Clinical trial NCT03631927: Second Survey of Intensive Care in India
Official title: Indian Intensive Care Case Mix and Practice Patterns Study - II
Study type: OBSERVATIONAL
Overall status: COMPLETED
Conditions: Critical Illness
Keywords: critical care unit
Lead sponsor: Indian Society of Critical Care Medicine
Sponsor class: OTHER
First posted: 2018-08-15
Enrollment: 5094
Sex: ALL
Standard ages: CHILD
ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Observational model: OTHER
Time perspective: CROSS_SECTIONAL
Sampling method: NON_PROBABILITY_SAMPLE
Study population: All patients present in the ICU on August 23, 2018; October 25, 2018; December 13, 2018; April 11, 2019

Brief summary: 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: 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:

1. On admission: demographic characteristics, comorbidities, source of admission, primary and secondary admission diagnoses,
2. Baseline data (on the study day), including parameters used to calculate SAPS II score and SOFA score and infections,
3. 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

Eligibility criteria: Inclusion Criteria:

* All patients present in the ICU on August 23, 2018; October 25, 2018; December 13, 2018; April 11, 2019

Exclusion Criteria:

* None

Primary outcomes:
measure: ICU Mortality
timeFrame: 30 days from the study day
Secondary outcomes:
measure: Hospital Mortality
timeFrame: 30 days from the study day
measure: ICU Length of Stay
timeFrame: upto 30 days from the study day
measure: Hospital Length of Stay
timeFrame: upto 30 days from the study day
Other outcomes:
Locations:
city: Guntur
country: India
facility: Nri Medical College & General Hospital
state: Andhra Pradesh
city: Visakhapatnam
country: India
facility: CARE Hospitals
state: Andhra Pradesh
city: Visakhapatnam
country: India
facility: Sevenhills Hospital
state: Andhra Pradesh
city: Guwahati
country: India
facility: Nemcare Hospital
state: Assam
city: Guwahati
country: India
facility: Apollo hospitals
state: Assam
city: Guwahati
country: India
facility: Ayursundra superspecialty Hospital
state: Assam
city: Patna
country: India
facility: Paras Hmri Hospital
state: Bihar
city: Patna
country: India
facility: All India Institute of Medical Sciences,Patna
state: Bihar
city: Gurgaon
country: India
facility: Narayana Super Speciality Hospital
state: Delhi
city: Mathura
country: India
facility: Nayati Medecity
state: Delhi
city: New Delhi
country: India
facility: Pushpawati Singhania Research Institute
state: Delhi
city: New Delhi
country: India
facility: Indraprastha Apollo Hospitals
state: Delhi
city: New Delhi
country: India
facility: BLK Superspeciality Hospital
state: Delhi
city: Ahmedabad
country: India
facility: Hcg Hospitals
state: Gujarat
city: Ahmedabad
country: India
facility: Sterling hospital
state: Gujarat
city: Ahmedabad
country: India
facility: CIMS Hospital
state: Gujarat
city: Ahmedabad
country: India
facility: Apollo Hospital International Ltd
state: Gujarat
city: Anand
country: India
facility: Shree Krishna Hospital
state: Gujarat
city: Morbi
country: India
facility: Mangalam hospital
state: Gujarat
city: Rajkot
country: India
facility: Shree Giriraj Multispeciality Hospital
state: Gujarat
city: Rajkot
country: India
facility: Synergy Superspeciality Hospital
state: Gujarat
city: Vadodara
country: India
facility: Spandan Multispeciality Hospital
state: Gujarat
city: Vadodara
country: India
facility: GMERS Gotri Medical college
state: Gujarat
city: Vadodara
country: India
facility: Dhiraj hospital SBKSMIRC
state: Gujarat
city: Faridabad
country: India
facility: Asian Institute of Medical Sciences
state: Haryana
city: Gurgaon
country: India
facility: Artemis Health Institute
state: Haryana
city: Gurgaon
country: India
facility: Medanta - The Medicity
state: Haryana
city: Gurgaon
country: India
facility: Medanta The Medicity
state: Haryana
city: Jammu
country: India
facility: ASCOMS
