<?xml version="1.0" encoding="utf-8"?>
<!DOCTYPE trials [
<!ELEMENT trials (trial+)>

<!ELEMENT trial (main,contacts,countries,criteria,health_condition_code,health_condition_keyword,intervention_code,
          intervention_keyword,primary_outcome,secondary_outcome,secondary_sponsor,secondary_ids,source_support,ethics_reviews)>

<!ELEMENT main (trial_id,utrn?,reg_name,date_registration,primary_sponsor,public_title,acronym?,scientific_title,scientific_acronym?,
          date_enrolment,type_enrolment,target_size,recruitment_status,url?,study_type,study_design,phase,hc_freetext?,i_freetext?,results_actual_enrolment,results_date_completed,results_url_link,results_summary,           results_date_posted,results_date_first_publication,results_baseline_char,results_participant_flow,results_adverse_events,results_outcome_measures,results_url_protocol,results_IPD_plan, results_IPD_description)>
<!ELEMENT trial_id (#PCDATA)>
<!ELEMENT utrn (#PCDATA)>
<!ELEMENT reg_name (#PCDATA)>
<!ELEMENT date_registration (#PCDATA)><!-- dd/mm/yyyy -->
<!ELEMENT primary_sponsor (#PCDATA)>
<!ELEMENT public_title (#PCDATA)>
<!ELEMENT acronym (#PCDATA)>
<!ELEMENT scientific_title (#PCDATA)>
<!ELEMENT scientific_acronym (#PCDATA)>
<!ELEMENT date_enrolment (#PCDATA)><!-- dd/mm/yyyy -->
<!ELEMENT type_enrolment (#PCDATA)>
<!ELEMENT target_size (#PCDATA)>
<!ELEMENT recruitment_status (#PCDATA)><!-- Pending,Recruiting,Suspended,Complete,Other -->
<!ELEMENT url (#PCDATA)>
<!ELEMENT study_type (#PCDATA)><!-- interventional,observational -->
<!ELEMENT study_design (#PCDATA)>
<!ELEMENT phase (#PCDATA)>
<!ELEMENT hc_freetext (#PCDATA)>
<!ELEMENT i_freetext (#PCDATA)>
<!ELEMENT results_actual_enrolment (#PCDATA)>
<!ELEMENT results_date_completed (#PCDATA)><!-- dd/mm/yyyy -->
<!ELEMENT results_url_link (#PCDATA)>
<!ELEMENT results_summary (#PCDATA)>
<!ELEMENT results_date_posted (#PCDATA)><!-- dd/mm/yyyy -->
<!ELEMENT results_date_first_publication (#PCDATA)><!-- dd/mm/yyyy -->
<!ELEMENT results_baseline_char (#PCDATA)>
<!ELEMENT results_participant_flow (#PCDATA)>
<!ELEMENT results_adverse_events (#PCDATA)>
<!ELEMENT results_outcome_measures (#PCDATA)>
<!ELEMENT results_url_protocol (#PCDATA)>
<!ELEMENT results_IPD_plan (#PCDATA)>
<!ELEMENT results_IPD_description (#PCDATA)>


<!ELEMENT contacts (contact+)>
<!ELEMENT contact (type,firstname,middlename,lastname,address,city,country1,zip,telephone,email,affiliation)>
<!ELEMENT type (#PCDATA)><!-- Public,Scientific -->
<!ELEMENT firstname (#PCDATA)>
<!ELEMENT middlename (#PCDATA)>
<!ELEMENT lastname (#PCDATA)>
<!ELEMENT address (#PCDATA)>
<!ELEMENT city (#PCDATA)>
<!ELEMENT country1 (#PCDATA)>
<!ELEMENT zip (#PCDATA)>
<!ELEMENT telephone (#PCDATA)>
<!ELEMENT email (#PCDATA)>
<!ELEMENT affiliation (#PCDATA)>

<!ELEMENT countries (country2+)>
<!ELEMENT country2 (#PCDATA)>

<!ELEMENT criteria (inclusion_criteria,agemin,agemax,gender,exclusion_criteria)>
<!ELEMENT inclusion_criteria (#PCDATA)>
<!ELEMENT agemin (#PCDATA)>
<!ELEMENT agemax (#PCDATA)>
<!ELEMENT gender (#PCDATA)>
<!ELEMENT exclusion_criteria (#PCDATA)>

