Pragmatic Pilot Study of SKH@Home Post-discharge Monitoring Initiative on Outcomes of Surgical Patients
试验速览
- 阶段
- 不适用
- 状态
- 尚未招募
- 发起方
- 入组人数
- 1,000
- 主要终点
- Bed days saved
研究概览
简要总结
The investigators are conducting a prospective study to evaluate the SKH@Home programme, a post-discharge monitoring initiative for surgical patients. The aim of this study is to conduct a pragmatic, non-randomized pilot study to compare the SKH@Home programme with standard post-surgical care on patient outcomes.
研究设计
- 研究类型
- Interventional
- 分配方式
- Non Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- 21 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Patient is keen for home management
- •Hemodynamically stable
- •Able and willing to self-care and monitor / Good social support
- •Lives in Singapore's Northeast region
- •Diagnosed with intra-abdominal abscess requiring ongoing IV antibiotics as recommended by Infectious Diseases Specialist where necessary OR Diagnosed with liver abscess requiring ongoing IV antibiotics as recommended by Infectious Diseases Specialist where necessary AND Has undergone initial treatment (e.g., drainage if required) and is clinically improving
- •Underwent an uneventful straightforward bariatric surgical procedure, and has been monitored overnight without any immediate postoperative issues OR Underwent uneventful straightforward laparoscopic/ endoscopic/ minimally invasive surgery, and has been monitored for at least 6 hours without any immediate postoperative issues AND has no significant intraprocedural concerns by the operating surgeon
排除标准
- •Unable to self-care / no caregiver
- •Requires daily review by the surgical team
- •Suspicion of surgical complications requiring surgical intervention
- •Requires post-discharge monitoring care for > 2 weeks
- •Unregulated psychiatric disorders
- •Daily flushing of drains required
研究组 & 干预措施
Standard inpatient care until deemed suitable for discharge
Post-surgical patients are routinely monitored in the acute hospital setting, until they are deemed suitable for discharge by their primary surgeon.
干预措施: Standard inpatient care until deemed suitable for discharge (Procedure)
Early post-surgical discharge with post-surgical home based monitoring
The SKH@home program, is a post-discharge monitoring program, which allows stable post-surgical patients (after minimally invasive/ endoscopic/ bariatric surgery) or with stable surgical conditions after interventions (like abdominal or liver abscess management) to be discharged earlier from the acute hospital while providing regular post-discharge monitoring at the patient's own home, either through home visits or patient assessment via telemonitoring.
干预措施: Early post-surgical discharge with post-surgical home based monitoring (Procedure)
结局指标
主要结局
Bed days saved
时间窗: From enrollment to 30 days after patient is discharged from the hospital/ post-discharge monitoring programme
Bed days saved in the acute hospital setting
Return to hospital
时间窗: From enrollment until 30-days after patient is discharged from the hospital/ from post-discharge monitoring care
Unplanned readmission/ return to the hospital within 30-days
Length of stay
时间窗: From enrollment until patient is discharged from the hospital/ from post-discharge monitoring care (up to around 2 weeks), whichever is longer
Combined length of stay. For inpatients, will be time of admission till time of discharge from acute hospital For patients enrolled into post-discharge monitoring programme, will be from time of admission till time of discharge from post-discharge monitoring programme
Hospitalisation bill
时间窗: From enrollment until 30-days after patient is discharged from the hospital/ from post-discharge monitoring care
Total non-subsidised hospitalisation bill size
Postoperative complications
时间窗: From enrollment until 30-days after patient is discharged from the hospital/ from post-discharge monitoring care
30-day postoperative complications, graded by the Clavien-Dindo classification
次要结局
未报告次要终点
研究者
Chue Koy Min
Consultant, Clinical Assistant Professor, Department of General Surgery
Sengkang General Hospital