*Feasibility and safety of same day discharge using live video consultation and remote monitoring in a selected group of bariatric patients'

Completed

• Conditions: (morbide) obesitas patienten; morbid obesity; severe overweight

• Registration Number: NL-OMON48459
• Lead Sponsor: OLVG

Brief Summary

Not available

Detailed Description

Not available

Study Timeline

• Last Update Posted: 15 April 2024

Recruitment & Eligibility

• Status: Completed
• Sex: Not specified
• Target Recruitment: 50

Inclusion Criteria

In order to be eligible to participate in this study, a subject must meet all of the following criteria:
- Morbidly obese patients (IFSO criteria of morbid obesity) aged between the 18 and 65 years without significant cardiovascular and/or pulmonary diseases, no previous history of abdominal surgery (excluding appendectomy and ceasarean section)
- Laparoscopic gastric bypass (LRYGB)
- Patient masters the spoken Dutch language
- The surgical procedure is the first or second procedure on the bariatric program of the day
- Patient is able to understand and use the wearable and application
- Residing within a radius of 45 minutes from the OLVG hospital
- A informal carer needs to be at home in the days following surgery.

Exclusion Criteria

- Patients diagnosed with uncontrolled diabetes mellitus or use of insulin, obstructive sleep apnea (OSA) with an Apneu Hypopneu Index (AHI) above 15 or use of a CPAP, cardiac disease (history of myocardial infarction, heart rhythm disorder) and coagulation abnormalities or anti-coagulant use.
- Patients with a large abdominal surgeries in the past including abdominal laparotomy.
- Patients undergoing a revisional bariatric surgery, gastric sleeve, other bariatric procedures. ;Secondary exclusion criteria
- There were abnormalities or complications during the surgical procedure
- Vital signs are divergent (tachycardia >100 , temperature above 38 Celsius, hypotension) at the end of the afternoon
- The surgeon, resident or junior resident needs to observe the patient another day because of vomiting, pain, wound problems, doubt.

Study & Design

• Study Type: Interventional
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
<p>The primary outcome is the number of patient (maximum 50 patients) who are<br /><br>discharged successfully on the same day of the total included patients in 6<br /><br>months time. </p><br>

Secondary Outcome Measures

Name	Time	Method
<p>Other outcomes will be complications, ER presentations, readmissions, patient<br /><br>satisfaction and mortality rates. </p><br>