state: Jammu And Kashmir
city: Bangalore
country: India
facility: St John's Medical College Hospital
state: Karnataka
city: Bengaluru
country: India
facility: Sri Shankara Cancer Hospital and Research Center
state: Karnataka
city: Bengaluru
country: India
facility: Manipal hospital Whitefield
state: Karnataka
city: Bengaluru
country: India
facility: Narayana Hrudayalaya
state: Karnataka
city: Bijapur
country: India
facility: Shri Ganpatlal Agarwal Memorial Ayush Multi-specialty Hospital and Research Center
state: Karnataka
city: Kochi
country: India
facility: Aster Medcity
state: Kerala
city: Thodupuzha
country: India
facility: Holy Family Hospital
state: Kerala
city: Bhopal
country: India
facility: Chirayu Medical College and Hospital Bhopal
state: Madhya Pradesh
city: Indore
country: India
facility: Choithram hospital and research centre
state: Madhya Pradesh
city: Rewa
country: India
facility: Chirayu hospital
state: Madhya Pradesh
city: Sagar
country: India
facility: Sagar shree hospital
state: Madhya Pradesh
city: Akola
country: India
facility: Ozone Multispeciality Hospital
state: Maharashtra
city: Aurangabad
country: India
facility: MGM MCRI and Hospital
state: Maharashtra
city: Chiplun
country: India
facility: BKL Walawalkar Rural Medical College & Hospital
state: Maharashtra
city: Kalyan
country: India
facility: Fortis Hospitals Kalyan
state: Maharashtra
city: Mumbai
country: India
facility: Sir H N Reliance Foundation Hospital
state: Maharashtra
city: Mumbai
country: India
facility: Tata Memorial Hospital
state: Maharashtra
city: Mumbai
country: India
facility: S L Raheja Hospital
state: Maharashtra
city: Mumbai
country: India
facility: P.D.Hinduja National Hospital and M.R.C.
state: Maharashtra
city: Mumbai
country: India
facility: Bombay Hospital Institute of Medical Sciences
state: Maharashtra
city: Mumbai
country: India
facility: Breach Candy Hospital
state: Maharashtra
city: Mumbai
country: India
facility: Jaslok Hospital
state: Maharashtra
city: Mumbai
country: India
facility: Lilavati Hospital and Research Centre
state: Maharashtra
city: Mumbai
country: India
facility: Nanavati Hospital
state: Maharashtra
city: Mumbai
country: India
facility: Tata Memorial Hospital
state: Maharashtra
city: Mumbai
country: India
facility: Dr. L. H. Hiranandani Hospital
state: Maharashtra
city: Nagpur
country: India
facility: Suretech Hospital
state: Maharashtra
city: Nagpur
country: India
facility: Criticare Hospital & Reaserch Institute
state: Maharashtra
city: Nagpur
country: India
facility: Meditrina Institute of Medical Sciences
state: Maharashtra
city: Nashik
country: India
facility: Apollo Hospitals
state: Maharashtra
city: Nashik
country: India
facility: Ashoka Medicover hospital
state: Maharashtra
city: Navi Mumbai
country: India
facility: Apollo Hospitals
state: Maharashtra
city: Nerul
country: India
facility: Terna Speciality Hospital and Research Centre
state: Maharashtra
city: Pune
country: India
facility: Ruby Hall Clinic
state: Maharashtra
city: Pune
country: India
facility: Deenanath Mangeshkar Hospital
state: Maharashtra
city: Pune
country: India
facility: Galaxy care hospital
state: Maharashtra
city: Pune
country: India
facility: Sanjeevan Hospital
state: Maharashtra
city: Pune
country: India
facility: Niramaya Hospital
state: Maharashtra
city: Pune
country: India
facility: Ruby Hall Clinic Wanowrie
state: Maharashtra
city: Pune
country: India
facility: Bharati Vidyapeeth (Deemed to be) University Medical College
state: Maharashtra
city: Solapur
country: India
facility: Balwant institute of neurosurgery and intensive trauma care
state: Maharashtra
city: Bargarh
country: India
facility: Vikash Multispecialty Hospital
state: Orissa
city: Bhubaneswar
country: India
facility: Ims & Sum Hospital
state: Orissa
city: Bhubaneswar
country: India
facility: Apollo Hospitals
state: Orissa
city: Bhubaneswar
country: India
facility: AMRI Hospital
state: Orissa
city: Cuttack
country: India
