Phase 4
Completed N=27
Strict Glycemic Control by Insulin Infusion:Observations on Emergency Department Initiation
Source: ClinicalTrials.gov NCT00779701 ↗Enrolled (actual)
27
Serious AEs
0.0%
Results posted
Jun 2015
Primary outcomePrimary: Time to Achieve Glycemic Control — 225 Minutes
Summary
Glycemic control can be safely achieved in surgical and medical intensive care unit settings and has been shown to improve short and long-term clinical outcomes. As such, insulin infusion protocols are routinely used in the ICU setting. The investigators plan to establish the use of strict glycemic control in a heterogenous group of acutely ill patients in the ED setting. The investigators propose to study the aspects of implementing a strict glycemic control protocol in the ED.
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Time to Achieve Glycemic Control |
225 | — |
Eligibility Criteria
Inclusion Criteria
- Patients with blood glucose ≥130 mg% considered to be critically ill as defined by:
APACHE II score ≥9 (See Appendix 1) OR >2 SIRS criteria with lactate ≥ 4 or BP < 90mmHg despite one liter of fluid OR Evidence of Organ Dysfunction (see Appendix 1)
Exclusion Criteria
- Patients requiring urgent interventional procedure (e.g. cardiac catheterization, dialysis) or surgery performed outside of the ED.
Data sourced from ClinicalTrials.gov (NCT00779701). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication. Informational only — not medical advice.