Improving Blood Glucose Control With a Computerized Decision Support Tool: Phase 1

Status unconfirmed · Phase 2

Conditions studied: Critically Ill, Hyperglycemia

In brief

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 low blood sugar levels occur during use of the bedside tool. 3. Determine how the computerized tool effects the workload of the ICU nurses.

Key facts

Study ID

NCT00655460

Run by

Intermountain Health Care, Inc.

People needed

200

Starts

2006-02-01

Expected to finish

2018-12-01

Last updated by the study team

2015-02-26

Who can join

Age: 0 and older. Sex: any. Healthy volunteers: not accepted.

You may qualify if…

• 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.

You may not qualify if…

• 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)

Where it is running

• LDS Hospital — Salt Lake City, Utah, United States (enrolling)
• Wake Forest Medical Center — Winston-Salem, North Carolina, United States (enrolling)
• Johns Hopkins University — Baltimore, Maryland, United States (enrolling)
• Pennsylvania State Children's Hospital — Hersey, Pennsylvania, United States
• Children's Hospital of Philadelphia — Philadelphia, Pennsylvania, United States
• Vanderbilt University — Nashville, Tennessee, United States
• Primary Children's Hospital — Salt Lake City, Utah, United States
• Yale University — New Haven, Connecticut, United States
• University of Virginia — Charlottesville, Virginia, United States
• Massachusetts General Hospital — Boston, Massachusetts, United States
• Baystate Medical Center — Springfield, Massachusetts, United States

Full record on ClinicalTrials.gov

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