facility: Ashwini Hospital
state: Orissa
city: Ludhiana
country: India
facility: Dayanand Medical College & Hospital
state: Punjab
city: Ludhiana
country: India
facility: MICU, Deep Hospital
state: Punjab
city: Mohali
country: India
facility: Fortis Hospital
state: Punjab
city: Bikaner
country: India
facility: Kothari Medical and Research Institute
state: Rajasthan
city: Jaipur
country: India
facility: Santokba Durlabhji Memorial Hospital
state: Rajasthan
city: Jaipur
country: India
facility: Eternal Hospital
state: Rajasthan
city: Jaipur
country: India
facility: JNU Institue of Medical Sciences and Reserach Center
state: Rajasthan
city: Jaipur
country: India
facility: Shubh Hospital
state: Rajasthan
city: Chennai
country: India
facility: Apollo Hospitals
state: Tamilnadu
city: Chennai
country: India
facility: Billroth hospital
state: Tamilnadu
city: Chennai
country: India
facility: Saveetha Medical College and Hospital
state: Tamilnadu
city: Vellore
country: India
facility: Christian Medical College
state: Tamilnadu
city: Hyderabad
country: India
facility: vsunshine hospitals, Gachibowli
state: Telangana
city: Hyderabad
country: India
facility: Thumbay Hospital
state: Telangana
city: Hyderabad
country: India
facility: Continental Hospitals
state: Telangana
city: Hyderabad
country: India
facility: Basavatarakam Indo American Cancer Hospital and Research Institute
state: Telangana
city: Hyderabad
country: India
facility: Century Super Specialty Hospital
state: Telangana
city: Hyderabad
country: India
facility: Virinchi Hospital
state: Telangana
city: Hyderabad
country: India
facility: Care Hospital Banjara Hills
state: Telangana
city: Agra
country: India
facility: Pushpanjali Hospital
state: Uttar Pradesh
city: Agra
country: India
facility: Synergy plush hospital
state: Uttar Pradesh
city: Bareilly
country: India
facility: Medical ICU
state: Uttar Pradesh
city: Bareilly
country: India
facility: Shri Ram Murti Smarak Institute of Medical Sciences
state: Uttar Pradesh
city: Noida
country: India
facility: Fortis Hospital
state: Uttar Pradesh
city: Noida
country: India
facility: Jaypee Hospital
state: Uttar Pradesh
city: Varanasi
country: India
facility: Institute of Medical Sciences
state: Uttar Pradesh
city: Dehradun
country: India
facility: Max Superspeciality Hospital
state: Uttarakhand
city: Durgapur
country: India
facility: Iq City Medical College and Narayana Multi-Specialty Hospital
state: West Bengal
city: Kolkata
country: India
facility: Apollo Gleneagles Hospital
state: West Bengal
city: Kolkata
country: India
facility: Peerless Hospital
state: West Bengal
city: Kolkata
country: India
facility: AMRI Hospitals Salt Lake
state: West Bengal
city: Kolkata
country: India
facility: Amri Hospitals
state: West Bengal
city: Kolkata
country: India
facility: Medica Superspecialty Hospital
state: West Bengal
city: Delhi
country: India
facility: Fortis
Study officials:
affiliation: Tata Memorial Hospital
name: Jigeeshu V Divatia, MD, FCCM
role: STUDY_CHAIR
References:
citation: Divatia JV, Amin PR, Ramakrishnan N, Kapadia FN, Todi S, Sahu S, Govil D, Chawla R, Kulkarni AP, Samavedam S, Jani CK, Rungta N, Samaddar DP, Mehta S, Venkataraman R, Hegde A, Bande BD, Dhanuka S, Singh V, Tewari R, Zirpe K, Sathe P; INDICAPS Study Investigators. Intensive Care in India: The Indian Intensive Care Case Mix and Practice Patterns Study. Indian J Crit Care Med. 2016 Apr;20(4):216-25. doi: 10.4103/0972-5229.180042.
citation: Divatia JV, Mehta Y, Govil D, Zirpe K, Amin PR, Ramakrishnan N, Kapadia FN, Sircar M, Sahu S, Bhattacharya PK, Myatra SN, Samavedam S, Dixit S, Pande RK, Mehta SN, Venkataraman R, Bajan K, Kumar V, Harne R, Thakur L, Rathod D, Sathe P, Gurav S, D'Silva C, Pasha SA, Todi SK; the INDICAPS-II investigators. Intensive Care in India in 2018-2019: The Second Indian Intensive Care Case Mix and Practice Patterns Study. Indian J Crit Care Med. 2021 Oct;25(10):1093-1107. doi: 10.5005/jp-journals-10071-23965.