RT Journal Article
SR Electronic
T1 Post Discharge after Surgery Virtual Care with Remote Automated Monitoring Technology (PVC-RAM): protocol for a randomized controlled trial
JF CMAJ Open
JO CMAJ
FD Canadian Medical Association
SP E142
OP E148
DO 10.9778/cmajo.20200176
VO 9
IS 1
A1 McGillion, Michael H.
A1 Parlow, Joel
A1 Borges, Flavia K.
A1 Marcucci, Maura
A1 Jacka, Michael
A1 Adili, Anthony
A1 Lalu, Manoj M.
A1 Yang, Homer
A1 Patel, Ameen
A1 O’Leary, Susan
A1 Tandon, Vikas
A1 Hamilton, Gavin M.
A1 Mrkobrada, Marko
A1 Ouellette, Carley
A1 Bird, Marissa
A1 Ofori, Sandra
A1 Conen, David
A1 Roshanov, Pavel S.
A1 Harvey, Valerie
A1 Guyatt, Gordon H.
A1 Le Manach, Yannick
A1 Bangdiwala, Shrikant I.
A1 Arellano, Ramiro
A1 Scott, Ted
A1 Lounsbury, Jennifer
A1 Taylor, Dylan A.
A1 Nenshi, Rahima
A1 Forster, Alan J.
A1 Nagappa, Mahesh
A1 Lamy, Andre
A1 Peter, Elizabeth
A1 Levesque, Kelsea
A1 Marosi, Kristen
A1 Chaudhry, Sultan
A1 Haider, Shariq
A1 Deuchar, Lesly
A1 LeBlanc, Brandi
A1 McCartney, Colin J.L.
A1 Schemitsch, Emil H.
A1 Vincent, Jessica
A1 Pettit, Shirley M.
A1 Paul, James
A1 DuMerton, Deborah
A1 Paulin, Angela Djuric
A1 Simunovic, Marko
A1 Williams, David C.
A1 Halman, Samantha
A1 Schlachta, Christopher M.
A1 Shelley, Jessica
A1 Harlock, John
A1 Meyer, Ralph M.
A1 Graham, Michelle
A1 Shanthanna, Harsha
A1 Parry, Neil
A1 Pichora, David R.
A1 Yousef, Haroon
A1 Moloo, Husein
A1 Sehmbi, Herman
A1 Waggott, Melissa
A1 Belley-Cote, Emilie P.
A1 Whitlock, Richard
A1 Devereaux, P.J.
A1 
YR 2021
UL http://www.cmajopen.ca/content/9/1/E142.abstract
AB 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