Surgery
Conditions
Brief summary
The investigators believe that hospital readmissions for intermediate- to high-complexity surgeries can be reduced by remote patient monitoring follow-up post-discharge, which involves daily touchpoints with a clinical nurse, vital sign evaluation and a symptom directed communication escalation process.
Interventions
DEVICERemote Monitoring
Subjects assigned to the Remote Care group will receive education from a clinical nurse from Mayo Clinic's Department of Connected Care on use of the equipment as part of Remote Monitoring. The equipment will be shipped along with instructions and Welcome Letter describing the Mayo Clinic Remote Patient Monitoring program. The Remote Patient Monitoring kit includes a digital tablet, a blood pressure cuff, a thermometer, a pulse oximeter, and a weight scale. Subjects will be contacted by phone at the end of the study to be instructed how to return the kit by mail.
Sponsors
Mayo Clinic
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Adults (over 18 years of age) * Undergoing one of the following inpatient elective surgery procedures: abdominal wall reconstruction, bariatrics, hepatectomy, pancreatectomy, aortic surgery, lower extremity bypass, esophagectomy and colectomy at Mayo Clinic Rochester. * Must be willing to actively work with RPM nurses with vital sign capturing.
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 * Pregnant * Are being actively treated for cancer, receiving chemo or radiation therapy during the remote monitoring * 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).
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Length of Stay | Until hospital discharge, typically 3 to 7 days | Track the length of hospital stay in each group and compare. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| 30-day readmission rates | 30 day | Evaluate the number of patients that are readmitted to the hospital in each group and compare. |
Countries
United States
Outcome results
None listed