Type 2 & other diabetes

The Specialist Treatment of Inpatients: Caring for Diabetes in Surgery (STOIC-D Surgery) Trial: A Randomized Controlled Trial of Early Intervention With an Electronic Specialist-Led Model of Diabetes Care

Diabetes CarePublished Randomised controlled trial

Primary result · PDMGResult — go to the resultEstimated difference −0.3 mmol/L 95% CI −0.4 to −0.2

Authors' conclusion

In surgical inpatients, early diabetes management intervention with an electronic specialist-led diabetes model of care reduces glucose and HAI.

Study context

Population
Adults admitted to a surgical ward with known diabetes or newly detected hyperglycemia (≥1 random blood glucose ≥11.1 mmol/L), Royal Melbourne Hospital
Participants
1,371 admissions
Comparison
Early electronic specialist-led diabetes care vs standard diabetes care
  • Early interventionn = 680
  • Standard diabetes caren = 691reference
Primary endpoint
Median patient-day mean glucose (PDMG)
Methodological detailssingle-centre, randomized 1:1
  • Single-centre
  • Randomized 1:1

Primary result

PDMG

Estimated difference

−0.3 mmol/L

95% CI −0.4 to −0.2

P < 0.0001

By group

Early interventionvs Standard diabetes care
estimated difference −0.3 mmol/L (95% CI −0.4 to −0.2); P < 0.0001

As reported in the abstract

Secondary outcomes

Key secondary: incidence of health care-associated infection (HAI)

Incidence of HAI was lower in the intervention group

Parts of this Brief are withheld: the automatic checks could not confirm them against the abstract.

Original publication

The Specialist Treatment of Inpatients: Caring for Diabetes in Surgery (STOIC-D Surgery) Trial: A Randomized Controlled Trial of Early Intervention With an Electronic Specialist-Led Model of Diabetes Care. Diabetes Care. Published 18 January 2024. doi:10.2337/dc23-1905

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