The goal of this feasibility study is to investigate whether a virtual Hospital at Home is safe and possible for patients undergoing planned minimally invasive colorectal surgery. The study aims to answer the following main questions:
What are the patient- and next-of-kin-related effects, as well as the clinical and organizational effects, of home-based admission? What are the implementation barriers for a full-scale randomized controlled trial? Participants will follow a standardized protocol for their care befor, during and after surgery. However, the care after surgery will be conducted at home using telemedicine.
Planned minimally invasive (laparoscopic or robot-assisted) CRS
No epidural analgesia
No new stoma
Bleeding < 500 ml
Patients who cannot comply with self-assessment
Improficiency in Danish
Pregnancy
Conversion to emergency surgery (uncontrolled perforation of bowel, ileus)
Single group
virtual Hospital at Home
Other interventiontelemedicine set-up, virtual Hospital at Home
Number of recruited participants
Recruitment success is defined as 50% of eligible patients
Number of drop-out participants
retention success is defined by less than 10% drop-outs
Number of protocol deviations
Percentage of: Planned daily video supported ward rounds provided adherence (successful adherence is defined by 95%) Planned self-measurements transmitted by patient adherence (successful adherence is defined by 80%)
Patient related endpoints (surgical complications)
Clavien-Dindo classification: * Grade I: Minor complications that do not require specific treatment (e.g., antiemetics, antipyretics). * Grade II: Complications requiring pharmacological treatment (e.g., antibiotics, blood transfusions). * Grade III: Complications requiring surgical, endoscopic, or radiological intervention. * IIIa: Without general anesthesia. * IIIb: With general anesthesia. * Grade IV: Life-threatening complications requiring intensive care. * IVa: Single organ dysfunction. * IVb: Multi-organ dysfunction.
Patient related endpoints (readmittance rate)
Number of readmittances post discharge
Patient related endpoints (Mortality)
Mortality (associated)
Patient related endpoints (Quality of recovery)
Quality of Recovery-15 (QoR-15) is a short, patient-centered questionnaire designed to assess the quality of recovery after surgery. It is a streamlined version of the longer QoR-40 and includes 15 items that cover five key dimensions of recovery: 1. Physical Comfort 2. Emotional State 3. Psychological Support 4. Physical Independence 5. Pain Scoring: Each item is rated on a scale from 0 to 10, with higher scores indicating better recovery. The total score ranges from 0 to 150
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This trial is not recruiting at the moment. You can still explore other options:
