[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"health-study-detail:100653066":3},{"organization":4,"outcomesModule":7,"designInfo":45,"detailedDescription":47,"studyPopulation":48,"armGroups":49,"interventions":44,"overallOfficials":44,"centralContacts":56,"locations":62,"responsibleParty":80,"collaborators":44,"id":84,"slug":85,"hasResults":86,"nctId":87,"briefTitle":88,"officialTitle":89,"acronym":90,"eligibilityCriteria":91,"healthyVolunteers":86,"sex":92,"minAge":93,"maxAge":94,"enrollmentInfo":95,"targetDuration":44,"studyType":98,"phases":44,"briefSummary":99,"conditions":100,"keywords":103,"overallStatus":65,"whyStopped":44,"lastUpdateSubmitDate":114,"lastUpdatePostDateStruct":115,"startDateStruct":118,"completionDateStruct":120,"leadSponsor":122,"locationsCount":123},{"fullName":5,"class":6},"Corporacion Parc Tauli","OTHER",{"primaryOutcomes":8,"secondaryOutcomes":13,"otherOutcomes":44},[9],{"measure":10,"description":11,"timeFrame":12},"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.","Within 90 days after bariatric surgery",[14,18,22,26,29,32,36,40],{"measure":15,"description":16,"timeFrame":17},"Length of Hospital Stay","Length of conventional inpatient hospital stay following bariatric surgery, measured in days.","From surgery until hospital discharge (approximately 24-48 hours).",{"measure":19,"description":20,"timeFrame":21},"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.","During the Hospital-at-Home follow-up period (postoperative day 2).",{"measure":23,"description":24,"timeFrame":25},"Emergency Department Visits","Number of postoperative emergency department visits occurring during the follow-up period, regardless of the reason for consultation.","Within 90 days after bariatric surgery.",{"measure":27,"description":28,"timeFrame":25},"Hospital Readmissions","Number of hospital readmissions occurring during the postoperative follow-up period.",{"measure":30,"description":31,"timeFrame":25},"Postoperative Complications","Incidence and severity of postoperative complications, including complications classified according to the Clavien-Dindo classification, reinterventions, and postoperative mortality.",{"measure":33,"description":34,"timeFrame":35},"Hospital Bed-Days Saved","Number of conventional hospital bed-days saved by implementing the early discharge pathway with Hospital-at-Home compared with the conventional postoperative care pathway.","Perioperative (from surgery until hospital discharge, up to 48 hours)",{"measure":37,"description":38,"timeFrame":39},"Applicability of the Early Discharge Pathway","Proportion of patients eligible for and successfully managed with the early discharge pathway including Hospital-at-Home care, as well as the reasons for non-inclusion when applicable.","Perioperative (from surgery until discharge allocation, up to 48 hours)",{"measure":41,"description":42,"timeFrame":43},"Patient Satisfaction","Patient satisfaction assessed using a structured questionnaire evaluating the information received, hospital stay, Hospital-at-Home care, anxiety related to home recovery, overall satisfaction, willingness to repeat the care pathway, and willingness to recommend it to other patients.","At completion of postoperative follow-up (within 90 days after bariatric surgery).",null,{"allocation":44,"interventionModel":44,"interventionModelDescription":44,"primaryPurpose":44,"observationalModel":46,"timePerspective":6,"maskingInfo":44},"COHORT","The implementation of Enhanced Recovery After Surgery (ERAS) protocols, minimally invasive surgical techniques, and optimized multimodal perioperative management has significantly improved postoperative recovery after bariatric surgery, allowing earlier hospital discharge without compromising patient safety.\n\nAt Hospital Universitari Parc Taulí, an early discharge pathway combining 24 hours of postoperative hospital stay with structured Hospital-at-Home (HaH) care during the second postoperative day was implemented as part of routine clinical practice in February 2025. This model was developed to optimize healthcare resource utilization while maintaining the same overall duration of postoperative medical supervision as the conventional pathway.\n\nThis study is an ambispective comparative observational cohort study designed to evaluate the economic impact of this postoperative care pathway under real-world clinical conditions. Patients managed with the conventional 48-hour hospital stay before implementation of the protocol will be compared with patients managed using the early discharge plus Hospital-at-Home pathway after implementation.\n\nThe study will evaluate direct healthcare costs, healthcare resource utilization, clinical safety, organizational efficiency, applicability of the early discharge pathway, and patient satisfaction. The results are expected to provide evidence regarding the economic and organizational impact of Hospital-at-Home as an alternative postoperative care model following bariatric surgery within a public healthcare system.","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.",[50,53],{"label":51,"type":44,"description":52,"interventionNames":44},"Conventional Hospital Stay","Patients who underwent elective bariatric surgery before implementation of the early discharge pathway and received conventional postoperative care with approximately 48 hours of inpatient hospital stay.",{"label":54,"type":44,"description":55,"interventionNames":44},"Early Discharge With Hospital-at-Home","Patients who underwent elective bariatric surgery after implementation of the early discharge pathway and received 24 hours of inpatient hospital stay followed by structured Hospital-at-Home care during the second postoperative day.",[57],{"name":58,"role":59,"phone":60,"phoneExt":44,"email":61},"Noelia Pérez Romero, MD, PhD","CONTACT","696848757","35667npr@gmail.com",[63],{"facility":64,"status":65,"city":66,"state":67,"zip":68,"country":69,"countryCode":70,"cosmosGeoPoint":71,"geoPoint":76,"contacts":77},"Hospital Universitari Parc Taulí","RECRUITING","Sabadell","Barcelona","08758","Spain","ES",{"type":72,"coordinates":73},"Point",[74,75],2.10942,41.54329,{"lat":75,"lon":74},[78],{"name":58,"role":59,"phone":79,"phoneExt":44,"email":61},"+34 696848757",{"type":81,"investigatorFullName":82,"investigatorTitle":83,"investigatorAffiliation":5,"oldNameTitle":44,"oldOrganization":44},"PRINCIPAL_INVESTIGATOR","Noelia Pérez Romero","MD, PhD","100653066","early-discharge-with-hospital-at-home-after-bariatric-surgery-and-economic-evaluation-100653066",false,"NCT07782281","Early Discharge With Hospital-at-Home After Bariatric Surgery and Economic Evaluation.","Economic Evaluation of an Early Discharge Pathway With Hospital-at-Home After Bariatric Surgery in Patients Undergoing Bariatric Surgery: A Comparative Observational Cohort Study","BEHOME","Inclusion Criteria:\n\n* Age 18 years or older.\n* Patients undergoing elective bariatric surgery.\n* Bariatric surgery performed during the predefined study periods for either cohort.\n* Availability of sufficient clinical and economic data for study analysis.\n\nExclusion Criteria:\n\n* Emergency surgery.\n* Intraoperative complications requiring postoperative management outside the standard care pathway.\n* Unplanned admission to an intensive care unit.\n* Incomplete clinical or economic data preventing study analysis.","ALL","18 Years","65 Years",{"count":96,"type":97},300,"ESTIMATED","OBSERVATIONAL","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.\n\nThis 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.\n\nThe 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.",[101,102],"Severe Obesity","Morbid Obesity Requiring Bariatric Surgery",[104,105,106,107,108,109,110,111,112,113],"bariatric surgery","early discharge","hospiral-at-home","enhanced recovery after surgery","ERAS","healthcare costs","health resource utilization","economic evaluation","postoperative care","severe obesity","2026-08-20",{"date":116,"type":117},"2026-08-24","ACTUAL",{"date":119,"type":117},"2025-02-15",{"date":121,"type":97},"2028-01",{"name":5,"class":6},1]