This proposal describes a human subjects research study evaluating mHealth Ambulatory Surgery with Follow-up Nurse (Recovery@Home), as an alternative postoperative care pathway for selected low-acuity surgical procedures in Uganda. The Recovery@Home model discharges eligible patients home on the day of surgery and provides structured postoperative follow-up through nurse telephone calls, home visits, mobile-app documentation, escalation algorithms, and surgeon teleconsultation when clinically indicated. The proposed research includes a design to evaluate Recovery@Home against traditional postoperative inpatient care in a randomized controlled trial across three participating Ugandan surgical facilities.
Age 18 years or older.
Undergoing one of the eligible surgical procedures: inguinal/femoral hernia repair; umbilical/epigastric hernia repair; excision of soft tissue tumors; thyroidectomy; or appendectomy; varicocelectomy, hydrocelectomy.
Able to provide informed consent, with consent read aloud and/or fingerprint signature permitted where approved by local ethics authorities.
Available for inpatient interviews, postoperative clinic visit interviews, and postoperative telephone and/or home follow-up during the 30-day postoperative period.
Clinical determination by the surgeon or anesthesia team that same-day discharge is unsafe or inappropriate.
Inability to provide informed consent or lack of an approved surrogate/alternative consent process if required by the IRB.
Any other exclusion required by the final approved protocol or local regulatory authority.
ASA 3 or higher
Parallel
Recovery@home
Other interventionThe Recovery@Home model discharges eligible patients home on the day of surgery and provides structured postoperative follow-up through nurse telephone calls, home visits, mobile-app documentation, escalation algorithms, and surgeon teleconsultation when clinically indicated.
Occurrence of any postoperative complication within 30 days
Occurrence of any postoperative complication within 30 days-will be treated as a binary variable (1 = complication, 0 = no complication).
Financial cost to the patient
Indirect and direct costs to the patient
Facility cost
facility costs includes building maintenance cost, personnel cost, material/equipment cost
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Icahn School of Medicine at Mount Sinai
Lead sponsor
University of Pittsburgh
Collaborator
Global Surgical Initiatives Kyabirwa Surgical Center
Collaborator
Fogarty International Center of the National Institute of Health
Collaborator
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