| CTRI Number |
CTRI/2022/10/046354 [Registered on: 11/10/2022] Trial Registered Prospectively |
| Last Modified On: |
20/02/2023 |
| Post Graduate Thesis |
No |
| Type of Trial |
Observational |
|
Type of Study
|
Cohort Study |
| Study Design |
Other |
|
Public Title of Study
|
Intrahospital transport of unstable critically sick patients |
|
Scientific Title of Study
|
Intra-hospital Transport of Unstable Critical care Hospitalized patient A Practice Pattern Observational Multicenter Study ( I TOUCH study) |
| Trial Acronym |
I TOUCH |
|
Secondary IDs if Any
|
| Secondary ID |
Identifier |
| NIL |
NIL |
|
|
Details of Principal Investigator or overall Trial Coordinator (multi-center study)
|
| Name |
Dr KapilG Zirpe |
| Designation |
HOD |
| Affiliation |
ISCCM |
| Address |
Neuro trauma unit,40 Sasson road,Ruby Hall Clinic,Pune Unit 13 and 14 ,First Floor,Hind Service Industries premises Cooperative society,off veer savarkar marg,dadar,mumbai Mumbai MAHARASHTRA 411001 India |
| Phone |
9822844212 |
| Fax |
|
| Email |
kapilzirpe@gmail.com |
|
Details of Contact Person Scientific Query
|
| Name |
Dr AnandMTiwari |
| Designation |
Senior Consultant |
| Affiliation |
ISCCM |
| Address |
Neuro trauma unit,40 Sasson road,Ruby Hall Clinic,Pune Unit 13 and 14 ,First Floor,Hind Service Industries premises Cooperative society,off veer savarkar marg,dadar,mumbai Mumbai MAHARASHTRA 411001 India |
| Phone |
7798255626 |
| Fax |
|
| Email |
dranandtiwari@gmail.com |
|
Details of Contact Person Public Query
|
| Name |
Dr AnandMTiwari |
| Designation |
Senior Consultant |
| Affiliation |
ISCCM(Indian society of critical care medicine) |
| Address |
Neuro trauma unit,40 Sasson road,Ruby Hall Clinic,Pune Unit 13 and 14 ,First Floor,Hind Service Industries premises Cooperative society,off veer savarkar marg,dadar,mumbai Mumbai MAHARASHTRA 411001 India |
| Phone |
7798255626 |
| Fax |
|
| Email |
dranandtiwari@gmail.com |
|
|
Source of Monetary or Material Support
|
| Indian Society Of Critical Care Medicine Unit 13 and 14 First Floor Hind Service Industries Premises Cooperative Society Near Chaitya Bhoomi Off Veer Savarkar Marg Dadar Mumbai 400028 |
|
|
Primary Sponsor
|
| Name |
ISCCM |
| Address |
UNIT 13 and 14 First Floor,Hind Service Industries premises cooperative society,off veer savarkar marg,dadar,mumbai 400028 |
| Type of Sponsor |
Other [non profit organization] |
|
|
Details of Secondary Sponsor
|
|
|
Countries of Recruitment
|
India |
|
Sites of Study
|
| No of Sites = 5 |
| Name of Principal
Investigator |
Name of Site |
Site Address |
Phone/Fax/Email |
| Dr Sharmili sinha |
Apollo hospital |
plot no 25,samanta puri ,sainik school road ,unit 15
pin--751005 Khordha ORISSA |
986155079
sharmili.sinha@yahoo.co.in |
| Dr Mahesh p |
manipal hospital |
98,old airport road ,kodhalli ,bangalore Bangalore KARNATAKA |
9448843933
padyana@gmail.com |
| Dr Deepak govil |
medhanta hospital |
sector 38,gurgaon ,Haryana
pin--560017 Gurgaon HARYANA |
9818056688
drdeepak_govil@yahoo.co.in |
| Dr Anand Tiwari |
Neuro trauma unit , department Sanghvi building, first floor office 101 Ruby hall clinic |
40 Sasson road, Pune MAHARASHTRA |
7798255626
dranandtiwari@gmail.com |
| Dr Subhal dixit |
sanjeevan hospital |
plot 23 ,off karve road erandavane
pin--411004 Pune MAHARASHTRA |
9822050240
subhaldixit@yahoo.com |
|
Details of Ethics Committee
Modification(s)
|
| No of Ethics Committees= 14 |
| Name of Committee |
Approval Status |
| Biomedical and Health Research,Poona Medical Research Foundation |
Approved |
| ethics commitee of manipal hospital |
Approved |
| Instititional Ethics Committee, Apollo Hospital Guwahati |
Approved |
| Instititional Ethics Committee, Bharati Vidyapeeth Pune |
Approved |
| Instititional Ethics Committee, Care Hospital Hyderabad |
Approved |
| Instititional Ethics Committee, Fortis Hospital Noida |
Approved |
| Instititional Ethics Committee-Biomedical research Apollo Hospital Hyderabad |
Approved |
| Instititional Ethics Committee-Biomedical research Tagore hospital and heart care centre Pvt Ltd |
Approved |
| Institutional ethics commitee Sanjeevan hospital |
Approved |
| Institutional Ethics Committee Max Super Speciality Hospital Delhi |
Approved |
| Medanta institutional ethics commiTtee |
Approved |
| Santosh deemed to be university |
Approved |
| The Institution ethics committee biomedical research Apollo Hospitals,Bhubaneshwar |
Approved |
| Virinchi Hospitals Institutional Ethics Committee Hyderabad |
Approved |
|
|
Regulatory Clearance Status from DCGI
|
|
|
Health Condition / Problems Studied
|
| Health Type |
Condition |
| Patients |
(1) ICD-10 Condition: Y69||Unspecified misadventure during surgical and medical care, |
|
|
Intervention / Comparator Agent
|
|
|
Inclusion Criteria
|
| Age From |
18.00 Year(s) |
| Age To |
80.00 Year(s) |
| Gender |
Both |
| Details |
All adult patients (> 18years old) admitted to ICU who are unstable conditions as below-
1.Unstable included requiring oxygen therapy, mechanical ventilation or vasoactive medications.
