Clinical trial · Interventional
Post Operative Hospital at Home After Colorectal Surgery
Early Post-operative Discharge of Colorectal Surgical Patients to a Virtual Hospital at Home Model (Post Operative Hospital at Home) - a Clinical Feasibility Study
- Source
- ClinicalTrials.gov
- Retrieved
- Sep 8, 2026
- Layer
- normalized (units and labels harmonized; values unchanged)
- Run
- ING-CLINICALTRIALS-20260908-000001
Summary
Brief summary (as posted)
The goal of this feasibility study is to investigate whether a virtual Hospital at Home is safe and possible for patients undergoing planned minimally invasive colorectal surgery. The study aims to answer the following main questions: What are the patient- and next-of-kin-related effects, as well as the clinical and organizational effects, of home-based admission? What are the implementation barriers for a full-scale randomized controlled trial? Participants will follow a standardized protocol for their care befor, during and after surgery. However, the care after surgery will be conducted at home using telemedicine.
Conditions
Conditions (9)
Free-text conditions as registered, with the CancerIndex entity they were reconciled to and the match type.
| Condition (as posted) | Mapped entity | Match | Confidence |
|---|---|---|---|
| Colocolic and Ileocolic Anastomosis | — | UNRESOLVED | — |
| Colon and/or Rectal Resection With Anastomosis for Cancer | — | UNRESOLVED | — |
| Colon Benign Tumor | — | UNRESOLVED | — |
| Colo-rectal Cancer | — | UNRESOLVED | — |
| Colo-rectal Surgery | — | UNRESOLVED | — |
| Crohn Disease and Ulcerative Colitis | — | UNRESOLVED | — |
| Diverticular Disease of Colon | — | UNRESOLVED | — |
| Ileostomy Closure | — | UNRESOLVED | — |
| Stoma Reversal Procedure | — |
Interventions
Interventions (1)
| Intervention | Type | Mapped drug | Match |
|---|---|---|---|
| virtual Hospital at Home | Other | — | UNRESOLVED |
Design
Arms and outcomes
Arms (1)
- type
- EXPERIMENTAL
- label
- virtual Hospital at Home
- description
- participants admittet to virtual Hospital at Home
- interventionNames
- Other: virtual Hospital at Home
Primary outcomes (1)
- measure
- Number of recruited participants
- timeFrame
- one year
- description
- Recruitment success is defined as 50% of eligible patients
Secondary outcomes (2)
- measure
- Number of drop-out participants
- timeFrame
- one year
- description
- retention success is defined by less than 10% drop-outs
Eligibility
Eligibility (as posted)
- Sex
- All
- Minimum age
- 18 Years
Show eligibility criteria text
Inclusion Criteria: * Planned minimally invasive (laparoscopic or robot-assisted) CRS * No epidural analgesia * No new stoma * Bleeding \< 500 ml * Actual condition assessed to be clinically stable * Meeting the Chung score discharge criteria for ambulatory surgery * Self-reliant or receives sufficient formal care to be care-independent of a primary informal caregiver * Home-based admission will be located within catchment area of the hospital (according to the official address of the individual) * Signed informed written and oral consent Exclusion Criteria: * Patients who cannot comply with self-assessment * Improficiency in Danish * Pregnancy * Conversion to emergency surgery (uncontrolled perforation of bowel, ileus) * Complications during surgery warranting in-hospital admission (observation in intensive care unit or close observation from other specialities, e.g. cardiology)
References
Publications (3)
- BACKGROUNDVu MM, Curfman KR, Blair GE, Shah CA, Rashidi L. Beyond enhanced recovery after surgery (ERAS): Evolving minimally invasive colectomy from multi-day admissions to same-day discharge. Am J Surg. 2023 May;225(5):826-831. doi: 10.1016/j.amjsurg.2023.01.024. Epub 2023 Jan 21. PMID 36697356
- BACKGROUNDNikmanesh P, Arabloo J, Gorji HA. Dimensions and components of hospital-at-home care: a systematic review. BMC Health Serv Res. 2024 Nov 25;24(1):1458. doi: 10.1186/s12913-024-11970-5. PMID 39587580
- BACKGROUNDGustafsson UO, Scott MJ, Schwenk W, Demartines N, Roulin D, Francis N, McNaught CE, MacFie J, Liberman AS, Soop M, Hill A, Kennedy RH, Lobo DN, Fearon K, Ljungqvist O; Enhanced Recovery After Surgery Society. Guidelines for perioperative care in elective colonic surgery: Enhanced Recovery After Surgery (ERAS(R)) Society recommendations. Clin Nutr. 2012 Dec;31(6):783-800. doi: 10.1016/j.clnu.2012.08.013. Epub 2012 Sep 28. PMID 23099039