Status:
UNKNOWN
Improving Blood Glucose Control With a Computerized Decision Support Tool: Phase 2
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. Introduce the refined, validated, and safe computerized bedside decision support tool for blood glucose management in critically ill adult and pediatric ICU patien...
Detailed Description
In the current second phase of this project (Phase-2), we will introduce the refined, validated, and safe eProtocol-insulin into a second group of naïve ICUs, none of which participated in eProtocol-i...
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 :
September 1 2007
Trial Type :
INTERVENTIONAL
Allocation :
ESTIMATED
End Date :
December 1 2018
Estimated Enrollment :
200 Patients enrolled
Trial Details
Trial ID
NCT00654797
Start Date
September 1 2007
End Date
December 1 2018
Last Update
February 26 2015
Active Locations (10)
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1
Childrens Hospital Centeral California
Madera, California, United States
2
Childrens Hospital of Minnesota - St. Paul
Saint Paul, Minnesota, United States
3
Dartmouth Hitchcock Medical Center
Lebanon, New Hampshire, United States
4
Cornell University Medical College
New York, New York, United States