<!ELEMENT health_condition_code (hc_code+)>
<!ELEMENT hc_code (#PCDATA)>

<!ELEMENT health_condition_keyword (hc_keyword+)>
<!ELEMENT hc_keyword (#PCDATA)>

<!ELEMENT intervention_code (i_code+)>
<!ELEMENT i_code (#PCDATA)>

<!ELEMENT intervention_keyword (i_keyword+)>
<!ELEMENT i_keyword (#PCDATA)>

<!ELEMENT primary_outcome (prim_outcome+)>
<!ELEMENT prim_outcome (#PCDATA)>

<!ELEMENT secondary_outcome (sec_outcome+)>
<!ELEMENT sec_outcome (#PCDATA)>

<!ELEMENT secondary_sponsor (sponsor_name+)>
<!ELEMENT sponsor_name (#PCDATA)>

<!ELEMENT secondary_ids (secondary_id+)>
<!ELEMENT secondary_id (sec_id,issuing_authority)>
<!ELEMENT sec_id (#PCDATA)>
<!ELEMENT issuing_authority (#PCDATA)>

<!ELEMENT source_support (source_name+)>
<!ELEMENT source_name (#PCDATA)>

<!ELEMENT ethics_reviews (ethics_review+)>
<!ELEMENT ethics_review (status,approval_date,contact_name,contact_address,contact_phone,contact_email)>
<!ELEMENT status (#PCDATA)><!-- Not approved,Approved,NA -->
<!ELEMENT approval_date (#PCDATA)><!-- dd/mm/yyyy -->
<!ELEMENT contact_name (#PCDATA)>
<!ELEMENT contact_address (#PCDATA)>
<!ELEMENT contact_phone (#PCDATA)>
<!ELEMENT contact_email (#PCDATA)>
]>
<trials>
  <trial>
    <main>
      <trial_id>IRCT20231022059809N1</trial_id>
      <utrn></utrn>
      <reg_name>IRCT</reg_name>
      <date_registration>2024-03-12</date_registration>
      <primary_sponsor>Combined Military Hospital Rawalpindi</primary_sponsor>
      <public_title>Comparison of forced air warming with warm intravenous fluid versus forced air warming alone in preventing hypothermia and shivering in obstetric patients</public_title>
      <acronym>None</acronym>
      <scientific_title>Comparison of forced air warming with warm intravenous fluid versus forced air warming alone in preventing hypothermia and shivering in obstetric patients</scientific_title>
      <scientific_acronym></scientific_acronym>
      <date_enrolment>2023-05-22</date_enrolment>
      <type_enrolment>anticipated</type_enrolment>
      <target_size>369</target_size>
      <recruitment_status>Complete</recruitment_status>
      <url>https://irct.ir/trial/74016</url>
      <study_type>interventional</study_type>
      <study_design>Randomization: Randomized, Blinding: Double blinded, Placebo: Not used, Assignment: Parallel, Purpose: Prevention, Randomization description: The method of randomization was non-probability consecutive via lottery method and patients were randomized into Group FWI (forced warming with warm IV fluid) and FWA (forced warming alone), Blinding description: Core temperature in both groups was recorded using a standard Braun Infrared Thermoscan5 thermometer (IRT 6500) by a resident anesthetist in the operating room unaware of the study protocol.</study_design>
      <phase>N/A</phase>
      <hc_freetext>Prevention of hypothermia and shivering associated with spinal anesthesia for elective caesarian section..</hc_freetext>
      <i_freetext>Intervention 1: Intervention group: forced air warming with warm intravenous fluid in obstetric patients during Surgical procedures after Spinal Anaesthesia to prevent hypothermia. Intervention 2: Control group: forced air warming alone in obstetric patients during Surgical procedures after Spinal Anaesthesia to prevent hypothermia.</i_freetext>
      <results_actual_enrolment></results_actual_enrolment>
      <results_date_completed></results_date_completed>
      <results_url_link></results_url_link>
      <results_summary></results_summary>
      <results_date_posted></results_date_posted>
      <results_date_first_publication></results_date_first_publication>
      <results_baseline_char></results_baseline_char>
      <results_participant_flow></results_participant_flow>
      <results_adverse_events></results_adverse_events>
      <results_outcome_measures></results_outcome_measures>
      <results_url_protocol></results_url_protocol>
      <results_IPD_plan>No - There is not a plan to make this available</results_IPD_plan>
      <results_IPD_description>Justification or reason for not sharing IPD is There is no further information</results_IPD_description>
    </main>
    <contacts>
      <contact>
        <type>public</type>
