Predictive Accuracy of PLR and PNR in Detecting ETIC

Trial statusRecruiting
Trial phaseNot listed
Trial typeObservational
Biological sexAll
Age12+
SponsorJubilee Mission Medical College and Research Institute

About this trial

Observational study to know what is the predictive accuracy of platelet-neutrophil ratio (PNR) and platelet-lymphocyte ratio (PLR) done in patients presenting to ED( emergency department)within 6 hours of trauma; in detecting early trauma induced coagulopathy during hospital admission

Eligibility criteria

This trial accepts healthy volunteers

Qualifiers

All patients with trauma AND

Presenting to ED within 6 hours of the event AND

The ED Physician sends coagulation profile

Disqualifiers

Treated with intravenous fluids, drugs, whole blood and blood products elsewhere

Patients admitted with a non-mechanical mechanism of injury, specifically drowning, hanging,or burns, as these mechanisms may result in a different biologic response than mechanical trauma

Patients on known medications affecting coagulation profile or hemogram

Patients with known chronic liver disease, chronic renal failure, malignancy, hematological disorders

Trial population

All patients with trauma AND Presenting to ED within 6 hrs of the event AND The ED Physician sends coagulation profile

Trial design

Design model

Case-only

Time perspective

Prospective

Treatments tested in this trial

Not listed

Trial groups

250 Participants
are grouped into 1 trial group
Group A: Trauma patients with and without ETIC

Trial outcomes

Primary outcomes

1

1. Sensitivity, specificity, positive and negative predictive value

PLR and PNR ratio in predicting in-hospital transfusion requirement during index hospital admission.

Time frame
24 hours

Secondary outcomes

1

Compare the AUROC ( Area Under the Receiver Operating Characteristic Curve) of PLR and PNR ratio in predicting in-hospital transfusion requirement during index hospital admission

PLR and PNR ratio in predicting in-hospital 30 day mortality

Time frame
24 hours
2

Compare the AUROC of PLR and PNR ratio in predicting prolonged ventilatory support (>21 days)

Prolonged ventilators support

Time frame
24 hours
3

Compare the incidence of emergent surgery, renal replacement therapy amongst patients developing ETIC and those who do not during the duration of hospital stay or within 30 days (whichever is earlier)

Renal replacement therapy in patients with ETIC

Time frame
24hours
4

Compare the length of hospital stay, total number of surgeries, total intensive care days in numbers amongst patients developing ETIC and those who do not during the duration of hospital stay or within 30 days (whichever is earlier)

length of hospital stay, total number of surgeries, total intensive care days in numbers amongst patients developing ETIC and those who do not during the duration of hospital stay or within 30 days

Time frame
24hours

Other outcomes

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