Effects of a Computerized Physician Order Entry (CPOE)-Based Inpatient Insulin Protocol on Glycemic Outcomes
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 413
- 试验地点
- 1
- 主要终点
- Mean Inpatient Glucose
研究概览
简要总结
Retrospective cross-sectional study measuring the impact of a computer=based insulin correction protocol and nursing inservicing on diabetes outcomes
详细描述
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.
研究设计
- 研究类型
- Observational
- 观察模型
- Cohort
- 时间视角
- Cross Sectional
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Clinical diagnosis of Diabetes Mellitus
排除标准
- •Admitted to Non-Medicine Hospital Services
结局指标
主要结局
Mean Inpatient Glucose
时间窗: From day of admission to hospital until day of discharge from hospital
Baseline glucose
次要结局
- Length of stay(From day of admission to hospital until day of discharge from hospital)
- Distribution of type of insulin therapy used(From day of admission to hospital until day of discharge from hospital)
- Percentage of hyperglycemic patient-days(From day of admission to hospital until day of discharge from hospital)
- Percentage of Patients with inpatient or recent (less than 6 months) hemoglobin AIC(From day of admission to hospital until day of discharge from hospital)
- Distribution of oral hypoglycemic use(From day of admission to hospital until day of discharge from hospital)
- Percent of patient-days with severe hypoglycemia(From day of admission to hospital until day of discharge from hospital)
- Percentage of normoglycemic (70 to 150 mg/dl) patient-days(From day of admission to hospital until day of discharge from hospital)
- Percentage of Patient-days with glucose less than 70 mg/dl(From day of admission to hospital until day of discharge from hospital)
研究者
Yannis Guerra
MD
Cook County Health