Intensive Case Diabetes Management (ICDM) to Prevent Readmission

Not Applicable

Terminated

• Conditions: Diabetes

• Registration Number: NCT02230488
• Lead Sponsor: Washington University School of Medicine

Brief Summary

The purpose of this study is to assess whether intensive case management interventions by a diabetes team, led by an endocrinologist and certified diabetes educator, can prevent \<31 day readmission in previously identified high risk patients with diabetes.The procedures of the study will focus on managing the patient's diabetes and diabetes education while in the hospital, decreasing the patient's risk for hypoglycemia and hyperglycemia in the hospital, and assist in the patient's diabetes management plan for a safe discharge.

Detailed Description

Not available

Study Timeline

• Study First Submitted: 2014-08-26
• Study First Submitted QC: 2014-08-29
• Study Start: 2014-09
• Study First Posted: 2014-09-03
• Primary Completion: 2015-05
• Study Completion: 2015-05
• Status Verified: 2015-06
• Last Update Submitted: 2015-06-01
• Last Update Posted: 2015-06-03

Recruitment & Eligibility

• Status: TERMINATED
• Sex: All
• Target Recruitment: 1

Inclusion Criteria

• Patients admitted with a diagnosis of diabetes, Patients with a previous history of Pharmacy Expert System (PES) alert, Enrollment in research must be within 24 hours of admission

Exclusion Criteria

• Patients transferred from institutionalized care, Patients who already plan to move to institutionalized care, Patients with severe co-morbidities (e.g. terminal cancer), Patients admitted for surgery within 24 hours, Patients who are unwilling or unable to give written consent (e.g. dementia), Patients who are homeless, Patients previously admitted to the diabetes endocrine service

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: SINGLE_GROUP

Primary Outcome Measures

Name	Time	Method
Prevent <31 day readmission	The length of time between hospital discharge and readmission 31 days	Primary outcome measure is to assess whether an intensive case management intervention by a diabetes team, led by an endocrinologist and a certified diabetes educator (CDE) , can prevent a \<31 day readmission in previously identified high risk patients with diabetes compared to standard/usual care.

Secondary Outcome Measures

Name	Time	Method
improve overall glycemic management	Upon the participant's consent (within 24 hours of hospital admission) to hospital discharge- the average length of stay is five days	To examine whether intensive case management intervention per endocrinologist and CDE during hospital stay prevents hypoglycemia \<70mg/dl, severe hypoglycemia \<40mg/dl, and improves overall glycemic management (100-180 mg/dl) compared to standard/usual care.

Trial Locations

Locations (1)

Barnes-Jewish Hospital; 🇺🇸 St. Louis, Missouri, United States