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OpenTrials
Completed

NCT Number: NCT00718198

Effects of a Computerized Physician Order Entry (CPOE)-Based Inpatient Insulin Protocol on Glycemic Outcomes

Retrospective cross-sectional study measuring the impact of a computer=based insulin correction protocol and nursing inservicing on diabetes outcomes

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Key information

Conditions

Diabetes Mellitus Endocrine System Diseases Glucose Metabolism Disorders Metabolic Diseases Nutritional and Metabolic Diseases

Age range

18 year and older

Sex eligibility

All sexes

Study type

Observational

Primary location

John H. Stroger Jr. Hospital

Chicago, Illinois, 60612, United States

About this study

This study is a retrospective cross-sectional study at one institution, where the investigators compared diabetic patients admitted to Medicine Services from March-April 2006 (before CPOE was implemented) to patients admitted from October-November 2007 (one year after CPOE implementation). Capillary blood glucose values, Hemoglobin AIC, diabetes medication profile and demographic data were obtained to compare between groups. The investigators hypothesized that a computer-based protocol that emphasizes basal-bolus and correctional insulin orders and excludes sliding scale, in conjunction with nursing personnel inservicing, improves outcomes.

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Clinical diagnosis of Diabetes Mellitus

Exclusion criteria

  • Admitted to Non-Medicine Hospital Services

Treatment and study plan

Primary outcomes

  1. Mean Inpatient Glucose

    Time frame: From day of admission to hospital until day of discharge from hospital

    Baseline glucose

Secondary outcomes

  1. Percentage of normoglycemic (70 to 150 mg/dl) patient-days

    Time frame: From day of admission to hospital until day of discharge from hospital

    Percentage of inpatient days at glucose target

  2. Percentage of hyperglycemic patient-days

    Time frame: From day of admission to hospital until day of discharge from hospital

    Percentage of inpatient days above glucose target

  3. Percentage of Patient-days with glucose less than 70 mg/dl

    Time frame: From day of admission to hospital until day of discharge from hospital

    Percentage of inpatient days below glucose target

  4. Percentage of Patients with inpatient or recent (less than 6 months) hemoglobin AIC

    Time frame: From day of admission to hospital until day of discharge from hospital

    Percentage of patients with recent A1c

  5. Length of stay

    Time frame: From day of admission to hospital until day of discharge from hospital

    Number of days inpatient

  6. Distribution of oral hypoglycemic use

    Time frame: From day of admission to hospital until day of discharge from hospital

    Rate of oral diabetes medication use

  7. Distribution of type of insulin therapy used

    Time frame: From day of admission to hospital until day of discharge from hospital

    Rate of insulin use

  8. Percent of patient-days with severe hypoglycemia

    Time frame: From day of admission to hospital until day of discharge from hospital

    Percentage of patient days with glucose below 55 mg/dL

Sponsors and collaborators

Lead sponsor

Cook County Health

Other Gov

Registry information

Important dates

Study start
2006
Primary completion
2007
Study completion
2008
First posted
Jul 18, 2008
Registry last updated
Nov 28, 2023

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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