Developing a Model to Predict Inpatient Hypoglycemic Episodes
试验速览
- 阶段
- 不适用
- 状态
- 撤回
- 试验地点
- 1
- 主要终点
- Provider satisfaction scores
研究概览
简要总结
This study will create a new model to predict hypoglycemic events in diabetic inpatients on anti-hyperglycemic therapy using retrospective data with the goal of developing a model that will accurately predict hypoglycemic episodes in the patient population - piloting the risk score that was developed in the context of EndoTool being rolled out at the institution, to determine the feasibility and acceptability of viewing the risk score in the Electronic Health Record
详细描述
Design a model to predict hypoglycemic episodes in real time, rather than retrospectively identifying high risk patients who experienced a hypoglycemic event at some point during their hospitalization, as has been done prior. Potential predictors of hypoglycemia identified in prior work and additional predictors identified by the clinical team to develop a discrete-time multinomial logistic regression model to predict hypoglycemic events in real time. The risk score then will be piloted in the context of our institution's EndoTool Subcutaneous implementation determine the feasibility and acceptability of viewing the risk score in the Electronic Health Record
研究设计
- 研究类型
- Interventional
- 分配方式
- Non Randomized
- 干预模型
- Single Group
- 主要目的
- Prevention
- 盲法
- None
入排标准
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Providers taking care of adult patients (18 years and older) on the selected medical floors who are receiving anti-hyperglycemic medications on the chosen services (EndoTool and risk score implementation) and comparison groups (one group with EndoTool implementation and the other group without EndoTool implementation)
排除标准
- •Providers not on the chosen services
研究组 & 干预措施
experimental hypoglycemia risk score is applied on a service which has already implemented EndoTool
Service where the experimental hypoglycemia risk score is applied on a service which has already implemented EndoTool
干预措施: EndoTool (Diagnostic Test)
Service where EndoTool is applied without the experimental hypoglycemia risk score
Service where EndoTool is applied without our experimental hypoglycemia risk score
干预措施: glucose management team (Other)
Standard of care glucose management
Service which has not yet implemented EndoTool - providers adjusting insulin and consulting the Glucose Management Team at their discretion
干预措施: standard of care glucose management (Other)
结局指标
主要结局
Provider satisfaction scores
时间窗: day 90
provider satisfaction with the alert system via survey data - 10 question survey asking Providers about their thoughts about the hypoglycemia risk score - range will be reported as their a-e answers - The provider satisfaction score ranges from 0-10 with higher scores meaning higher satisfaction.
EndoTool Utilization Rates
时间窗: day 90
rate of EndoTool utilization
Inpatient hypoglycemia event rates
时间窗: day 90
Total number of hypoglycemic events (\<70 mg/dL) that were preceded by administration of rapid/short-acting insulin within 12 hours or an anti-diabetic agent other than short-acting insulin within 24 hours, were not followed by another glucose value greater than 80 mg/dL within five minutes, and were at least 20 hours apart divided by the total number of hospital days with at least one anti-diabetic agent administered)
Glucose Monitoring Team (GMT) Consult Utilization Rates
时间窗: day 90
rate of GMT utilization
次要结局
- Number of Inpatient hospitalizations with a hyperglycemic event(day 90)