Post-Surgical Based Efforts to Reduce Preventable Readmissions and Optimize Length of Stay
Not Applicable
Completed
- Conditions
- Surgery
- 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
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.
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).
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- 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.
Related Research Topics
Explore scientific publications, clinical data analysis, treatment approaches, and expert-compiled information related to the mechanisms and outcomes of this trial. Click any topic for comprehensive research insights.
What are the physiological mechanisms by which remote monitoring with daily nurse touchpoints reduces post-surgical readmissions?
How does post-discharge remote monitoring compare to standard in-person follow-up in reducing 30-day readmissions after intermediate- to high-complexity surgeries?
Which biomarkers or patient risk factors correlate with successful outcomes from post-discharge remote monitoring in surgical patients?
What adverse events are commonly identified through remote monitoring post-surgery and how are they managed in NCT04881708?
What alternative remote monitoring technologies or interventions are being evaluated for post-surgical care optimization in high-complexity cases?
Trial Locations
- Locations (1)
Mayo Clinic in Rochester
🇺🇸Rochester, Minnesota, United States
Mayo Clinic in Rochester🇺🇸Rochester, Minnesota, United States