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Article History

Received: 27 June 2026

Accepted: 5 August 2026

First Online: 10 August 2026

Declarations

Ethics approval and consent to participate: The study was approved by the Institute Ethics Committee, Post Graduate Institute of Medical Education and Research, Chandigarh, India (IEC-INT-2022/MD-543). The trial was registered with the Clinical Trials Registry–India (CTRI/2022/11/047043). Written informed consent for participation was obtained from the patient’s legally authorised representative or next of kin whenever feasible, as per the ethics committee–approved study protocol.

Consent for publication: Not applicable. This manuscript does not contain any individual person’s identifiable data, images, or videos.

Declaration of generative AI and AI-assisted technologies: During the preparation of this work, the authors used AI-assisted tools to improve language andreadability. The authors reviewed and edited the content as needed and take full responsibility forthe content of the published article.

Competing interests: The authors declare no competing interests.