        <firstname>Shujaat Hussain</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>Saddar Rawapindi</address>
        <city>Rawapindi</city>
        <country1>Pakistan</country1>
        <zip>00666</zip>
        <telephone>+92 343 4704199</telephone>
        <email>Shujaat169@gmail.com</email>
        <affiliation>Combined Military Hospital Rawalpindi</affiliation>
      </contact>
      <contact>
        <type>scientific</type>
        <firstname>Saddam Hussain</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>Saddar Rawapindi</address>
        <city>Rawapindi</city>
        <country1>Pakistan</country1>
        <zip>00666</zip>
        <telephone>0923434704199</telephone>
        <email>Shujaat169@gmail.com</email>
        <affiliation>CMH Rawapindi</affiliation>
      </contact>
    </contacts>
    <countries>
      <country2>Pakistan</country2>
    </countries>
    <criteria>
      <inclusion_criteria>Included all ASA-I and II Patients
Female patients presenting for elective caesarian with a gestational age of 37 or more weeks under spinal anesthesia.</inclusion_criteria>
      <agemin>no limit</agemin>
      <agemax>no limit</agemax>
      <gender>Female</gender>
      <exclusion_criteria>Patients with pre-mature gestational age
Caesarian converted to general anesthesia following spinal administration
Patients with fever
Cardiac or Respiratory disease
Patients with PIH (pregnancy induced hypertension) or gestational diabetes mellites
Patients unwilling to be included in the study</exclusion_criteria>
    </criteria>
    <health_condition_code>
      <hc_code>T88.51</hc_code>
    </health_condition_code>
    <health_condition_keyword>
      <hc_keyword>Hypothermia following anesthesia</hc_keyword>
    </health_condition_keyword>
    <intervention_code>
      <i_code>Prevention</i_code>
      <i_code>Prevention</i_code>
    </intervention_code>
    <intervention_keyword>
      <i_keyword>Intervention group: forced air warming with warm intravenous fluid in obstetric patients during Surgical procedures after Spinal Anaesthesia to prevent hypothermia</i_keyword>
      <i_keyword>Control group: forced air warming alone in obstetric patients during Surgical procedures after Spinal Anaesthesia to prevent hypothermia</i_keyword>
    </intervention_keyword>
    <primary_outcome>
      <prim_outcome>Core body temperature in both groups before procedure, per-operatively and post-operatively. Timepoint: Core body temperature in both groups’ pre-spinal, 30 and 60 minutes into the procedure and then at 30- and 60-minute intervals in the PACU post-procedure. Method of measurement: Core temperature in both groups was recorded using a standard Braun Infrared Thermoscan5 thermometer (IRT 6500) by a resident anesthetist in the operating room unaware of the study protocol.</prim_outcome>
    </primary_outcome>
    <secondary_outcome>
      <sec_outcome>Incidence of Shivering due to hypothermia Per-operative and post-operatively in recovery room. Timepoint: Shivering in both groups’ 30 and 60 minutes into the procedure after spinal and then at 30- and 60-minute intervals in the PACU post-procedure. Method of measurement: Clinical and visual assessment of Shivering alongwith measurement of core body temperature by using standard Braun Infrared Thermoscan5 thermometer (IRT 6500).</sec_outcome>
    </secondary_outcome>
    <secondary_sponsor>
      <sponsor_name></sponsor_name>
    </secondary_sponsor>
    <secondary_ids>
      <secondary_id>
        <sec_id></sec_id>
        <issuing_authority></issuing_authority>
      </secondary_id>
    </secondary_ids>
    <source_support>
      <source_name>Combined Military Hospital Rawalpindi</source_name>
    </source_support>
    <ethics_reviews>
      <ethics_review>
        <status>Approved</status>
        <approval_date>2023-05-20</approval_date>
        <contact_name>Ethical Committee Of Combined Military Hospital Rawalpindi</contact_name>
        <contact_address>Saddar Rawalpindi Rawalpindi Punjab Pakistan</contact_address>
        <contact_phone></contact_phone>
        <contact_email></contact_email>
      </ethics_review>
    </ethics_reviews>
  </trial>
</trials>