2.patients with poly trauma ( not on ventilator/ vasopressors) with chest drains, EVDs(External ventricular drains) , patients with C spine injury with collar.
3.post operative patients with abdominal drains.
4.low GCS(Glasgow coma scale) / combative patients
5.patients with arrhythmias on medication infusions.
|
|
| ExclusionCriteria |
| Details |
1.All adult patients (< 18years )old admitted to ICU.
2.ICU patients who are not on vasopressors or oxygen therapy with no drains and hemodynamically stable with NSR (Normal sinus rhythm)
3.Those who are not willing to give consent
4.Pregnant patients
5.Patient with psychiatric illness
|
|
|
Method of Generating Random Sequence
|
|
|
Method of Concealment
|
|
|
Blinding/Masking
|
Not Applicable |
|
Primary Outcome
|
| Outcome |
TimePoints |
1.Incidence of major cardiorespiratory complications during and after transport of critically ill adults,
Accidental extubation, accidental removal of Inter costal drains, abdominal drains
Increase in hemorrhage
Worsening of GCS as compared to pre-transport condition
|
clinical condition @ 24 hr |
|
|
Secondary Outcome
|
| Outcome |
TimePoints |
Common indications for transport
Any other complications not included in the primary outcomes
Malfunction of any of the transport equipment
Whether a change in management occurred as a result of the transport, particularly for imaging, such as insertion of new drainage catheters or pigtail catheters, surgery or change of antimicrobial agents
|
ICU outcome/discharge |
|
|
Target Sample Size
|
Total Sample Size="1000" Sample Size from India="1000"
Final Enrollment numbers achieved (Total)= "0"
Final Enrollment numbers achieved (India)="1000" |
|
Phase of Trial
|
N/A |
|
Date of First Enrollment (India)
|
15/10/2022 |
| Date of Study Completion (India) |
20/02/2023 |
| Date of First Enrollment (Global) |
Date Missing |
| Date of Study Completion (Global) |
Date Missing |
|
Estimated Duration of Trial
|
Years="0" Months="6" Days="0" |
Recruitment Status of Trial (Global)
Modification(s)
|
Not Applicable |
| Recruitment Status of Trial (India) |
Completed |
|
Publication Details
|
none |
|
Individual Participant Data (IPD) Sharing Statement
|
Will individual participant data (IPD) be shared publicly (including data dictionaries)?
Response - YES
- What data in particular will be shared?
Response - Individual participant data that underlie the results reported in this article, after de-identification (text, tables, figures, and appendices).
- What additional supporting information will be shared?
Response - Study Protocol Response - Statistical Analysis Plan Response - Informed Consent Form Response - Clinical Study Report
- Who will be able to view these files?
Response - Anyone
- For what types of analyses will this data be available?
Response - To achieve aims in the approved proposal.
- By what mechanism will data be made available?
Response - Proposals should be directed to [swap1592@gmail.com].
- For how long will this data be available start date provided 01-04-2023 and end date provided 01-05-2028?
Response - Immediately following publication. No end date.
- Any URL or additional information regarding plan/policy for sharing IPD?
Additional Information - NIL
|
|
Brief Summary
|
Intra-hospital transport of critically ill patients is often required for diagnostic and therapeutic indications. Intra-hospital journey of these patients presents with the same challenges and risks as posed by inter hospital transfer .[1] It often adds to the increased workload and stress to the critical care staff .[2] Major adverse events reported during transport of critically ill patients. Despite presence of several guidelines and few recommendations [3] , there has been no consensus regarding the ideal practice guidelines for intra hospital transport in critically ill patients. We would like to collect data prospectively from various ICUs across the country regarding the practice of intra hospital transport in unstable adult critical care patients and various complications associated in a 90-day study period .We would like to assess intra hospital transport practices and complications associated in an attempt to define the ideal ISCCM consensus statement regarding intra hospital transport of critically ill hospitalized patients. |