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CTRI Number  CTRI/2023/08/056536 [Registered on: 16/08/2023] Trial Registered Prospectively
Last Modified On: 02/09/2023
Post Graduate Thesis  No 
Type of Trial  Observational 
Type of Study   Cohort Study 
Study Design  Single Arm Study 
Public Title of Study   Bladder discomfort because of urinary catheter in patients undergoing cardiothoracic surgeries 
Scientific Title of Study   Incidence of post-operative catheter related bladder discomfort in adult patients undergoing cardiac and thoracic surgeries: a prospective observational study 
Trial Acronym  Nil 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr Satyajeet Misra 
Designation  Professor of Anesthesiology and Critical Care 
Affiliation  AIIMS Bhubaneswar 
Address  Room No 409 Department of Anesthesiology and Critical Care AIIMS Bhubaneswar

Khordha
ORISSA
751019
India 
Phone  9438884048  
Fax    
Email  misrasatyajeet@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Satyajeet Misra 
Designation  Professor of Anesthesiology and Critical Care 
Affiliation  AIIMS Bhubaneswar 
Address  Room No 409 Department of Anesthesiology and Critical Care AIIMS Bhubaneswar


ORISSA
751019
India 
Phone  9438884048  
Fax    
Email  misrasatyajeet@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Satyajeet Misra 
Designation  Professor of Anesthesiology and Critical Care 
Affiliation  AIIMS Bhubaneswar 
Address  Room No 409 Department of Anesthesiology and Critical Care AIIMS Bhubaneswar


ORISSA
751019
India 
Phone  9438884048  
Fax    
Email  misrasatyajeet@gmail.com  
 
Source of Monetary or Material Support  
AIIMS Bhubaneswar 
 
Primary Sponsor  
Name  Dr Satyajeet Misra 
Address  Room no 409 Department of Anesthesiology and Critical Care AIIMS Bhubaneswar 
Type of Sponsor  Other [Self] 
 
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 Satyajeet Misra  AIIMS Bhubaneswar  Department of Anesthesiology and Critical Care
Khordha
ORISSA 
9438884048

misrasatyajeet@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: O||Medical and Surgical,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Nil  Nil 
Comparator Agent  Nil  Nil 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  70.00 Year(s)
Gender  Both 
Details  1. Age 18-70 years, of either gender.
2. Scheduled for elective cardiac or thoracic surgery.
 
 
ExclusionCriteria 
Details  1. Patient refusal.
2. Patients who are unable to be extubated on POD-1 since CRBD incidence, especially mild CRBD is a questionnaire based assessment.
 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
To evaluate the incidence of CRBD using the CRBD scale.  Two hours & six hours after extubation. 
 
Secondary Outcome  
Outcome  TimePoints 
Incidence of severe CRBD defined as CRBD scores of more than two  Two hours & six hours after extubation. 
 
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)   31/08/2023 
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="6"
Days="0" 
Recruitment Status of Trial (Global)
Modification(s)  
Not Applicable 
Recruitment Status of Trial (India)  Open to Recruitment 
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   Presence of a catheter leads to catheter related bladder discomfort (CRBD) in 47-90% of patients. CRBD manifests as supra-pubic discomfort or a burning sensation, urinary urgency, frequency, and may be associated with the act of attempting to pull out the urinary catheter. Risk factors for CRBD include uro-gynecological surgeries, male gender, and Foley’s catheter greater than 18 Fr. Urinary catheterization is mandatory in patients undergoing cardiac surgery. No previous studies have documented the incidence of CRBD in patients undergoing cardiac surgery. This would be useful to know since patient discomfort due to CRBD may not only be distressing to the patient, but also may precipitate myocardial ischemia or increase the risk of bleeding due to increased sympathetic activity and/or patient agitation. Furthermore, knowing the baseline incidence would allow for institution of pharmacological options to treat the same. Thus, the aim of this study will be to evaluate the incidence and severity of CRBD in patients undergoing cardiothoracic surgery. Sub-group analyses will be carried out to assess the incidence and severity separately in cardiac and thoracic procedures.  
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