Second Survey of Intensive Care in India

Study Overview
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Brief Summary
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INDICAPS was the first large scale, multicentre survey launched by the ISCCM. The aim was to gather information about ICUs, organizational characteristics, patient casemix, the types and severity of illness, monitoring and therapeutic modalities used, types of infections, and other such data. This was performed between July 2010 and April 2011 and published in 2016.[1] Over the last 8 years, there has been a significant difference in the delivery of intensive care services, critical care education, socioeconomic indicators, antibiotic resistance patterns and other aspects of practices in Indian ICUs. It is therefore necessary to revisit and resurvey the current trends in intensive care practices in India, and to reflect the vast spectrum of critical care illness, services and practices. Similar to INDICAPS, which was a point-prevalence study of all patients present in the ICU on four different days over a one-year period, INDICAPS II will record data of all patients admitted to the ICU on 4 different days.

Detailed Description
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INDICAPS II will record data of all patients admitted to the ICU on 4 different days (August 23, 2018; October 25, 2018; December 13, 2018; April 11, 2019) in a cross-sectional design. Data collection includes: On admission: demographic characteristics, comorbidities, source of admission, primary and secondary admission diagnoses, Baseline data (on the study day), including parameters used to calculate SAPS II score and SOFA score and infections, Information on monitoring modalities, mechanical ventilation, nutrition, fluid therapy, other routine ICU practices c. Outcome at ICU and hospital discharge d. Organisation of ICU services

Official Title
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Indian Intensive Care Case Mix and Practice Patterns Study - II

Conditions
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Critical Illness

Intervention / Treatment
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* Other: Observation


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: All patients present in the ICU on August 23, 2018; October 25, 2018; December 13, 2018; April 11, 2019 Exclusion Criteria: None
Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Patient<br>Patients admitted to participating ICUs on the specified dates | Other: Observation<br>* Observation<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| ICU Mortality | Number of patients who died in the ICU, as well as those terminally discharged from the ICU | 30 days from the study day | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Hospital Mortality | all cause hospital mortality, including those terminally discharged from the ICU | 30 days from the study day | 
| ICU Length of Stay | length of stay in the intensive care unit | upto 30 days from the study day | 
| Hospital Length of Stay | length of stay in the hospital | upto 30 days from the study day | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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critical care unit