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Not yet recruitingNCT06980402SKH@homeUpdated May 20, 2025

Post-discharge Monitoring Initiative on Outcomes of Post-surgical Patients

An interventional study of Early post-surgical discharge with post-surgical home based monitoring and Standard inpatient care until deemed suitable for discharge in Laparoscopy and Discharge Planning, sponsored by Sengkang General Hospital. Not yet recruiting. Open to participants aged 21 Years and older. Per ClinicalTrials.gov, last updated 2025-05-20.

Sponsored by Sengkang General Hospital · Not applicable, Interventional, and Treatment

Phase
Not applicable
Study type
Interventional
Enrollment
1,000
Allocation
Non-randomized
Ages
21 Years and older
Sex
All
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Study summary

The investigators are conducting a prospective study to evaluate the SKH@Home programme, a post-discharge monitoring initiative for surgical patients. The aim of this study is to conduct a pragmatic, non-randomized pilot study to compare the SKH@Home programme with standard post-surgical care on patient outcomes.

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Conditions studied

  • Laparoscopy
  • Discharge Planning

Keywords

  • Bariatric surgery
  • Laparoscopic surgery
  • Abdominal abscesses
  • Liver abscesses
  • Discharge planning
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In context

Lead sponsor

Sengkang General Hospital is the lead sponsor of 16 studies on the registry; 10 are open to participants now.

Counted across the registry records on this site, refreshed daily.

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Who can participate

Ages eligible
21 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  1. Patient is keen for home management
  2. Hemodynamically stable
  3. Able and willing to self-care and monitor / Good social support
  4. Lives in Singapore's Northeast region

    EITHER

  5. Diagnosed with intra-abdominal abscess requiring ongoing IV antibiotics as recommended by Infectious Diseases Specialist where necessary OR Diagnosed with liver abscess requiring ongoing IV antibiotics as recommended by Infectious Diseases Specialist where necessary AND Has undergone initial treatment (e.g., drainage if required) and is clinically improving

    OR

  6. Underwent an uneventful straightforward bariatric surgical procedure, and has been monitored overnight without any immediate postoperative issues OR Underwent uneventful straightforward laparoscopic/ endoscopic/ minimally invasive surgery, and has been monitored for at least 6 hours without any immediate postoperative issues AND has no significant intraprocedural concerns by the operating surgeon

Exclusion criteria

Exclusion Criteria:

  1. Unable to self-care / no caregiver
  2. Requires daily review by the surgical team
  3. Suspicion of surgical complications requiring surgical intervention
  4. Requires post-discharge monitoring care for > 2 weeks
  5. Unregulated psychiatric disorders
  6. Daily flushing of drains required
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Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Non-randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
1,000 participants (estimated)

Study arms

  • Active comparator
    Standard inpatient care until deemed suitable for discharge

    Post-surgical patients are routinely monitored in the acute hospital setting, until they are deemed suitable for discharge by their primary surgeon.

    Procedure: Standard inpatient care until deemed suitable for discharge

  • Experimental
    Early post-surgical discharge with post-surgical home based monitoring

    The SKH@home program, is a post-discharge monitoring program, which allows stable post-surgical patients (after minimally invasive/ endoscopic/ bariatric surgery) or with stable surgical conditions after interventions (like abdominal or liver abscess management) to be discharged earlier from the acute hospital while providing regular post-discharge monitoring at the patient's own home, either through home visits or patient assessment via telemonitoring.

    Procedure: Early post-surgical discharge with post-surgical home based monitoring

Interventions

  • ProcedureEarly post-surgical discharge with post-surgical home based monitoring

    The SKH@home program, is a post-discharge monitoring program, which allows stable post-surgical patients to be discharged earlier from hospital while providing regular post-discharge monitoring at the patient's own home, either through home visits and patient assessment, or telemonitoring of patients.

