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Study of a Patient Cohort Following Digestive Surgical Care After the Implementation of a Telemonitoring and Tele-coordination Platform for Medical, Paramedical, and Social Management

Recruitingn/aAges 18 Years - anyAllNantes University Hospital
NCT07186738 on ClinicalTrials.gov ↗
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In plain words

What the trial is, and whether it could suit you

Postoperative hospital stays and complications vary widely after digestive surgery. Enhanced Recovery After Surgery (ERAS) protocols have shortened stays and accelerated recovery after elective procedures, but they remain challenging in emergency surgery and among frail or elderly patients. While theoretical discharge after colorectal surgery is possible between postoperative days 2 and 7, average stays in practice are 12-14 days. Bariatric surgery similarly targets discharge on days 2-3, yet typical stays are 8-10 days. Patients successfully managed under ERAS may face higher readmission risk, often due to worsening comorbidities or serious complications. Prolonged hospitalization and readmissions impact patient safety, comfort, and healthcare costs. Daily hospital costs in surgical units range from €350 to €400. Post-acute care facilities can reduce readmissions but often have long wa

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📋 Eligibility rules (as published)
Inclusion Criteria: * Male or female patients over 18 years of age. * Patients undergoing colorectal or bariatric surgery not routinely managed as outpatient procedures at Nantes University Hospital. * At least one of the following criteria: * Anticipated early discharge (within 24 hours post-surgery) for procedures not routinely managed as outpatient at the hospital. * Estimated risk of readmission greater than 6% according to the Tevis et al. nomogram, adapted to the postoperative context in digestive surgery (\>50 points on this score). * Patients enrolled in a health insurance plan Exclusion Criteria: * Discharge to a rehabilitation center requested by the patient * Condition routinely managed as an outpatient procedure * Patient under home hospitalization care * Suicidal or heteroaggressive risk in a patient living alone at home * Homeless patients * Pregnant or breastfeeding women * Patients under legal guardianship, conservatorship, or judicial protection
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What it tests

  • EPOCA telemonitoring
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Where

2 sites
CHU Nantes- Digestive Surgery Department
Nantes, France
CHU Nantes
Nantes, France
🤝 Taking part is your choice, and you can leave at any time. Only the trial team can confirm you are eligible — always decide together with your own doctor.
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