Diabetes Clinical Trial
Official title:
Diabetes Care in Nursing Home Residents
Diabetes is highly prevalent in the elderly, afflicting about 20% of older adults aged 65-75
years and 40% of adults >80years of age. Management of hyperglycemia is challenging in the
geriatric population in long-term facilities. Numerous factors place hospitalized patients
at increased risk for hyperglycemia including aging, sedentary life, stress of medical and
surgical comorbidities, and changes in antidiabetic regimen. In addition, elderly patients
often experience changes in their nutritional intake and organ dysfunction which increase
the risk of hypoglycemic events.
There are only a few retrospective studies in elderly patients analyzing quality of diabetes
care and glycemic control adjusted for medications and presence of co-morbidities in
long-term care facilities. In addition, no randomized controlled trials have demonstrated
benefits of glycemic control on clinical outcome, quality of life, and rate of acute
metabolic complications (hyperglycemia and hypoglycemic events) in long-term care
facilities.
The investigators will conduct a retrospective study to determine the prevalence of diabetes, comprehensively describe the management of diabetes, and to evaluate the impact of quality of care and glycemic control on clinical outcome in elderly subjects admitted to two large long-term care facilities: Grady Health System (GHS) and Veterans Administration Medical Center (VAMC) in Atlanta, Georgia between 1/01/08 to 12/31/08. ;
Observational Model: Cohort, Time Perspective: Retrospective
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