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Trial registered on ANZCTR
Registration number
ACTRN12619000012178
Ethics application status
Approved
Date submitted
20/12/2018
Date registered
8/01/2019
Date last updated
21/01/2020
Date data sharing statement initially provided
8/01/2019
Type of registration
Prospectively registered
Titles & IDs
Public title
Sepsis in India Prevalence Study (SIP Study)
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Scientific title
Sepsis in India Prevalence Study: A single-day, prospective, observational, multicentre, nation-wide point-prevalence study
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Secondary ID [1]
295427
0
nil known
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Universal Trial Number (UTN)
U1111-1216-6758
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Trial acronym
SIP
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Linked study record
NA
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Health condition
Health condition(s) or problem(s) studied:
Sepsis
308981
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Condition category
Condition code
Inflammatory and Immune System
307876
307876
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0
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Other inflammatory or immune system disorders
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Infection
307877
307877
0
0
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Studies of infection and infectious agents
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Intervention/exposure
Study type
Observational
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Patient registry
False
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Target follow-up duration
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Target follow-up type
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Description of intervention(s) / exposure
A single-day, prospective, observational, multicentre, nation-wide point-prevalence study of sepsis in Indian Intensive Care Units.
Data will be collected over a designated 24-hour study day, starting 08:00 am on the study day till 08:00 am on the following day.
For ICUs participating in this study, a questionnaire to collect hospital- and ICU-level data will be administered along with individual patient data.Data analysis will be guided by a statistical analysis plan, which will be developed before the database is locked. Data analysis will be undertaken at the George Institute for Global Health by statisticians using a statistical software package. To address the primary objectives descriptive statistics will be used including univariate comparisons.
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Intervention code [1]
301957
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Not applicable
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Comparator / control treatment
No control group
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Control group
Uncontrolled
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Outcomes
Primary outcome [1]
306849
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To estimate the prevalence of sepsis in Indian ICUs.
It will be assessed via a case report form (CRF) data collection tool over a 24 hour study period.
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Assessment method [1]
306849
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Timepoint [1]
306849
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Study day- 24 hour period (8:00am-8:00am)
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Secondary outcome [1]
349934
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Using a Case Report Form (CRF) 30 day outcomes will be assessed for each patient. The outcome is to be able to describe the prevalence of these characteristics in a population of sepsis patients.
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Assessment method [1]
349934
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Timepoint [1]
349934
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Day 30 (post study day period), counting the study day as Day 1.
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Secondary outcome [2]
365407
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Using a Case Report Form (CRF) sepsis patient characteristics will be assessed. The outcome is to be able to describe the prevalence of these characteristics in a population of sepsis patients
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Assessment method [2]
365407
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Timepoint [2]
365407
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Study day- 24 hour period (8:00am-8:00am)
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Secondary outcome [3]
365408
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Using a Case Report Form (CRF), patient antimicrobial use will be assessed.
The outcome is to be able to describe the prevalence of this characteristic in a population of sepsis patients.
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Assessment method [3]
365408
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Timepoint [3]
365408
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Study day- 24 hour period (8:00am-8:00am)
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Secondary outcome [4]
365409
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Using a Case Report Form (CRF) the treatments that pateints received will be assessed. The outcome is to be able to describe the prevalence of these treatments in a population of sepsis patients.
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Assessment method [4]
365409
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Timepoint [4]
365409
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Study day- 24 hour period (8:00am-8:00am)
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Secondary outcome [5]
365410
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Using a Case Report Form (CRF) patient limitations of care will be assessed. The outcome is to be able to describe the prevalence of this characteristic in a population of sepsis patients.
