Bariatric Sleeve Gastrectomy, Bariatric Surgery Candidate, Home Hospital
Conditions
Brief summary
Providing acute care at home for medicine patients is a well-studied care model. Providing acute care at home immediately following major surgery is less well understood. The investigators seek to demonstrate the noninferiority of care at home versus the hospital for patients undergoing bariatric sleeve gastrectomy.
Interventions
OTHERHome hospital
Acute care provided at home, including nurse/paramedic visits, physician visits, laboratory testing, imaging, continuous monitoring, 24/7 urgent visits, and specialty consultation.
Sponsors
Brigham and Women's Hospital
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
21 Years to 55 Years
Healthy volunteers
No
Inclusion criteria
* All existing home hospital criteria apply, with the following taking precedent for this specific condition * 21-55 years old * Indication for bariatric laparoscopic sleeve gastrectomy per surgeon * Caregiver capable of communicating with the home hospital team and able to stay in the same home as the patient the first night the patient is home
Exclusion criteria
* All existing home hospital criteria apply, with the following taking precedent for this specific condition * Comorbidities * Body mass index\>55 * Chronic kidney disease * Heart failure * History of * Chronic pain (with or without opioid use) * Substance use disorder * Venous thromboembolism * Stroke * Chronic headache * Medications * Anticoagulants and anti-platelets: aspirin, clopidogrel, warfarin, and direct oral anticoagulants * Beta blockade * Immunosuppressive * Supplemental oxygen * Allergy to ketorolac * Prolonged QTc
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Length of Stay | From day of admission to day of discharge, assessed up to 10 months | Days spent hospitalized |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Motion | From day of admission to day of discharge, assessed up to 10 months | Percent of the day lying down |
| Cost, direct | From day of admission to day of discharge, assessed up to 10 months | Presented as a percentage |
| Opioid use | From day of admission to day of discharge, assessed up to 10 months | Morphine milligram equivalents used |
Countries
United States
Outcome results
None listed