Postbariatric EArly discharge Controlled by Healthdot (PEACH) trial: study protocol for a preference-based randomized...

Area of Science:

• Surgical innovation
• Digital health technologies
• Patient outcomes research

Background:

• Bariatric surgery in daycare settings can reduce costs and improve patient satisfaction.
• Implementation is hindered by concerns regarding timely detection of short-term complications.
• This study addresses the need for effective remote monitoring in outpatient bariatric care.

Purpose of the Study:

• To evaluate a combined outcome measurement for outpatient bariatric surgery.
• To assess the efficacy of a novel wireless remote monitoring system.
• To compare this approach against the current standard of care.

Main Methods:

• 200 patients undergoing primary bariatric surgery were assigned to either standard in-hospital care or same-day discharge with telemonitoring.
• A wireless device (Healthdot R Philips) continuously transmitted vital signs and activity data.
• Outcomes were assessed within 30 days, including mortality, complications, readmission, and length-of-stay.

Main Results:

• The study aims to determine the composite outcome measure, including mortality, complications, and readmissions.
• Patient satisfaction and data handling dimensions are secondary outcome measures.
• Results will inform the feasibility and safety of enhanced outpatient bariatric care.

Conclusions:

• Remote monitoring may enable safe and effective outpatient bariatric surgery.
• This approach could potentially reduce hospital costs and enhance patient satisfaction.
• Further analysis is needed to validate the combined outcome measurement and remote monitoring system.