Post-discharge Monitoring Initiative on Outcomes of Post-surgical Patients

N/ANot Yet RecruitingNCT06980402

Sengkang General Hospital1,000 enrolled

Overview

The investigators are conducting a prospective study to evaluate the SKH@Home programme, a post-discharge monitoring initiative for surgical patients. The aim of this study is to conduct a pragmatic, non-randomized pilot study to compare the SKH@Home programme with standard post-surgical care on patient outcomes.

Study Type

INTERVENTIONAL

Allocation

NON_RANDOMIZED

Purpose

TREATMENT

Masking

NONE

Enrollment

1,000

Conditions

Laparoscopy Discharge Planning

Interventions

Early post-surgical discharge with post-surgical home based monitoringPROCEDURE

The SKH@home program, is a post-discharge monitoring program, which allows stable post-surgical patients to be discharged earlier from hospital while providing regular post-discharge monitoring at the patient's own home, either through home visits and patient assessment, or telemonitoring of patients.

Standard inpatient care until deemed suitable for dischargePROCEDURE

Patients will receive standard postoperative management in the acute hospital until they are deemed fit for discharge by their primary surgeon

Eligibility

Sex: ALLMin age: 21 Years

Medical Language ↔ Plain English

Inclusion Criteria: 1. Patient is keen for home management 2. Hemodynamically stable 3. Able and willing to self-care and monitor / Good social support 4. Lives in Singapore's Northeast region EITHER 5. Diagnosed with intra-abdominal abscess requiring ongoing IV antibiotics as recommended by Infectious Diseases Specialist where necessary OR Diagnosed with liver abscess requiring ongoing IV antibiotics as recommended by Infectious Diseases Specialist where necessary AND Has undergone initial treatment (e.g., drainage if required) and is clinically improving OR 6. Underwent an uneventful straightforward bariatric surgical procedure, and has been monitored overnight without any immediate postoperative issues OR Underwent uneventful straightforward laparoscopic/ endoscopic/ minimally invasive surgery, and has been monitored for at least 6 hours without any immediate postoperative issues AND has no significant intraprocedural concerns by the operating surgeon Exclusion Criteria: 1. Unable to self-care / no caregiver 2. Requires daily review by the surgical team 3. Suspicion of surgical complications requiring surgical intervention 4. Requires post-discharge monitoring care for \> 2 weeks 5. Unregulated psychiatric disorders 6. Daily flushing of drains required

Outcomes

Primary Outcomes

Bed days saved

Bed days saved in the acute hospital setting

Time frame: From enrollment to 30 days after patient is discharged from the hospital/ post-discharge monitoring programme

Return to hospital

Unplanned readmission/ return to the hospital within 30-days

Time frame: From enrollment until 30-days after patient is discharged from the hospital/ from post-discharge monitoring care

Length of stay

Combined length of stay. For inpatients, will be time of admission till time of discharge from acute hospital For patients enrolled into post-discharge monitoring programme, will be from time of admission till time of discharge from post-discharge monitoring programme

Time frame: From enrollment until patient is discharged from the hospital/ from post-discharge monitoring care (up to around 2 weeks), whichever is longer

Hospitalisation bill

Total non-subsidised hospitalisation bill size

Time frame: From enrollment until 30-days after patient is discharged from the hospital/ from post-discharge monitoring care

Postoperative complications

30-day postoperative complications, graded by the Clavien-Dindo classification

Time frame: From enrollment until 30-days after patient is discharged from the hospital/ from post-discharge monitoring care

Central Contacts

Chui Kwan Mok

CONTACT

+65 69302747 mok.chui.kwan@skh.com.sg

Data from ClinicalTrials.gov

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