Study of a New Care Pathway Using Enhanced Rehabilitation and Home Monitoring to Reduce Unplanned Hospital Visits After Emergency Digestive Surgery

What this Trial Is About

Researchers are evaluating a new care pathway called RAUC designed for adults who visit the emergency room with digestive problems requiring surgery. This study focuses on patients treated without a pre-established optimization program and aims to reduce unplanned hospital readmissions within 30 days after emergency digestive surgery. The study highlights the complexity of emergency digestive surgeries involving elderly patients and those with other health issues, addressing a gap in personalized care and research in this area. The study compares patients following the RAUC pathway, which includes Enhanced Recovery After Surgery ERAS and various e-health tools for home monitoring, with those receiving standard care. The RAUC pathway incorporates several technologies a teleexpertise solution ROFIM connecting hospital and extra-hospital practitioners, a virtual reality headset DEEPSEN to reduce anxiety, a patch RDS for continuous home monitoring of physiological parameters, a digital home management solution Get ready, home CRP testing Lumiradx, and digital recording of surgery times Digital Surgery. Patients are divided into groups receiving either this experimental care or standard care, with additional comparison to patients identified from health records. Participants will be monitored at several points, including at surgery and up to 30 days afterward, measuring outcomes such as unscheduled hospital readmissions, complication severity Clavien-Dindo score, hospitalization duration, quality of life, anxiety levels, emergency transitions without hospitalization, and cost-effectiveness. The study uses these assessments to evaluate the impact of the RAUC pathway and its tools on patient recovery and healthcare use. Follow-up and data collection continue until at least 30 days post-surgery to assess safety and effectiveness.

Effectiveness of the RAUC Pathway in Reducing Unscheduled Hospitalizations After Emergency Digestive Surgery