Post Discharge After Surgery Virtual Care with Remote Automated Monitoring Technology-3 (PVC-RAM-3) Trial
试验速览
- 阶段
- 不适用
- 状态
- 进行中（未招募）
- 入组人数
- 2,500
- 试验地点
- 2
- 主要终点
- Index hospital length of stay
研究概览
简要总结
The Post discharge after surgery Virtual Care with Remote Automated Monitoring technology (PVC-RAM)-3 Trial is a multicentre, parallel group, superiority, randomized controlled trial to determine the effect of virtual care with remote automated monitoring (RAM) technology compared to standard care on length of index hospital stay and use of acute hospital care (composite of hospital readmission and emergency department visit) after randomization, in adults who have undergone elective non cardiac surgery. Secondary outcomes at 30 days after randomization include: 1) hospital re-admission; 2) emergency department visit; 3) medication error detection;4) medication error correction; 5) surgical site infection; and 6) days in hospital. Additional secondary outcomes are pain of any severity, and moderate-to-severe pain assessed at 15 and 30 days after randomization. The investigators will also assess optimal management of long-term health by evaluating among patients with atherosclerotic disease and current smokers whether patients are taking classes of efficacious medications at 30 days.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Other
- 盲法
- Single (Outcomes Assessor)
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
- •are ≥18 years of age;
- •are undergoing inpatient elective noncardiac surgery with an expected length of hospital stay ≤3 days after surgery; and
- •provide informed consent to participate.
排除标准
- •are unable to communicate with research staff, complete study surveys, or undertake an interview using a tablet computer due to a language barrier or a cognitive, visual, or hearing impairment; or
- •reside in an area without cellular network coverage.
结局指标
主要结局
Index hospital length of stay
时间窗: 30 Days post randomization
Length of stay from randomization until discharge from the index hospitalization (measured in days and hours)
Acute hospital care (composite of hospital readmission and emergency department visit)
时间窗: 30 Days post randomization
Acute-hospital care is a composite outcome of hospital re-admission and emergency department visit, which includes urgent-care centre visit.
次要结局
- Hospital readmission(30 days post randomization)
- Medication error correction(30 days post randomization)
- Emergency department visit (includes urgent care centre visit)(30 days post randomization)
- Medication error detection(30 days post randomization)
- Surgical site infection(30 days post randomization)
- Days in hospital(30 days post randomization)
- Optimization of medications for long-term health(30 days post randomization)
- Level of pain and pain related interference in recovery(15 and 30 days post randomization)