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CTRI Number  CTRI/2024/02/062964 [Registered on: 21/02/2024] Trial Registered Prospectively
Last Modified On: 17/02/2024
Post Graduate Thesis  Yes 
Type of Trial  Observational 
Type of Study   Prospective Observational Study 
Study Design  Other 
Public Title of Study   evaluating the power of the Diastolic shock index ( Heart rate / diastolic blood pressure) in predicting in-hospital death and length of hospital stay among patients undergoing emergency surgeries 
Scientific Title of Study   Evaluation of prognostic performance of diastolic shock index as a predictor of mortality in patients undergoing emergency, non-trauma, non-cardiac 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 Aloka Samantaray  
Designation  HOD dept of Anaesthesialogy  
Affiliation  Sri Venkateswaras Institute of Medical sciences  
Address  Department of Anaesthesiology, SVIMS, Valmiki circle, Tirupati,

Chittoor
ANDHRA PRADESH
517507
India 
Phone  9493547653  
Fax    
Email  aloksvims@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Aloka Samantaray  
Designation  HOD dept of Anaesthesialogy  
Affiliation  Sri Venkateswaras Institute of Medical sciences  
Address  Department of Anaesthesiology, SVIMS, Valmiki circle, Tirupati,

Chittoor
ANDHRA PRADESH
517507
India 
Phone  9493547653  
Fax    
Email  aloksvims@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Bharath kumar  
Designation  JR dept of Anaesthesialogy  
Affiliation  Sri Venkateswaras Institute of Medical sciences  
Address  Department of Anaesthesiology, SVIMS, Valmiki circle, Tirupati,

Chittoor
ANDHRA PRADESH
517507
India 
Phone  9491771356  
Fax    
Email  drbharath019@gmail.com  
 
Source of Monetary or Material Support  
Sri Venkateswara Institute of Medical Sciences 
 
Primary Sponsor  
Name  Sri Venkateswara Institute of Medical Sciences 
Address  Department of anaesthesiology, SVIMS, Valmiki circle, Tirupati, chittoor Dt. Chittoor ANDHRA PRADESH 517507 India 
Type of Sponsor  Private hospital/clinic 
 
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 Aloka Samantaray   Sri Venkateswara Institute of Medical Sciences  Department of anaesthesiology, SVIMS, Valmiki circle, Tirupati, chittoor Dt. Chittoor ANDHRA PRADESH 517507 India
Chittoor
ANDHRA PRADESH 
9493547653

aloksvims@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional Ethics Committee, SVIMS, Tirupati SRI VENKATESWARA INSTITUTE OF MEDICAL SCIENCES Alipiri Road SVIMS Campus Tirupati Chittoor Andhra Pradesh  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  65.00 Year(s)
Gender  Both 
Details  all adults under going emergency non cardiac non trauma surgeries 
 
ExclusionCriteria 
Details  Pregnant and lactating mother
patients with rhythm disturbances and rate controlling drugs
Liver failure patients with child-pugh C
patient not willing to participate

 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Open Label 
Primary Outcome  
Outcome  TimePoints 
To determine a cut-off value for DSI using receiver operating characteristic (ROC) curve and compare DSI with other shock indices with AUC.  AT time of induction of anaesthesia  
 
Secondary Outcome  
Outcome  TimePoints 
1.To compare DSI with other established shock indexes like systolic shock index, modified shock index and age shock index.
2.To evaluate post operative complications
1.Death
2.Need of mechanical ventilation
3.Organ failure( using SOFA score)
4.Inotrope and vasopressor requirement 
During in hospital stay 
 
Target Sample Size   Total Sample Size="75"
Sample Size from India="75" 
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)   27/02/2024 
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="3"
Days="0" 
Recruitment Status of Trial (Global)   Not Applicable 
Recruitment Status of Trial (India)  Not Yet Recruiting 
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   a sample size of 75 patients undergoing non-cardiac non-trauma emergency surgeries will be enrolled, and vitals of patients like heart rate blood pressure saturation respiratory rate will be recorded at the time of induction irrespective of the nature of anesthesia.
Shock indices like Systolic shock index, modified shock index, age shock index, and diastolic shock index will be calculated and compared.
fallow that length of hospital stay and in-hospital mortality will also be noted.

 
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