Diabetes Case Detection through Emergency Department Admissions

Not Applicable

Completed

• Conditions: Diabetes; Metabolic and Endocrine - Diabetes; Public Health - Health service research

• Registration Number: ACTRN12611001007921
• Lead Sponsor: Westmead Hospital

Brief Summary

Not available

Detailed Description

Not available

Study Timeline

• Results First Posted: 1900-01-01
• Study Start: 2011-09-20
• Last Update Posted: 13 January 2020

Recruitment & Eligibility

• Status: Completed
• Sex: All
• Target Recruitment: 450

Inclusion Criteria

All patients admitted to hospital through Emergency Departments who have blood taken.

Exclusion Criteria

Not provided

Study & Design

• Study Type: Interventional
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
To determine if the intervention leads to improved detection and diagnosis of diabetes amongst hyperglycaemic people admitted through Emergency, who had not previously been diagnosed with diabetes<br><br>Criteria for primary outcome:<br>Admission BGL elevated (greater than or equal to 14 mmol/L)<br>And documentation in notes of the likely diagnosis and there is plan for follow-up (eg; with GP, diabetes educator or Endocrinologist)<br>And one or more of the following:<br>i) HbA1c greater than or equal to 6.5% (where the normal range is 4-6%)<br>ii) Another fasting BGL greater than or equal to 7.0 during admission<br>iii) Another random BGL greater than or equal to 11.1 during admission<br>iv) Meeting WHO criteria for diagnosis of diabetes upon follow-up testing post-discharge<br>v) Requiring regular anti-diabetic medication at discharge[During hospital admission]

Secondary Outcome Measures

Name	Time	Method
To determine if the intervention leads to lower mean length of stay for hyperglycaemic patients who had not previously been diagnosed with diabetes as recorded in the NSW Admitted Patients Data Collection[During hospital admission];To determine if the intervention leads to fewer care complications (eg infection occurring in hospital, acute renal failure occurring in hospital, acute coronary syndrome occurring in hospital) for hyperglycaemic patients who had not previously been diagnosed with diabetes as recorded in the NSW Admitted Patients Data Collection[During hospital admission];To determine if the intervention leads to a lower hospital readmission rate within one year (for any condition) for hyperglycaemic patients who had not previously been diagnosed with diabetes as recorded in the NSW Admitted Patients Data Collection[Within one year of discharge]