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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
Post Discharge after Surgery Virtual Care with Remote Automated Monitoring Technology (PVC-RAM): protocol for a randomized controlled trial
CMAJ open, Volume 9, No. 1, Year 2021
Notification
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Description
BACKGROUND: After nonelective (i.e., semiurgent, urgent and emergent) surgeries, patients discharged from hospitals are at risk of readmissions, emergency department visits or death. During the coronavirus disease 2019 (COVID-19) pandemic, we are undertaking the Post Discharge after Surgery Virtual Care with Remote Automated Monitoring Technology (PVC-RAM) trial to determine if virtual care with remote automated monitoring (RAM) compared with standard care will increase the number of days adult patients remain alive at home after being discharged following nonelective surgery. METHODS: We are conducting a randomized controlled trial in which 900 adults who are being discharged after nonelective surgery from 8 Canadian hospitals are randomly assigned to receive virtual care with RAM or standard care. Outcome adjudicators are masked to group allocations. Patients in the experimental group learn how to use the study's tablet computer and RAM technology, which will measure their vital signs. For 30 days, patients take daily biophysical measurements and complete a recovery survey. Patients interact with nurses via the cellular modem-enabled tablet, who escalate care to preassigned and available physicians if RAM measurements exceed predetermined thresholds, patients report symptoms, a medication error is identified or the nurses have concerns they cannot resolve. The primary outcome is number of days alive at home during the 30 days after randomization. INTERPRETATION: This trial will inform management of patients after discharge following surgery in the COVID-19 pandemic and offer insights for management of patients who undergo nonelective surgery in a nonpandemic setting. Knowledge dissemination will be supported through an online multimedia resource centre, policy briefs, presentations, peer-reviewed journal publications and media engagement. TRIAL REGISTRATION: ClinicalTrials.gov, no. NCT04344665. © 2021 Joule Inc. or its licensors.
Available Materials
https://efashare.b-cdn.net/share/pmc/articles/PMC8034369/bin/supp_9_1_E142__index.html
https://efashare.b-cdn.net/share/pmc/articles/PMC8034369/bin/supp_9.1.E142_2020-0176-1-at.pdf
https://efashare.b-cdn.net/share/pmc/articles/PMC8034369/bin/supp_9.1.E142_2020-0176-Reviewer-comments.pdf
https://efashare.b-cdn.net/share/pmc/articles/PMC8034369/bin/supp_9.1.E142_2020-0176-Original-submission.pdf
https://efashare.b-cdn.net/share/pmc/articles/PMC8034369/bin/supp_9.1.E142_20201176-SPIRIT-Checklist.pdf
Authors & Co-Authors
McGillion, Michael Hugh
Canada, Ottawa
Ottawa Hospital Research Institute
Parlow, Joel L.
Canada, Ottawa
Ottawa Hospital Research Institute
Borges, Flávia Kessler
Canada, Ottawa
Ottawa Hospital Research Institute
Marcucci, Maura
Canada, Ottawa
Ottawa Hospital Research Institute
Jacka, Michael J.
Canada, Ottawa
Ottawa Hospital Research Institute
Adili, Anthony F.
Canada, Ottawa
Ottawa Hospital Research Institute
Lalu, Manoj Mathew
Canada, Ottawa
Ottawa Hospital Research Institute
Yang, Homer Y.H.
Canada, Ottawa
Ottawa Hospital Research Institute
Patel, Ameen
Canada, Ottawa
Ottawa Hospital Research Institute
O'Leary, Susan
Canada, Ottawa
Ottawa Hospital Research Institute
Tandon, Vikas
Canada, Ottawa
Ottawa Hospital Research Institute
Mrkobrada, Marko
Canada, Ottawa
Ottawa Hospital Research Institute
Ouellette, Carley
Canada, Ottawa
Ottawa Hospital Research Institute
Bird, Marissa
Canada, Ottawa
Ottawa Hospital Research Institute
Ofori, Sandra N.
Canada, Ottawa
Ottawa Hospital Research Institute
Conen, David
Canada, Ottawa
Ottawa Hospital Research Institute
Roshanov, Pavel S.
