Post-Surgical Based Efforts to Reduce Preventable Readmissions and Optimize Length of Stay

Not Applicable

Completed

• Conditions: Surgery
• Interventions: Device: Remote Monitoring

• Registration Number: NCT04881708
• Lead Sponsor: Mayo Clinic

Brief Summary

The investigators believe that hospital readmissions for intermediate- to high-complexity surgeries can be reduced by remote patient monitoring follow-up post-discharge, which involves daily touchpoints with a clinical nurse, vital sign evaluation and a symptom directed communication escalation process.

Detailed Description

Not available

Study Timeline

• Study Start: 2021-04-19
• Study First Submitted: 2021-05-06
• Study First Submitted QC: 2021-05-10
• Study First Posted: 2021-05-11
• Primary Completion: 2022-01-17
• Study Completion: 2022-01-18
• Status Verified: 2022-07
• Last Update Submitted: 2022-07-07
• Last Update Posted: 2022-07-08

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 300

Inclusion Criteria

• Adults (over 18 years of age)
• Undergoing one of the following inpatient elective surgery procedures: abdominal wall reconstruction, bariatrics, hepatectomy, pancreatectomy, aortic surgery, lower extremity bypass, esophagectomy and colectomy at Mayo Clinic Rochester.
• Must be willing to actively work with RPM nurses with vital sign capturing.

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Exclusion Criteria

• Have uncontrolled mental illness and/or drug or alcohol abuse
• Reside in a long-term care facility
• Are being actively followed by dialysis or transplant services
• Pregnant
• Are being actively treated for cancer, receiving chemo or radiation therapy during the remote monitoring
• Are identified as end-of-life by provider
• Have dementia, cognitive impairment, or physical condition that limits ability to use home remote monitoring equipment independently or interact with remote patient monitoring staff (unless a caregiver commits to assisting daily).

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Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Remote Care Group	Remote Monitoring	Patients randomized to the remote monitoring arm will engage in a Connected Care Remote Patient Monitoring (RPM) Complex Care program. RPM Complex Care programs utilize established and standardized equipment, logistics/reverse logistic, engagement methods, and nursing clinical practice. Use of RPM Complex Care programs in this manner, is considered standard practice. Patients will be monitored for 30 days by the Connected Care nursing team as is standard for surgical RPM Complex Care programs.

Primary Outcome Measures

Name	Time	Method
Length of Stay	Until hospital discharge, typically 3 to 7 days	Track the length of hospital stay in each group and compare.

Secondary Outcome Measures

Name	Time	Method
30-day readmission rates	30 day	Evaluate the number of patients that are readmitted to the hospital in each group and compare.

Trial Locations

Locations (1)

Mayo Clinic in Rochester; 🇺🇸 Rochester, Minnesota, United States