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

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

NOT_YET_RECRUITING

Clinical Phase

NA

Total Enrollment

1000 participants

Study Classification

INTERVENTIONAL

Study Start Date

2025-06-01

Study Completion Date

2029-01-31

Brief Summary

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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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Detailed Description

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Conditions

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Laparoscopy Discharge Planning

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Standard inpatient care until deemed suitable for discharge

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

Group Type ACTIVE_COMPARATOR

Standard inpatient care until deemed suitable for discharge

Intervention Type PROCEDURE

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

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

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.

Group Type EXPERIMENTAL

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

Intervention Type 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.

Interventions

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

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.

Intervention Type PROCEDURE

Standard inpatient care until deemed suitable for discharge

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

Intervention Type PROCEDURE

Eligibility Criteria

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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

Minimum Eligible Age

21 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No