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Assessment method [5]
365410
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Timepoint [5]
365410
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Study day- 24 hour period (8:00am-8:00am)
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Eligibility
Key inclusion criteria
All adult patients (18 years or older) present in the ICU at the start of the study day or admitted during the 24-hour study period will be included in the study sample
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Minimum age
18
Years
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Maximum age
No limit
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
NONE
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Study design
Purpose
Natural history
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Duration
Cross-sectional
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Selection
Defined population
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Timing
Prospective
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Statistical methods / analysis
Data analysis will be guided by a statistical analysis plan, which will be developed before the database is locked. Data analysis will be undertaken at the George Institute for Global Health by statisticians using a statistical software package. To address the primary objectives descriptive statistics will be used including univariate comparisons.
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
1/06/2019
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Actual
29/05/2019
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Date of last participant enrolment
Anticipated
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Actual
17/07/2019
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Date of last data collection
Anticipated
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Actual
15/08/2019
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Sample size
Target
800
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Accrual to date
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Final
666
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Recruitment outside Australia
Country [1]
10678
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India
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State/province [1]
10678
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Funding & Sponsors
Funding source category [1]
301502
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Other
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Name [1]
301502
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The George Institute for Global Health
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Address [1]
301502
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Level 5, 1 King St, Newtown, NSW, 2042
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Country [1]
301502
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Australia
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Primary sponsor type
Other
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Name
The George Institute for Global Health
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Address
Level 5, 1 King St, Newtown, NSW, 2042
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Country
Australia
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Secondary sponsor category [1]
301199
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None
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Name [1]
301199
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NA
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Address [1]
301199
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NA
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Country [1]
301199
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
300867
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Institutional Ethics Committee
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Ethics committee address [1]
300867
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St Johns Medical College and Hospital, Sarjapur Road, Bangalore-560034, India
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Ethics committee country [1]
300867
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India
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Date submitted for ethics approval [1]
300867
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Approval date [1]
300867
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03/11/2018
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Ethics approval number [1]
300867
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291/2018
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Summary
Brief summary
Point prevalence study in India to identify sepsis prevalence in Indian ICUs In 2017, The World Health Organization recognised sepsis as a global health priority. The true disease burden of sepsis remains unknown as the current estimates of disease burden are largely based on the data from high income countries (HIC). Even though the majority of the global population lives in lower/middle income countries (LMICs), there is a scarcity of sepsis epidemiology data from LMICs. In countries such as India, 1 in 3 people who develop sepsis die. Many of these deaths are preventable but the epidemiology of sepsis is poorly understood. This problem is further compounded by a very high level of antimicrobial resistance. This study will provide up-to-date knowledge of the epidemiology and outcomes of sepsis, antibiotic use and antimicrobial resistance in intensive care units (ICUs) in Indian hospitals.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
85090
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Dr Naomi Hammond
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Address
85090
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The George Institute for Global Health.
Level 5, 1 King St Newtown, NSW, 2042
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Country
85090
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Australia
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Phone
85090
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61+ 2 8052 4300
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Fax
85090
0
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Email
85090
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[email protected]
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Contact person for public queries
Name
85091
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Naomi Hammond
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Address
85091
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The George Institute for Global Health.
Level 5, 1 King St Newtown, NSW, 2042
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Country
85091
0
Australia
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Phone
85091
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61+ 2 8052 4300
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Fax
85091
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Email
85091
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[email protected]
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Contact person for scientific queries
Name
85092
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Naomi Hammond
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Address
85092
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The George Institute for Global Health.
Level 5, 1 King St Newtown, NSW, 2042
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Country
85092
0
Australia
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Phone
85092
0
61+ 2 8052 4300
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Fax
85092
0
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Email
85092
0
[email protected]
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Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
No
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No/undecided IPD sharing reason/comment
Undecided at this point of time due to considerations under Indian Law.
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What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
Source
Title
Year of Publication
DOI
Embase
Estimates of Sepsis Prevalence and Outcomes in Adult Patients in the ICU in India: A Cross-sectional Study.
2022
https://dx.doi.org/10.1016/j.chest.2021.12.673
N.B. These documents automatically identified may not have been verified by the study sponsor.
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