Effectiveness of the RAUC Pathway in Reducing Unscheduled Hospitalizations After Emergency Digestive Surgery

Not Applicable

Recruiting

• Conditions: Digestive Emergency; New Pathway; Connected Health

• Registration Number: NCT06769438
• Lead Sponsor: Centre Hospitalier Universitaire, Amiens

Brief Summary

The number of emergencies's visits (22 million visits in 2019 in France), the organization of emergencies and the sustainability of the current health system are threatened. In the CHUAP adult emergency department, 60,000 visits were recorded in 2022.

Unlike medical emergencies which have structured their care and research activities (heart, brain), and whose organization has demonstrated its general interest for society, digestive surgical emergencies, which involve complex patients (elderly people, comorbidities) , emergency situations and surgical procedures, have never been thought of globally in terms of personalized care and research pathways. Currently, patients treated in emergency are managed without a pre-established optimization program and without a dedicated pathway, where emergency constitutes a major risk factor for postoperative complications.

RAUCAMIENS evaluates a new care pathway implemented within the framework of the RHU RAUC : the implementation of the Enhanced rehabilitation after surgery (ERAS) and e-health devices for home monitoring, for patients treated in the emergency room for a digestive pathology. The purpose is to evaluate the effectiveness of the RAUC pathway in reducing the rate of unplanned hospitalization readmission after emergency digestive surgery 30 days postoperative.

Detailed Description

Not available

Study Timeline

• Study First Submitted: 2025-01-07
• Study First Submitted QC: 2025-01-07
• Study First Posted: 2025-01-10
• Status Verified: 2025-06
• Study Start: 2025-06-02
• Last Update Submitted: 2025-06-11
• Last Update Posted: 2025-06-13
• Primary Completion: 2026-11
• Study Completion: 2027-08

Recruitment & Eligibility

• Status: RECRUITING
• Sex: All
• Target Recruitment: 3000

Inclusion Criteria

• Criterion linked to the protocol :

  -- Patient consulted in emergency for a digestive pathology requiring surgery

• Search criteria:

  • Adult patient (≥ 18 years old),
  • Able to give consent,
  • Affiliation to a social security scheme

Exclusion Criteria

• Criterion linked to the protocol:

  • Patient leaving hospitalization to a convalescent center
  • Patient requiring direct operating room (vital emergency or surgical revision)
  • Patient presenting to the emergency room for a postoperative complication
  • Patient directly admitted to intensive care

• Search criteria:

  • Pregnant or breastfeeding woman
  • Patient under guardianship, curatorship or deprived of liberty

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Primary Outcome Measures

Name	Time	Method
Occurrence of an unscheduled hospitalization readmission	30 days	Occurrence of an unscheduled hospitalization readmission following digestive surgery performed urgently within 30 days

Secondary Outcome Measures

Name	Time	Method
incremental cost-utility ratio	30 days	incremental cost-utility ratio
Clavien-Dindo score	30 days
Duration of hospitalization linked to the first admission to perform emergency digestive surgery	30 days	Duration of hospitalization linked to the first admission to perform emergency digestive surgery
Quality of life score	0 day	Quality of life assessed by the scores of the different dimensions of the EQ-5D-5L which is a PROMS, at admission
Quality of Life score	30 days	Quality of life assessed by the scores of the different dimensions of the EQ-5D-5L which is a PROMS
STAI-Y scale	0 day	Anxiety assessed by the STAI-Y scale
Transition to emergency without hospitalization	30 days	Transition to emergency without hospitalization
incremental cost-effectiveness ratio	30 days	incremental cost-effectiveness ratio (cost per readmission avoided)

Trial Locations

Locations (2)

CHU Rouen; 🇫🇷 Rouen, France

Centre Hospitalier Universitaire, Amiens; 🇫🇷 Salouel, France