Clinical trial NCT06769438: Effectiveness of the RAUC Pathway in Reducing Unscheduled Hospitalizations After Emergency Digestive Surgery
Official title: Effectiveness of the Augmented Rehabilitation of Digestive Surgical Emergencies Pathway in Reducing Unscheduled Hospitalizations After Surgery
Study type: INTERVENTIONAL
Overall status: RECRUITING
Phase: NA
Conditions: Digestive Emergency
New Pathway
Connected Health
Keywords: digestive emergency
new pathway
connected health
Lead sponsor: Centre Hospitalier Universitaire, Amiens
Sponsor class: OTHER
Collaborators: name: University Hospital, Rouen
First posted: 2025-01-10
Enrollment: 3000
Sex: ALL
Minimum age (years): 18
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: NON_RANDOMIZED
Intervention model: PARALLEL
Primary purpose: OTHER

Brief summary: The number of emergencies's visits (22 million visits in 2019 in France), the organization of emergencies and the sustainability of the current health system are threatened. In the CHUAP adult emergency department, 60,000 visits were recorded in 2022.

Unlike medical emergencies which have structured their care and research activities (heart, brain), and whose organization has demonstrated its general interest for society, digestive surgical emergencies, which involve complex patients (elderly people, comorbidities) , emergency situations and surgical procedures, have never been thought of globally in terms of personalized care and research pathways. Currently, patients treated in emergency are managed without a pre-established optimization program and without a dedicated pathway, where emergency constitutes a major risk factor for postoperative complications.

RAUCAMIENS evaluates a new care pathway implemented within the framework of the RHU RAUC : the implementation of the Enhanced rehabilitation after surgery (ERAS) and e-health devices for home monitoring, for patients treated in the emergency room for a digestive pathology. The purpose is to evaluate the effectiveness of the RAUC pathway in reducing the rate of unplanned hospitalization readmission after emergency digestive surgery 30 days postoperative.


Eligibility criteria: Inclusion Criteria:

* Criterion linked to the protocol :

  -- Patient consulted in emergency for a digestive pathology requiring surgery
* Search criteria:

  * Adult patient (≥ 18 years old),
  * Able to give consent,
  * Affiliation to a social security scheme

Exclusion Criteria:

* Criterion linked to the protocol:

  * Patient leaving hospitalization to a convalescent center
  * Patient requiring direct operating room (vital emergency or surgical revision)
  * Patient presenting to the emergency room for a postoperative complication
  * Patient directly admitted to intensive care
* Search criteria:

  * Pregnant or breastfeeding woman
  * Patient under guardianship, curatorship or deprived of liberty

Primary outcomes:
measure: Occurrence of an unscheduled hospitalization readmission
timeFrame: 30 days
Secondary outcomes:
measure: Clavien-Dindo score
timeFrame: 30 days
measure: Duration of hospitalization linked to the first admission to perform emergency digestive surgery
timeFrame: 30 days
measure: Quality of life score
timeFrame: 0 day
measure: Quality of Life score
timeFrame: 30 days
measure: STAI-Y scale
timeFrame: 0 day
measure: Transition to emergency without hospitalization
timeFrame: 30 days
measure: incremental cost-utility ratio
timeFrame: 30 days
measure: incremental cost-effectiveness ratio
timeFrame: 30 days
Other outcomes:
Locations:
city: Rouen
country: France
facility: CHU Rouen
city: Salouel
country: France
facility: Centre Hospitalier Universitaire, Amiens
Study officials:
affiliation: CHRU Amiens
name: Jean Marc Regimbeau, Pr
role: PRINCIPAL_INVESTIGATOR
References: