Early Discharge With Hospital-at-Home After Bariatric Surgery and Economic Evaluation.
Trial statusRecruiting
Trial phaseNot listed
Trial typeObservational
Biological sexAll
Age18-65
SponsorCorporacion Parc Tauli
About this trial
Bariatric surgery is the most effective treatment for severe obesity and its associated diseases. Advances in surgical techniques, enhanced recovery protocols, and multimodal perioperative care have made earlier hospital discharge possible while maintaining patient safety.
This observational cohort study aims to evaluate the economic impact of an early discharge pathway consisting of 24 hours of hospital stay followed by Hospital-at-Home care, compared with the conventional 48-hour hospital stay after bariatric surgery.
The study will compare healthcare costs, resource utilization, clinical safety, organizational efficiency, applicability of the early discharge pathway, and patient satisfaction between both postoperative care models under routine clinical practice.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Age 18 years or older.
Patients undergoing elective bariatric surgery.
Bariatric surgery performed during the predefined study periods for either cohort.
Availability of sufficient clinical and economic data for study analysis.
Disqualifiers
Emergency surgery.
Intraoperative complications requiring postoperative management outside the standard care pathway.
Unplanned admission to an intensive care unit.
Incomplete clinical or economic data preventing study analysis.
Trial population
The study population consists of adult patients with severe obesity undergoing elective bariatric surgery at Hospital Universitari Parc Taulí. The study includes two consecutive cohorts: patients treated before implementation of the early discharge pathway with conventional postoperative hospitalization, and patients treated after implementation of the early discharge pathway with Hospital-at-Home care as part of routine clinical practice.
Trial design
Design model
Cohort
Time perspective
Other
Treatments tested in this trial
Not listed
Trial groups
300 Participants
are grouped into 2 trial groupsGroup A: Conventional Hospital Stay
Group B: Early Discharge With Hospital-at-Home
Trial outcomes
Primary outcomes
1
Mean Direct Healthcare Cost per Patient
Mean direct healthcare cost per patient, including hospital stay, Hospital-at-Home care, emergency department visits, hospital readmissions, and additional healthcare resources used during the postoperative follow-up period.
Time frame
Within 90 days after bariatric surgerySecondary outcomes
1
Length of Hospital Stay
Length of conventional inpatient hospital stay following bariatric surgery, measured in days.
Time frame
From surgery until hospital discharge (approximately 24-48 hours).2
Hospital-at-Home Utilization
Utilization of the Hospital-at-Home program, assessed by the number of home care days and home visits provided after hospital discharge.
Time frame
During the Hospital-at-Home follow-up period (postoperative day 2).3
Emergency Department Visits
Number of postoperative emergency department visits occurring during the follow-up period, regardless of the reason for consultation.
Time frame
Within 90 days after bariatric surgery.4
Hospital Readmissions
Number of hospital readmissions occurring during the postoperative follow-up period.
Time frame
Within 90 days after bariatric surgery.Sponsors and contacts
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Source ClinicalTrials.gov