Home Hospital for Bariatric Sleeve Gastrectomy

Brigham and Women's Hospital28 enrolled

Overview

Providing acute care at home for medicine patients is a well-studied care model. Providing acute care at home immediately following major surgery is less well understood. The investigators seek to demonstrate the noninferiority of care at home versus the hospital for patients undergoing bariatric sleeve gastrectomy.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

NONE

Enrollment

Conditions

Bariatric Surgery Candidate Bariatric Sleeve Gastrectomy Home Hospital

Interventions

Home hospitalOTHER

Acute care provided at home, including nurse/paramedic visits, physician visits, laboratory testing, imaging, continuous monitoring, 24/7 urgent visits, and specialty consultation.

Eligibility

Sex: ALLMin age: 21 YearsMax age: 55 Years

Medical Language ↔ Plain English

Inclusion Criteria: * All existing home hospital criteria apply, with the following taking precedent for this specific condition * 21-55 years old * Indication for bariatric laparoscopic sleeve gastrectomy per surgeon * Caregiver capable of communicating with the home hospital team and able to stay in the same home as the patient the first night the patient is home Exclusion Criteria: * All existing home hospital criteria apply, with the following taking precedent for this specific condition * Comorbidities * Body mass index\>55 * Chronic kidney disease * Heart failure * History of * Chronic pain (with or without opioid use) * Substance use disorder * Venous thromboembolism * Stroke * Chronic headache * Medications * Anticoagulants and anti-platelets: aspirin, clopidogrel, warfarin, and direct oral anticoagulants * Beta blockade * Immunosuppressive * Supplemental oxygen * Allergy to ketorolac * Prolonged QTc

Locations (2)

Brigham and Women's Faulkner Hospital

Boston, Massachusetts, United States

Brigham and Women's Hospital

Boston, Massachusetts, United States

Outcomes

Primary Outcomes

Length of Stay

Days spent hospitalized

Time frame: From day of admission to day of discharge, assessed up to 10 months

Secondary Outcomes

Motion

Percent of the day lying down

Time frame: From day of admission to day of discharge, assessed up to 10 months

Cost, direct

Presented as a percentage

Time frame: From day of admission to day of discharge, assessed up to 10 months

Opioid use

Morphine milligram equivalents used

Time frame: From day of admission to day of discharge, assessed up to 10 months

Data from ClinicalTrials.gov

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