Post-Surgical Based Efforts to Reduce Preventable Readmissions and Optimize Length of Stay
Overview
Tab Title Description
Study type
ObservationalDescribes the nature of a clinical study. Types include:
- Observational study — observes people and measures outcomes without affecting results.
- Interventional study (clinical trial) — studies new tests, treatments, drugs, surgical procedures or devices.
- Medical records research — uses historical information collected from medical records of large groups of people to study how diseases progress and which treatments and surgeries work best.
Study IDs
Site IRB
- Rochester, Minnesota: 21-000817
NCT ID: NCT04881708
About this study
The investigators believe that the lessons learned from studies regarding 30-day and 90-day readmission are primarily due to failure of early symptom recognition, and medical error. Through the aid of remote monitoring and early symptom detection, the hypothesis for the current proposal is that interventions can be recommended in an earlier, remote fashion that may result in earlier post-surgical discharge, prevent decompensation, and prevent increased readmissions that have been associated with decreased LOS in other surgical populations.
Participation eligibility
Participant eligibility includes age, gender, type and stage of disease, and previous treatments or health concerns. Guidelines differ from study to study, and identify who can or cannot participate. There is no guarantee that every individual who qualifies and wants to participate in a trial will be enrolled. Contact the study team to discuss study eligibility and potential participation.
Inclusion Criteria:
- Adults ≥ 18 years of age.
- Willing and able to provide informed consent.
- Candidates for one of the following inpatient elective surgery procedures:
- abdominal wall reconstruction;
- mastectomy with and without reconstruction;
- bariatric procedures;
- pancreatectomy;
- hepatectomy;
- aortic surgery;
- lower extremity bypass;
- esophagectomy;
- colectomy.
- Further, patients must be willing to actively work with RPM nurses with vital sign capturing.
- Patients will require a Mayo Clinic primary care physician involved in managing issues that would prevent readmission but not necessarily related to their surgical episode.
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.
- Are pregnant.
- Are being actively treated for cancer.
- 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).
Participating Mayo Clinic locations
Study statuses change often. Please contact the study team for the most up-to-date information regarding possible participation.
Mayo Clinic Location |
Status |
|
Rochester, Minn.
Mayo Clinic principal investigator Janani Reisenauer, M.D. |
Closed for enrollment |
|
More information
Publications
Publications are currently not available