| CTRI Number |
CTRI/2024/03/063860 [Registered on: 08/03/2024] Trial Registered Prospectively |
| Last Modified On: |
19/03/2024 |
| Post Graduate Thesis |
Yes |
| Type of Trial |
Observational |
|
Type of Study
|
Cohort Study |
| Study Design |
Other |
|
Public Title of Study
|
To study proportion of patients with stroke admitted in icu developing delirium(a form of depressed consciousness with confused state of mind) and observing how it affetcts clinical outcome of these subset of patients . |
|
Scientific Title of Study
|
Incidence of delirium in acute stroke patients admitted in ICU and its impact on clinical outcomes: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 |
VIVEK VISHAL |
| Designation |
DrNB resident |
| Affiliation |
Max Super Speciality Hospital,Saket,New,Dehi |
| Address |
6th Floor MICU,West Block,Department of Critical Care Medicine,Max Super Speciality Hospital,Press Enclave Road,Saket,New Delhi.
South DELHI 110017 India |
| Phone |
9359271359 |
| Fax |
|
| Email |
drvivekvishal84@gmail.com |
|
Details of Contact Person Scientific Query
|
| Name |
DEVEN JUNEJA |
| Designation |
DIRECTOR |
| Affiliation |
Max Super Speciality Hospital,Saket,New,Dehi |
| Address |
6th Floor MICU,West Block,Department of Critical Care Medicine,Max Super Speciality Hospital,Press Enclave Road,Saket,New Delhi.
South DELHI 110017 India |
| Phone |
9818290380 |
| Fax |
|
| Email |
deven.juneja@maxhealthcare.com |
|
Details of Contact Person Public Query
|
| Name |
DEVEN JUNEJA |
| Designation |
DIRECTOR |
| Affiliation |
Max Super Speciality Hospital,Saket,New,Dehi |
| Address |
6th Floor MICU,West Block,Department of Critical Care Medicine,Max Super Speciality Hospital,Press Enclave Road,Saket,New Delhi.
South DELHI 110017 India |
| Phone |
9818290380 |
| Fax |
|
| Email |
deven.juneja@maxhealthcare.com |
|
|
Source of Monetary or Material Support
|
| Max Super Speciality Hoapital,Saket,New Delhi. |
|
|
Primary Sponsor
|
| Name |
Vivek Vishal |
| Address |
Department of Critical Care Medicine,Max Super Speciality Hoapital,Press Enclave Road,Saket,New Delhi-110017. |
| Type of Sponsor |
Research institution and hospital |
|
|
Details of Secondary Sponsor
|
|
|
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 Vishal |
Max Super Speciality Hospital,Saket,New Delhi. |
Stroke ICU,2nd floor,West Block,Department of Critical Care Medicine,Max Super Speciality Hospital,Press Enclave road,Saket,New Delhi--110017. South DELHI |
9359271359
drvivekvishal84@gmail.com |
|
|
Details of Ethics Committee
|
| No of Ethics Committees= 1 |
| Name of Committee |
Approval Status |
| Max Healthcare Ethics Committee |
Approved |
|
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Regulatory Clearance Status from DCGI
|
|
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Health Condition / Problems Studied
|
| Health Type |
Condition |
| Patients |
(1) ICD-10 Condition: I610||Nontraumatic intracerebral hemorrhage in hemisphere, subcortical, (2) ICD-10 Condition: I611||Nontraumatic intracerebral hemorrhage in hemisphere, cortical, (3) ICD-10 Condition: I612||Nontraumatic intracerebral hemorrhage in hemisphere, unspecified, (4) ICD-10 Condition: I613||Nontraumatic intracerebral hemorrhage in brain stem, (5) ICD-10 Condition: I613||Nontraumatic intracerebral hemorrhage in brain stem, (6) ICD-10 Condition: I615||Nontraumatic intracerebral hemorrhage, intraventricular, (7) ICD-10 Condition: I616||Nontraumatic intracerebral hemorrhage, multiple localized, (8) ICD-10 Condition: I618||Other nontraumatic intracerebral hemorrhage, (9) ICD-10 Condition: I619||Nontraumatic intracerebral hemorrhage, unspecified, (10) ICD-10 Condition: I600||Nontraumatic subarachnoid hemorrhage from carotid siphon and bifurcation, (11) ICD-10 Condition: I601||Nontraumatic subarachnoid hemorrhage from middle cerebral artery, (12) ICD-10 Condition: I602||Nontraumatic subarachnoid hemorrhage from anterior communicating artery, (13) ICD-10 Condition: I603||Nontraumatic subarachnoid hemorrhage from posterior communicating