Post-discharge Monitoring Initiative on Outcomes of Post-surgical Patients (SKH@home)

Sengkang General Hospital

Status: Not yet enrolling

Conditions: Laparoscopy; Discharge Planning

Treatments: Procedure: Early post-surgical discharge with post-surgical home based monitoring; Procedure: Standard inpatient care until deemed suitable for discharge

Study type: Interventional

Funder types: Other

Identifiers

NCT06980402

2024-4580

Details and patient eligibility

About

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.

Enrollment: 1,000 estimated patients

Sex: All

Ages: 21+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

1. Patient is keen for home management

2. Hemodynamically stable

3. Able and willing to self-care and monitor / Good social support

4. Lives in Singapore's Northeast region

   EITHER

5. 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

6. 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

1. Unable to self-care / no caregiver
2. Requires daily review by the surgical team
3. Suspicion of surgical complications requiring surgical intervention
4. Requires post-discharge monitoring care for > 2 weeks
5. Unregulated psychiatric disorders
6. Daily flushing of drains required

Trial design

Primary purpose: Treatment

Allocation: Non-Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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1,000 participants in 2 patient groups

Standard inpatient care until deemed suitable for discharge

Active Comparator group

Description:

Post-surgical patients are routinely monitored in the acute hospital setting, until they are deemed suitable for discharge by their primary surgeon.

Treatment:

Procedure: Standard inpatient care until deemed suitable for discharge

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

Experimental group

Description:

The SKH@home program, is a post-discharge monitoring program, which allows stable post-surgical patients (after minimally invasive/ endoscopic/ bariatric surgery) or with stable surgical conditions after interventions (like abdominal or liver abscess management) to be discharged earlier from the acute hospital while providing regular post-discharge monitoring at the patient's own home, either through home visits or patient assessment via telemonitoring.

Treatment:

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