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

Overview

Información sobre este estudio

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.

Elegibilidad para la participación

Los requisitos de elegibilidad de los participantes incluyen la edad, el sexo, el tipo y el estadio de la enfermedad, y los problemas de salud o tratamientos previos. Las pautas difieren de un estudio a otro e identifican quiénes pueden o no pueden participar. No hay garantía de que cada persona elegible que desee participar en un ensayo se inscribirá. Comunícate con el equipo del estudio para analizar la elegibilidad del estudio y la posible participación.

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). 

Sedes participantes de Mayo Clinic

Los estatus de los estudios cambian con frecuencia. Comunícate con el equipo del estudio para obtener la información más actualizada acerca de la posibilidad de participar.

Sede de Mayo Clinic Estatus

Rochester, Minn.

Investigador principal de Mayo Clinic

Janani Reisenauer, M.D.

Cerrado para la inscripción

More information

Publicaciones

Publications are currently not available
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CLS-20513439

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