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

Overview

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 Contact

Rochester, Minn.

Mayo Clinic principal investigator

Janani Reisenauer, M.D.

Open for enrollment

Contact information:

Bettie Lechtenberg M.B.A.

(507) 266-4819

Lechtenberg.Bettie@mayo.edu

More information

Publications

Publications are currently not available

Study Results Summary

Not yet available

Supplemental Study Information

Not yet available

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CLS-20513439

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