Post-Surgical Based Efforts to Reduce Preventable Readmissions and Optimize Length of Stay

The investigators believe that hospital readmissions for intermediate- to high-complexity surgeries can be reduced by remote patient monitoring follow-up post-discharge, which involves daily touchpoints with a clinical nurse, vital sign evaluation and a symptom directed communication escalation process.

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Key information

Conditions

Surgery

Age range

18 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Mayo Clinic in Rochester

Rochester, Minnesota, 55905, United States

Who can participate

Healthy volunteers accepted: No

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

Inclusion criteria

Adults (over 18 years of age)
Undergoing one of the following inpatient elective surgery procedures: abdominal wall reconstruction, bariatrics, hepatectomy, pancreatectomy, aortic surgery, lower extremity bypass, esophagectomy and colectomy at Mayo Clinic Rochester.
Must be willing to actively work with RPM nurses with vital sign capturing.

Exclusion criteria

Have uncontrolled mental illness and/or drug or alcohol abuse
Reside in a long-term care facility
Are being actively followed by dialysis or transplant services
Pregnant
Are being actively treated for cancer, receiving chemo or radiation therapy during the remote monitoring
Are identified as end-of-life by provider
Have dementia, cognitive impairment, or physical condition that limits ability to use home remote monitoring equipment independently or interact with remote patient monitoring staff (unless a caregiver commits to assisting daily).

Treatment and study plan

remote monitoring

Device

Subjects assigned to the Remote Care group will receive education from a clinical nurse from Mayo Clinic's Department of Connected Care on use of the equipment as part of Remote Monitoring. The equipment will be shipped along with instructions and Welcome Letter describing the Mayo Clinic Remote Patient Monitoring program. The Remote Patient Monitoring kit includes a digital tablet, a blood pressure cuff, a thermometer, a pulse oximeter, and a weight scale. Subjects will be contacted by phone at the end of the study to be instructed how to return the kit by mail.

Primary outcomes

Length of Stay

Time frame: Until hospital discharge, typically 3 to 7 days

Track the length of hospital stay in each group and compare.

Secondary outcomes

30-day readmission rates

Time frame: 30 day

Evaluate the number of patients that are readmitted to the hospital in each group and compare.

Sponsors and collaborators

Lead sponsor

Mayo Clinic

Other

Registry information

Acronym: RPM

Important dates

Study start: 2021
Primary completion: 2022
Study completion: 2022
First posted: May 11, 2021
Registry last updated: Jul 8, 2022

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.

Published trials that share one or more normalized conditions with this study.

Completed