  • ProcedureStandard inpatient care until deemed suitable for discharge

    Patients will receive standard postoperative management in the acute hospital until they are deemed fit for discharge by their primary surgeon

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What researchers measure

Primary outcomes

  1. Bed days saved

    Bed days saved in the acute hospital setting

    Time frame: From enrollment to 30 days after patient is discharged from the hospital/ post-discharge monitoring programme

  2. Return to hospital

    Unplanned readmission/ return to the hospital within 30-days

    Time frame: From enrollment until 30-days after patient is discharged from the hospital/ from post-discharge monitoring care

  3. Length of stay

    Combined length of stay. For inpatients, will be time of admission till time of discharge from acute hospital For patients enrolled into post-discharge monitoring programme, will be from time of admission till time of discharge from post-discharge monitoring programme

    Time frame: From enrollment until patient is discharged from the hospital/ from post-discharge monitoring care (up to around 2 weeks), whichever is longer

  4. Hospitalisation bill

    Total non-subsidised hospitalisation bill size

    Time frame: From enrollment until 30-days after patient is discharged from the hospital/ from post-discharge monitoring care

  5. Postoperative complications

    30-day postoperative complications, graded by the Clavien-Dindo classification

    Time frame: From enrollment until 30-days after patient is discharged from the hospital/ from post-discharge monitoring care

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Study locations

No study locations are listed for this record.

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References and documents

Publications

  • McGillion MH, Parlow J, Borges FK, Marcucci M, Jacka M, Adili A, Lalu MM, Ouellette C, Bird M, Ofori S, Roshanov PS, Patel A, Yang H, O'Leary S, Tandon V, Hamilton GM, Mrkobrada M, Conen D, Harvey V, Lounsbury J, Mian R, Bangdiwala SI, Arellano R, Scott T, Guyatt GH, Gao P, Graham M, Nenshi R, Forster AJ, Nagappa M, Levesque K, Marosi K, Chaudhry S, Haider S, Deuchar L, LeBlanc B, McCartney CJL, Schemitsch EH, Vincent J, Pettit SM, DuMerton D, Paulin AD, Simunovic M, Williams DC, Halman S, Harlock J, Meyer RM, Taylor DA, Shanthanna H, Schlachta CM, Parry N, Pichora DR, Yousuf H, Peter E, Lamy A, Petch J, Moloo H, Sehmbi H, Waggott M, Shelley J, Belley-Cote EP, Devereaux PJ; PVC-RAM-1 Investigators. Post-discharge after surgery Virtual Care with Remote Automated Monitoring-1 (PVC-RAM-1) technology versus standard care: randomised controlled trial. BMJ. 2021 Sep 30;374:n2209. doi: 10.1136/bmj.n2209. PubMed 34593374 ↗
  • Gunter RL, Chouinard S, Fernandes-Taylor S, Wiseman JT, Clarkson S, Bennett K, Greenberg CC, Kent KC. Current Use of Telemedicine for Post-Discharge Surgical Care: A Systematic Review. J Am Coll Surg. 2016 May;222(5):915-27. doi: 10.1016/j.jamcollsurg.2016.01.062. Epub 2016 Feb 13. No abstract available. PubMed 27016900 ↗
  • Jonker LT, Lahr MMH, Oonk MHM, de Bock GH, van Leeuwen BL. Post-discharge Telemonitoring of Physical Activity, Vital Signs, and Patient-Reported Symptoms in Older Patients Undergoing Cancer Surgery. Ann Surg Oncol. 2021 Oct;28(11):6512-6522. doi: 10.1245/s10434-021-09707-3. Epub 2021 Feb 27. PubMed 33641013 ↗
  • van Ede ES, Scheerhoorn J, Buise MP, Bouwman RA, Nienhuijs SW. Telemonitoring for perioperative care of outpatient bariatric surgery: Preference-based randomized clinical trial. PLoS One. 2023 Feb 22;18(2):e0281992. doi: 10.1371/journal.pone.0281992. eCollection 2023. PubMed 36812167 ↗
  • Cooper S, Patel S, Wynn M, Provost D, Hassan M. Outcomes of same-day discharge in bariatric surgery. Surg Endosc. 2024 Sep;38(9):5122-5129. doi: 10.1007/s00464-024-11053-w. Epub 2024 Jul 19. PubMed 39028346 ↗

Individual participant data

Plan to share: Undecided

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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on May 20, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT06980402
Lead sponsor
Sengkang General Hospital
Responsible party
Chue Koy Min (Consultant, Clinical Assistant Professor, Department of General Surgery, Sengkang General Hospital) — Principal investigator
First posted
May 20, 2025
Start date
Jun 1, 2025 (estimated)
Primary completion
Dec 31, 2028 (estimated)
Completion
Jan 31, 2029 (estimated)
Last update
May 20, 2025

Study contacts

Chui Kwan Mok
Contact
mok.chui.kwan@skh.com.sg
+65 69302747
Koy Min Chue
principal investigator · Sengkang General Hospital

Oversight

Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is not yet recruiting, as verified in May 2025. You cannot join it, but the record below documents what was studied.

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