ED Diabetes Screening and Outpatient Care

NYU Langone Health

Status: Enrolling

Conditions: Diabetes Mellitus; Non Insulin Dependent Diabetes Mellitus

Treatments: Other: Telehealth Bridge Visits; Other: Standard of Care

Study type: Interventional

Funder types: Other; NIH

Identifiers

NCT05899023

23-00571

Details and patient eligibility

About

This goal of this NIH funded R01 study is to identify risk factors for not being able to follow-up for a new diagnosis of diabetes in the emergency department and improve linkage of these newly diagnosed patients to appropriate outpatient care. Its three aims will be accomplished through 1) a retrospective chart review of emergency department (ED) patients screened for diabetes, 2) a series of prospective qualitative interviews among ED patients with newly diagnosed diabetes who fail to follow-up for outpatient care, and 3) a simple randomized controlled trial to test the efficacy of telehealth bridge visits to connect ED patients with newly diagnosed diabetes to outpatient primary care.

Enrollment: 200 estimated patients

Sex: All

Ages: 20 to 70 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Emergency patient receiving lab tests with an initial HbA1c test result of ≥ 6.5%
• Residential address in New York City or Long Island
• Primary language is English or Spanish
• Able to provide informed consent

Exclusion criteria

• No prior history of diabetes
• No medical condition that would result in a spurious HbA1c test (e.g., sickle cell, recent blood loss)

Trial design

Primary purpose: Health Services Research

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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200 participants in 2 patient groups

Telehealth Bridge Visits

Experimental group

Description:

Patients in the experimental arm will receive post-emergency department telehealth bridge visits to connect ED patients with newly diagnosed diabetes to outpatient primary care.

Treatment:

Other: Telehealth Bridge Visits

Control

Active Comparator group

Description:

Patients in the control arm will receive standard of care.

Treatment:

Other: Standard of Care