Canada, Ottawa
Ottawa Hospital Research Institute
Harvey, Valerie
Canada, Ottawa
Ottawa Hospital Research Institute
Gordon, Guyatt H.
Canada, Ottawa
Ottawa Hospital Research Institute
Le Manach, Yannick
Canada, Ottawa
Ottawa Hospital Research Institute
Bangdiwala, Shrikant I.
Canada, Ottawa
Ottawa Hospital Research Institute
Arellano, Ramiro J.
Canada, Ottawa
Ottawa Hospital Research Institute
Scott, Ted
Canada, Ottawa
Ottawa Hospital Research Institute
Lounsbury, Jennifer
Canada, Ottawa
Ottawa Hospital Research Institute
Taylor, Dylan A.
Canada, Ottawa
Ottawa Hospital Research Institute
Nenshi, Rahima
Canada, Ottawa
Ottawa Hospital Research Institute
Förster, Alan John
Canada, Ottawa
Ottawa Hospital Research Institute
Nagappa, Mahesh
Canada, Ottawa
Ottawa Hospital Research Institute
Lamy, Andre L.
Canada, Ottawa
Ottawa Hospital Research Institute
Peter, Elizabeth H.
Canada, Ottawa
Ottawa Hospital Research Institute
Levesque, Kelsea
Canada, Ottawa
Ottawa Hospital Research Institute
Marosi, Kristen
Canada, Ottawa
Ottawa Hospital Research Institute
Chaudhry, Sultan
Canada, Ottawa
Ottawa Hospital Research Institute
Haider, Shariq
Canada, Ottawa
Ottawa Hospital Research Institute
Deuchar, Lesly
Canada, Ottawa
Ottawa Hospital Research Institute
LeBlanc, Brandi
Canada, Ottawa
Ottawa Hospital Research Institute
McCartney, Colin J.L.
Canada, Ottawa
Ottawa Hospital Research Institute
Schemitsch, Emil H.
Canada, Ottawa
Ottawa Hospital Research Institute
Vincent, Jessica
Canada, Ottawa
Ottawa Hospital Research Institute
Pettit, Shirley M.
Canada, Ottawa
Ottawa Hospital Research Institute
DuMerton, Deborah A.
Canada, Ottawa
Ottawa Hospital Research Institute
Paulin, Angela Djuric
Canada, Ottawa
Ottawa Hospital Research Institute
Simunovic, Marko R.I.
Canada, Ottawa
Ottawa Hospital Research Institute
Williams, David C.
Canada, Ottawa
Ottawa Hospital Research Institute
Halman, Samantha
Canada, Ottawa
Ottawa Hospital Research Institute
Schlachta, Christopher M.
Canada, Ottawa
Ottawa Hospital Research Institute
Shelley, Jessica
Canada, Ottawa
Ottawa Hospital Research Institute
Harlock, John Anthony
Canada, Ottawa
Ottawa Hospital Research Institute
Meyer, Ralph M.
Canada, Ottawa
Ottawa Hospital Research Institute
Graham, Michelle M.
Canada, Ottawa
Ottawa Hospital Research Institute
Shanthanna, Harsha
Canada, Ottawa
Ottawa Hospital Research Institute
Parry, Neil Geordie
Canada, Ottawa
Ottawa Hospital Research Institute
Pichora, David R.
Canada, Ottawa
Ottawa Hospital Research Institute
Moloo, Husein
Canada, Ottawa
Ottawa Hospital Research Institute
Sehmbi, Herman
Canada, Ottawa
Ottawa Hospital Research Institute
Waggott, Melissa
Canada, Ottawa
Ottawa Hospital Research Institute
Belley-Côté, Émilie Prudence
Canada, Ottawa
Ottawa Hospital Research Institute
Whitlock, Richard Paul
Canada, Ottawa
Ottawa Hospital Research Institute
Devereaux, Philip James
Canada, Ottawa
Ottawa Hospital Research Institute
Statistics
Citations: 3
Authors: 59
Affiliations: 1
Identifiers
Doi:
10.9778/cmajo.20200176
ISSN:
22910026
Research Areas
Covid
Health System And Policy
Study Design
Randomised Control Trial
Cross Sectional Study
Study Approach
Quantitative