Effectiveness of the RAUC Pathway in Reducing Unscheduled Hospitalizations After Emergency Digestive Surgery (RAUCAMIENS)

Centre Hospitalier Universitaire, Amiens

Status: Enrolling

Conditions: Connected Health; Digestive Emergency; New Pathway

Treatments: Other: Lumiradx; Other: Get ready; Other: ERAS; Other: DEEPSEN; Other: RDS; Other: ROFIM; Other: Digital Surgery

Study type: Interventional

Funder types: Other

Identifiers

NCT06769438

PI2024_843_0094

Details and patient eligibility

About

The number of emergencies's visits (22 million visits in 2019 in France), the organization of emergencies and the sustainability of the current health system are threatened. In the CHUAP adult emergency department, 60,000 visits were recorded in 2022.

Unlike medical emergencies which have structured their care and research activities (heart, brain), and whose organization has demonstrated its general interest for society, digestive surgical emergencies, which involve complex patients (elderly people, comorbidities) , emergency situations and surgical procedures, have never been thought of globally in terms of personalized care and research pathways. Currently, patients treated in emergency are managed without a pre-established optimization program and without a dedicated pathway, where emergency constitutes a major risk factor for postoperative complications.

RAUCAMIENS evaluates a new care pathway implemented within the framework of the RHU RAUC : the implementation of the Enhanced rehabilitation after surgery (ERAS) and e-health devices for home monitoring, for patients treated in the emergency room for a digestive pathology. The purpose is to evaluate the effectiveness of the RAUC pathway in reducing the rate of unplanned hospitalization readmission after emergency digestive surgery 30 days postoperative.

Enrollment: 3,000 estimated patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Criterion linked to the protocol :

  -- Patient consulted in emergency for a digestive pathology requiring surgery

• Search criteria:

  • Adult patient (≥ 18 years old),
  • Able to give consent,
  • Affiliation to a social security scheme

Exclusion criteria

• Criterion linked to the protocol:

  • Patient leaving hospitalization to a convalescent center
  • Patient requiring direct operating room (vital emergency or surgical revision)
  • Patient presenting to the emergency room for a postoperative complication
  • Patient directly admitted to intensive care

• Search criteria:

  • Pregnant or breastfeeding woman
  • Patient under guardianship, curatorship or deprived of liberty

Trial design

Primary purpose: Other

Allocation: Non-Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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3,000 participants in 3 patient groups

Experimental group

Experimental group

Description:

patients included in the CHUAP RAUC + course

Treatment:

Other: Digital Surgery

Other: ROFIM

Other: RDS

Other: DEEPSEN

Other: ERAS

Other: Get ready

Other: Lumiradx

Control group 1

Active Comparator group

Description:

patients from CHU Rouen included over the same period as patients from CHUAP benefiting from standard care (RAUC -)

Treatment:

Other: ERAS

Control group 2

Active Comparator group

Description:

patients verifying the inclusion/non-inclusion criteria and from the SNDS over the period from January 1, 2022 to December 31, 2025

Treatment:

Other: ERAS