Effects of a Computerized Physician Order Entry (CPOE)-Based Inpatient Insulin Protocol on Glycemic Outcomes
This study has been completed.
Sponsor:
John H. Stroger Hospital
Information provided by:
John H. Stroger Hospital
ClinicalTrials.gov Identifier:
NCT00718198
First received: July 16, 2008
Last updated: February 10, 2009
Last verified: February 2009
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Purpose
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.
| Condition |
|---|
|
Diabetes Mellitus |
| Study Type: | Observational |
| Study Design: | Observational Model: Cohort Time Perspective: Cross-Sectional |
| Official Title: | Effects of a Computerized Physician Order Entry (CPOE)-Based Inpatient Insulin Protocol on Glycemic Outcomes |
Resource links provided by NLM:
Further study details as provided by John H. Stroger Hospital:
Primary Outcome Measures:
- Mean Inpatient Glucose [ Time Frame: From admission to hospital until discharge from hospital ] [ Designated as safety issue: No ]
Secondary Outcome Measures:
- Percentage of normoglycemic (70 to 150 mg/dl) patient-days [ Time Frame: admission to hospital until discharge from hospital ] [ Designated as safety issue: No ]
- Percentage of hyperglycemic patient-days [ Time Frame: admission to hospital until discharge from hospital ] [ Designated as safety issue: No ]
- Percentage of Patient-days with glucose less than 70 mg/dl [ Time Frame: admission to hospital until discharge from hospital ] [ Designated as safety issue: Yes ]
- Percentage of Patients with inpatient or recent (less than 6 months) hemoglobin AIC [ Time Frame: admission to hospital until discharge from hospital ] [ Designated as safety issue: No ]
- Length of stay [ Time Frame: admission to hospital until discharge from hospital ] [ Designated as safety issue: No ]
- Distribution of oral hypoglycemic use [ Time Frame: admission to hospital until discharge from hospital ] [ Designated as safety issue: No ]
- Distribution of type of insulin therapy used [ Time Frame: admission to hospital until discharge from hospital ] [ Designated as safety issue: No ]
- Percent of patient-days with severe hypoglycemia [ Time Frame: admission to hospital until discharge from hospital ] [ Designated as safety issue: Yes ]
| Enrollment: | 413 |
| Study Start Date: | March 2006 |
| Study Completion Date: | June 2008 |
| Primary Completion Date: | December 2007 (Final data collection date for primary outcome measure) |
| Groups/Cohorts |
|---|
|
1
Group admitted 1 (one) month before CPOE protocol changes were made
|
|
2
Group admitted 1 (one) year after CPOE protocol changes were made
|
Eligibility| Ages Eligible for Study: | 18 Years and older |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
| Sampling Method: | Non-Probability Sample |
Study Population
Diabetic patients admitted to Medicine Services
Criteria
Inclusion Criteria:
- Clinical diagnosis of Diabetes Mellitus
Exclusion Criteria:
- Admitted to Non-Medicine Hospital Services
Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00718198
Locations
| United States, Illinois | |
| John H. Stroger Jr. Hospital | |
| Chicago, Illinois, United States, 60612 | |
Sponsors and Collaborators
John H. Stroger Hospital
Investigators
| Principal Investigator: | Yannis S Guerra, MD | Rush University Hospital/John H Stroger Jr. Hospital |
| Study Chair: | Krishna Das, MD | John H. Stroger Jr. Hospital |
| Study Chair: | Pete Antonopoulos, MD | John H. Stroger Jr. Hospital |
| Study Chair: | Irene Benson, RN | John H. Stroger Jr. Hospital |
| Study Chair: | Shane Borkowski, MD | John H. Stroger Jr. Hospital |
| Study Chair: | Leon Fogelfeld, MD | John H. Stroger Jr. Hospital |
| Study Chair: | Melanie Gordon, MD | John H. Stroger Jr. Hospital |
| Study Chair: | Betsy Palal, MD | John H. Stroger Jr. Hospital |
| Study Chair: | Joana Witsil, MD | John H. Stroger Jr. Hospital |
| Study Director: | Evelyn Lacuesta, MD | John H. Stroger Jr. Hospital |
More Information
No publications provided
| Responsible Party: | Yannis Guerra, Rush University Hospital/John H. Stroger Jr. Hospital of Cook County |
| ClinicalTrials.gov Identifier: | NCT00718198 History of Changes |
| Other Study ID Numbers: | JHSEndo01 |
| Study First Received: | July 16, 2008 |
| Last Updated: | February 10, 2009 |
| Health Authority: | United States: Institutional Review Board |
Keywords provided by John H. Stroger Hospital:
|
Inpatient Computer Physician Order Entry Diabetes Mellitus |
Additional relevant MeSH terms:
|
Diabetes Mellitus Glucose Metabolism Disorders Metabolic Diseases Endocrine System Diseases |
ClinicalTrials.gov processed this record on June 17, 2013