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