Post-Surgical Based Efforts to Reduce Preventable Readmissions and Optimize Length of Stay
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- Mayo Clinic
- 入组人数
- 300
- 试验地点
- 1
- 主要终点
- Length of Stay
研究概览
简要总结
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.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Prevention
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •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.
排除标准
- •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
- •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).
研究组 & 干预措施
Current Care Group
The current care group will receive the standard of care currently in place within the subspecialty practices in the Department of Surgery, Mayo Clinic Rochester. This includes postoperative inpatient care directed by the surgical team, including timing of discharge and follow-up.
Remote Care Group
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.
干预措施: Remote Monitoring (Device)
结局指标
主要结局
Length of Stay
时间窗: Until hospital discharge, typically 3 to 7 days
Track the length of hospital stay in each group and compare.
次要结局
- 30-day readmission rates(30 day)
研究者
Janani S. Reisenauer
Assistant Professor of Surgery, College of Medicine
Mayo Clinic