PGMP for Alberta Surgical Patients

Launched by UNIVERSITY OF CALGARY · Aug 31, 2021

Keywords

ClinConnect Summary

This study is testing a new hospital program called the Perioperative Glycemic Management Pathway (PGMP). The idea is to better control blood sugar before, during, and after surgery to reduce problems that can come from high blood sugar after surgery. Researchers want to know if PGMP can shorten hospital stays, lower the chance of being readmitted within 30 days, reduce surgical site infections, and lower death rates within 30 days and one year. They’ll also look at whether this approach saves money for the health system. The program will be rolled out in several hospital departments across Alberta using a stepped-wedge plan, meaning some sites start with usual care and then switch to PGMP over time.

Who can be eligible: adults 18 and older who are having surgery and are expected to stay in the hospital for more than 24 hours after the operation. Participation is by invitation at the participating sites. The PGMP uses a blood test (HbA1c) to find people at higher risk for postoperative high blood sugar, then closely monitors glucose after surgery with quick tests and follows standardized care plans to manage it. If you’re invited and you participate, you’ll receive the PGMP care at your site during the study period, while other sites may continue with usual care. This is a pathway-of-care study (not a drug trial) conducted in Alberta, with ongoing enrollment and a target completion in 2025.

Gender

ALL

Eligibility criteria

• Inclusion Criteria:
• • Undergoing a surgical procedure, adults (older than 18 years of age), admitted to the hospital for more than 24 hours after their surgical procedure.
• Exclusion Criteria:
• • Under 18 years of age