Virtual Care of Acute Diverticulitis

Not Applicable

Completed

• Conditions: Acute diverticulitis; Oral and Gastrointestinal - Other diseases of the mouth, teeth, oesophagus, digestive system including liver and colon; Infection - Studies of infection and infectious agents

• Registration Number: ACTRN12621000692831
• Lead Sponsor: Surgical Outcomes Research Centre, Royal Prince Alfred Hospital

Brief Summary

Not available

Detailed Description

Not available

Study Timeline

• Study Start: 2021-06-07
• Study Completion: 2024-07-11
• Last Update Posted: 5 August 2024

Recruitment & Eligibility

• Status: Completed
• Sex: All
• Target Recruitment: 50

Inclusion Criteria

To be considered for this trial, patients must:
1.be diagnosed with CT-proven acute uncomplicated diverticulitis;
2.have access to a telephone, computer, or smart device with videoconferencing capabilities;
3.reside within the SLHD catchment area during the time of admission to iCAD.

Exclusion Criteria

The following patient scenarios are excluded:
1.generalised peritonitis
2.temperature > 38°C
3.heart rate > 100, or evidence of haemodynamic instability
4.white cell count (WCC) >20, C reactive protein (CRP) >150, or acute renal impairment
5.other signs or symptoms concerning for systemic sepsis
6.pregnancy
7.immunosuppressed
8.cognitive impairment

Study & Design

• Study Type: Interventional
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
Clavien Dindo grade 3 or greater surgical complication[ Daily for 30 days post admission to hospital or virtual healthcare];Feasibility[ Treatment retention, defined as the proportion of patients of each arm who self-decide to cross over to the other arm in the absence of any clinical indication, as well as those who cross-over for clinical indications (specifically, failure of out-of-hospital management requiring inpatient therapy), measured daily for 30 days post admission to hospital or virtual healthcare.]

Secondary Outcome Measures

Name	Time	Method
Hospital readmission rate, as determined by patient medical records review.[ Daily for 30 days post discharge from hospital or virtual healthcare];Patient reported experience measures (measured using a survey which has been designed with reference to the Australian Commission on Safety and Quality in Health Care Patient Reported Experience Measure question set and the NSW Bureau of Health Information outpatient survey)[ Measured once within 30 days after hospital discharge];Patient reported outcome measures (measured using the SF-36v2 survey)[ Measured once within 30 days after hospital discharge]