Tight Glycemic Control in Acute Exacerbations of COPD

NCT ID: NCT00452296

Last Updated: 2012-06-26

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

UNKNOWN

Clinical Phase

NA

Total Enrollment

84 participants

Study Classification

INTERVENTIONAL

Study Start Date

2007-04-30

Study Completion Date

2012-12-31

Brief Summary

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Glucose control has been shown as an important and independent prognostic factor in several acute conditions in hospitalized patients, including Acute MI, stroke, cardiac surgery and in critical care units.

Patients with acute exacerbation of COPD (AECOPD)and diabetes treated with insulin had a longer in-patient stay and more frequent isolation of Gram negative bacteria from sputum than those without diabetes.Hyperglycemia (\>11 mmol/l) on admission predicted failure of non-invasive ventilation and infectious pulmonary complications in patients admitted to the ICU with acute respiratory failure caused by severe AECOPD.

The primary goal of this study is to test the hypothesis that in AECOPD, tight glycemic control during hospital stay will improve outcome of hospitalization.

The secondary goal of this study is to test new ways in controlling patients in the internal medicine ward.

Detailed Description

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Conditions

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COPD Hyperglycemia

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

DIAGNOSTIC

Blinding Strategy

NONE

Interventions

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tight insulin treatment in patients hospitalized with COPD exacerbation

treatment with basal plus bolus insulin

Intervention Type DRUG

tight glycemic control

treatment with basal and bolus insulin

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

* current or past smokers (at least 20 py)
* patient with COPD be ATS criteria
* hospitalized with acute exacerbation, 2/3 criteria:1- worsening of SOB 2-change in sputum volume 3- change in sputum color
* signed informed concent

Exclusion Criteria

* respiratory failure (pH\<7.35 ו Pco2\>60 )
* pneumonia
* pneumothorax
* bronchiectasis
* lung collapse
* congestive heart failure
* lung cancer
* suspected pulmonary emboli
* immune deficiency (acquired 0r congenital)
* cystic fibrosis
* post lung implantation
* asthma/ non smokers
Minimum Eligible Age

45 Years

Maximum Eligible Age

90 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Soroka University Medical Center

OTHER

Sponsor Role lead

Responsible Party

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Idit F Liberty

Dr Idit Liberty MD

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Idit F Liberty

Role: PRINCIPAL_INVESTIGATOR

Soroka University Medical Center

Other Identifiers

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sor450807ctil

Identifier Type: -

Identifier Source: org_study_id

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