artery, (14) ICD-10 Condition: I604||Nontraumatic subarachnoid hemorrhage from basilar artery, (15) ICD-10 Condition: I605||Nontraumatic subarachnoid hemorrhage from vertebral artery, (16) ICD-10 Condition: I606||Nontraumatic subarachnoid hemorrhage from other intracranial arteries, (17) ICD-10 Condition: I607||Nontraumatic subarachnoid hemorrhage from unspecified intracranial artery, (18) ICD-10 Condition: I607||Nontraumatic subarachnoid hemorrhage from unspecified intracranial artery, (19) ICD-10 Condition: I608||Other nontraumatic subarachnoid hemorrhage, (20) ICD-10 Condition: I609||Nontraumatic subarachnoid hemorrhage, unspecified, (21) ICD-10 Condition: I629||Nontraumatic intracranial hemorrhage, unspecified, (22) ICD-10 Condition: I630||Cerebral infarction due to thrombosis of precerebral arteries, (23) ICD-10 Condition: I631||Cerebral infarction due to embolism of precerebral arteries, (24) ICD-10 Condition: I632||Cerebral infarction due to unspecified occlusion or stenosis of precerebral arteries, (25) ICD-10 Condition: I633||Cerebral infarction due to thrombosis of cerebral arteries, (26) ICD-10 Condition: I634||Cerebral infarction due to embolism of cerebral arteries, (27) ICD-10 Condition: I635||Cerebral infarction due to unspecified occlusion or stenosis of cerebral arteries, (28) ICD-10 Condition: I638||Other cerebral infarction, (29) ICD-10 Condition: I639||Cerebral infarction, unspecified, |
|
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Intervention / Comparator Agent
|
| Type |
Name |
Details |
| Intervention |
NIL |
NIL |
| Comparator Agent |
NIL |
NIL |
|
|
Inclusion Criteria
|
| Age From |
18.00 Year(s) |
| Age To |
99.00 Year(s) |
| Gender |
Both |
| Details |
1. Age ≥18years
2. Diagnosis of stroke confirmed by CT or MRI
(IS and HS)
3. Clinical onset of stroke in previous 72
hours
4. NIHSS ≥1
|
|
| ExclusionCriteria |
| Details |
1. Patients refusal
2. RASS less than minus 3
3. H/O trauma
4. H/O psychiatric disorder
5. Previous diagnosis of dementia
6. Transient Ischaemic Attack(TIA)
7. Cerebral Venous Thrombosis(CVT)
|
|
|
Method of Generating Random Sequence
|
Not Applicable |
|
Method of Concealment
|
Not Applicable |
|
Blinding/Masking
|
Not Applicable |
|
Primary Outcome
|
| Outcome |
TimePoints |
| Incidence of delirium |
Will be observed till patient is in ICU |
|
|
Secondary Outcome
|
| Outcome |
TimePoints |
1.All cause ICU mortality
2.Length of stay in ICU
3. Modified Rankin Scale at the time of discharge from ICU
4.Total length of stay in hospital
|
Will be observed till patient is admitted in hospital. |
|
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Target Sample Size
|
Total Sample Size="81" Sample Size from India="81"
Final Enrollment numbers achieved (Total)= "107"
Final Enrollment numbers achieved (India)="107" |
|
Phase of Trial
|
N/A |
|
Date of First Enrollment (India)
|
15/03/2024 |
| Date of Study Completion (India) |
30/04/2025 |
| Date of First Enrollment (Global) |
Date Missing |
| Date of Study Completion (Global) |
Date Missing |
|
Estimated Duration of Trial
|
Years="1" Months="0" Days="0" |
Recruitment Status of Trial (Global)
Modification(s)
|
Not Applicable |
| Recruitment Status of Trial (India) |
Completed |
|
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
|
Delirium is one of the common complications observed in acute stroke patients admitted in ICU and has significant effect on morbidity,mortality,overall length of ICU stay and long term cognitive impairement.Diagnosis of delirium is often missed in these subset of patients due to various confounding factors like aphasia,depressed sensorium, and motor and sensory deficits which are usually associated with primary disease itself.Data on incidence of delirium in these subset of patients in Indian subcontinent is sparse.Therefore, we intend to study the incidence of delirium in acute stroke patients admitted to ICU using two validated scoring systems:Richmond Agitation Sedation Scale (RASS), and the CAM-ICU and its impact on patient outcomes. |