Post-discharge Monitoring Initiative on Outcomes of Post-surgical Patients
Trial statusNot yet recruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age21+
SponsorSengkang General Hospital
About this trial
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.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Patient is keen for home management
Hemodynamically stable
Able and willing to self-care and monitor / Good social support
Lives in Singapore's Northeast region
Disqualifiers
Unable to self-care / no caregiver
Requires daily review by the surgical team
Suspicion of surgical complications requiring surgical intervention
Requires post-discharge monitoring care for > 2 weeks
Trial design
Design model
Parallel
Treatments tested in this trial
Early post-surgical discharge with post-surgical home based monitoring
Procedure/SurgeryThe 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 discharge
Procedure/SurgeryPatients will receive standard postoperative management in the acute hospital until they are deemed fit for discharge by their primary surgeon
Treatment groups
1,000 Participants
are divided into 2 treatment groupsGroup A: Standard inpatient care until deemed suitable for dischargeActive comparator 1 intervention
Group B: Early post-surgical discharge with post-surgical home based monitoringExperimental treatment 1 intervention
Trial outcomes
Primary outcomes
1
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 programme2
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 care3
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 longer4
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 careLocations
Sponsors and contacts
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Source ClinicalTrials.gov
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