Post-Surgical Based Efforts to Reduce Preventable Readmissions and Optimize Length of Stay

Surgery Clinical Trial

— RPM  

Official title:

Post-Surgical Based Efforts to Reduce Preventable Readmissions and Optimize Length of Stay

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT04881708
• Other study ID #: 21-000817
• Status: Completed
• Phase: N/A
• Start date: April 19, 2021
• Est. completion date: January 18, 2022

Study information

• Verified date: July 2022
• Source: Mayo Clinic
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

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.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 300
• Est. completion date: January 18, 2022
• Est. primary completion date: January 17, 2022
• Accepts healthy volunteers: No
• Gender: All
• Age group: 18 Years and older

Eligibility

Inclusion Criteria:

• 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.

Exclusion Criteria:

• 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

• Pregnant

• 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).

Related Conditions & MeSH terms

• Surgery

Intervention

Device:
• Remote Monitoring
Subjects assigned to the Remote Care group will receive education from a clinical nurse from Mayo Clinic's Department of Connected Care on use of the equipment as part of Remote Monitoring. The equipment will be shipped along with instructions and Welcome Letter describing the Mayo Clinic Remote Patient Monitoring program. The Remote Patient Monitoring kit includes a digital tablet, a blood pressure cuff, a thermometer, a pulse oximeter, and a weight scale. Subjects will be contacted by phone at the end of the study to be instructed how to return the kit by mail.

Locations

Country	Name	City	State
United States	Mayo Clinic in Rochester	Rochester	Minnesota

Sponsors (1)

Lead Sponsor	Collaborator
Mayo Clinic

Country where clinical trial is conducted

United States, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Length of Stay	Track the length of hospital stay in each group and compare.	Until hospital discharge, typically 3 to 7 days
Secondary	30-day readmission rates	Evaluate the number of patients that are readmitted to the hospital in each group and compare.	30 day

External Links

•   Mayo Clinic Clinical Trials