Status:
UNKNOWN
Improving Blood Glucose Control With a Computerized Decision Support Tool: Phase 1
Lead Sponsor:
Intermountain Health Care, Inc.
Conditions:
Critically Ill
Hyperglycemia
Eligibility:
All Genders
1+ years
Phase:
PHASE2
Brief Summary
The Purpose of this study is to: 1. Refine and validate a computerized bedside decision support tool blood glucose management in critically ill adult and pediatric ICU patients. 2. Monitor how often ...
Detailed Description
This first phase will be a prospective cohort study. We will validate the bedside tool in at least 4 adult and at least 4 pediatric ICUs and if necessary we will modify the bedside tool. The computeri...
Eligibility Criteria
Inclusion
- Pediatric ICU: Proposed indications by pediatric clinicians at participating ICUs for glucose control in their ICUs would include patients who require mechanical ventilation for greater than 24 hours and/or require a vasoactive infusion (e.g. dopamine \>3 mg/kg/min, dobutamine, epinephrine, or vasopressin).
- Adult ICUs: Proposed indications by clinicians in participating ICUs for glucose control in participating adult ICUs include critically ill patients with an anticipated ICU length of stay of 3 or more days.
Exclusion
- Pregnancy (negative pregnancy test required for females of child-bearing age)
- Age less than one month
- Inborn errors of metabolism that the clinician suspects will affect glucose homeostasis
- Acute or chronic liver disease with any documented episode of blood or plasma glucose \<60 mg/dl within the 24 hours prior to study entry
- Diabetic Ketoacidosis (critically ill patients with insulin dependent diabetes not in ketoacidosis will be eligible if attending physicians intend to use intravenous insulin as part of ordinary care)
- Severe chronic liver disease (Child-Pugh score \>10)
Key Trial Info
Start Date :
February 1 2006
Trial Type :
INTERVENTIONAL
Allocation :
ESTIMATED
End Date :
December 1 2018
Estimated Enrollment :
200 Patients enrolled
Trial Details
Trial ID
NCT00655460
Start Date
February 1 2006
End Date
December 1 2018
Last Update
February 26 2015
Active Locations (11)
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1
Yale University
New Haven, Connecticut, United States, 05520
2
Johns Hopkins University
Baltimore, Maryland, United States, 21205
3
Massachusetts General Hospital
Boston, Massachusetts, United States, 02114
4
Baystate Medical Center
Springfield, Massachusetts, United States, 01199