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NCT Number: NCT06980402

Post-discharge Monitoring Initiative on Outcomes of Post-surgical Patients

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.

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Key information

Conditions

Laparoscopy Abdominal Abscess Abscess Digestive System Diseases Discharge Planning Infections Liver Abscess Liver Diseases Suppuration

Age range

21 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • 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

EITHER

  • Diagnosed with intra-abdominal abscess requiring ongoing IV antibiotics as recommended by Infectious Diseases Specialist where necessary OR Diagnosed with liver abscess requiring ongoing IV antibiotics as recommended by Infectious Diseases Specialist where necessary AND Has undergone initial treatment (e.g., drainage if required) and is clinically improving

OR

  • Underwent an uneventful straightforward bariatric surgical procedure, and has been monitored overnight without any immediate postoperative issues OR Underwent uneventful straightforward laparoscopic/ endoscopic/ minimally invasive surgery, and has been monitored for at least 6 hours without any immediate postoperative issues AND has no significant intraprocedural concerns by the operating surgeon

Exclusion criteria

  • 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
  • Unregulated psychiatric disorders
  • Daily flushing of drains required

Treatment and study plan

Early post-surgical discharge with post-surgical home based monitoring

Procedure

The 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

Patients will receive standard postoperative management in the acute hospital until they are deemed fit for discharge by their primary surgeon

Primary outcomes

  1. Bed days saved

    Time frame: From enrollment to 30 days after patient is discharged from the hospital/ post-discharge monitoring programme

    Bed days saved in the acute hospital setting

  2. Return to hospital

    Time frame: From enrollment until 30-days after patient is discharged from the hospital/ from post-discharge monitoring care

    Unplanned readmission/ return to the hospital within 30-days

  3. Length of stay

    Time frame: From enrollment until patient is discharged from the hospital/ from post-discharge monitoring care (up to around 2 weeks), whichever is longer

    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

  4. Hospitalisation bill

    Time frame: From enrollment until 30-days after patient is discharged from the hospital/ from post-discharge monitoring care

    Total non-subsidised hospitalisation bill size

  5. Postoperative complications

    Time frame: From enrollment until 30-days after patient is discharged from the hospital/ from post-discharge monitoring care

    30-day postoperative complications, graded by the Clavien-Dindo classification

Study contacts

Contact information is provided by the study sponsor or research team.

Chui Kwan Mok

CONTACT

[email protected]

+65 69302747

Sponsors and collaborators

Lead sponsor

Sengkang General Hospital

Other

Registry information

Official study title

Pragmatic Pilot Study of SKH@Home Post-discharge Monitoring Initiative on Outcomes of Surgical Patients

Acronym: SKH@home

Important dates

Study start
2025
Primary completion
2028
Study completion
2029
First posted
May 20, 2025
Registry last updated
May 20, 2025

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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