Journal article
Early intervention for diabetes in medical and surgical inpatients decreases hyperglycemia and hospital-acquired infections: A cluster randomized trial
M Kyi, PG Colman, PR Wraight, J Reid, A Gorelik, A Galligan, S Kumar, LM Rowan, KA Marley, AJ Nankervis, DM Russell, S Fourlanos
Diabetes Care | AMER DIABETES ASSOC | Published : 2019
DOI: 10.2337/dc18-2342
Abstract
OBJECTIVE To investigate if early electronic identification and bedside management of inpatients with diabetes improves glycemic control in noncritical care. RESEARCH DESIGN AND METHODS We investigated a proactive or early intervention model of care (whereby an inpatient diabetes team electronically identified individuals with diabetes and aimed to provide bedside management within 24 h of admission) compared with usual care (a referral-based consultation service). We conducted a cluster randomized trial on eight wards, consisting of a 10-week baseline period (all clusters received usual care) followed by a 12-week active period (clusters randomized to early intervention or usual care). Outc..
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Awarded by National Health and Medical Research Council
Funding Acknowledgements
This investigator-initiated study was conducted with the support of the Australian Diabetes Society Sanofi-Diabetes Research Grant and Royal Melbourne Hospital Home Lottery Grant. M.K. was supported by National Health and Medical Research Council Postgraduate Scholarship APP1093152.