  Indira Gandhi Institute of Medical Sciences (IGIMS), Patna 
Address  Department of Surgery, Indira Gandhi Institute of Medical Sciences, Sheikhpura, Patna, PIN 800014


BIHAR
800014
India 
Phone  9801716613  
Fax    
Email  roykanu23@gmail.com  
 
Source of Monetary or Material Support  
Indira Gandhi Institute of Medical sciences (IGIMS), Patna  
 
Primary Sponsor  
Name  Dr Vivek Kumar Roy  
Address  Department of General Surgery, IGIMS, Patna 800014 
Type of Sponsor  Other [Individual (self) investigator funded] 
 
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 Vivek Kumar Roy  Department of General Surgery, IGIMS, Patna  Department of Surgery, Indira Gandhi Institute of Medical Sciences, Sheikhpura, Patna, PIN 800014
Patna
BIHAR 
9801716613

roykanu23@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
IEC, IGIMS, Patna  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: O||Medical and Surgical,  
 
Intervention / Comparator Agent  
Type  Name  Details 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  80.00 Year(s)
Gender  Both 
Details  All patients of acute abdomen admitted under General Surgery requiring emergency laparatomy 
 
ExclusionCriteria 
Details  1. Age <18 years
2. Daycare surgery
3. Routine surgery
4. Follow‐up criteria cannot be fulfilled, i.e., patient
absconds, and contact cannot be done. 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
rate of death (mortality) among the participants  to be assessed daily up to 30 days after the procedure 
 
Secondary Outcome  
Outcome  TimePoints 
rate of surgical site infection and pain  to be assessed daily up to 30 days after the procedure 
 
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)   06/05/2022 
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)?  

Response - NO
Brief Summary  
HYPOTHESIS
To document the accuracy of P-POSSOM score on predicting the mortality and morbidity.
To establish that post resuscitation score is more accurate than admission score.
AIMS AND OBJECTIVES
1. To evaluate the predictive value of the score in the patients in our setup
2. To evaluate which timing of scoring is more accurate (at the time of admission or pre-operatively after initial resuscitation).
MATERIALS AND METHODS
This will be a prospective cross‐sectional study and will include all patients who are operated for emergency laparotomy >18 years of age over a period of one year in the department of general surgical .
Inclusion criteria
All patients of acute abdomen admitted under General Surgery requiring emergency laparatomy.
The exclusion criteria of this study are as follows:
1. Age <18 years
2. Daycare surgery
3. Routine surgery
4. Follow‐up criteria cannot be fulfilled, i.e., patient
absconds, and contact cannot be done.
Methodology
Patient of acute pain abdomen admitted for emergency laparatomy.
Informed consent.
Admission Physiological P-POSSOM Score.
Resuscitate.
Post resuscitation Physiological P-POSSOM score.
Laparotomy.
Operative P-POSSOM score.
Calculate the P-POSSOM for Admission and Pre-operative.
Follow-up 30 days post operative . Any morbidity or mortality will be end point.
 
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