About this trial
A postoperative high-acuity model of care (ARRC) has been shown, in a prospective cohort study of approximately 850 patients, to produce a marked improvement in patient and hospital outcomes, and hospital costs, in medium risk patients (Ludbrook G et al., JAMA Surgery 2023).
The goal of this observational study is to examine the outcomes after non-cardiac surgery of a larger group of medium risk patients receiving different forms of care -ARRC and usual ward care. The main questions it aims to answer are:
what are the outcomes for patients and hospital after the different forms of care, who receives benefit from high acuity care, what underlies the improved outcomes seen with high acuity care.
Eligibility criteria
Qualifiers
Scheduled for elective or unplanned surgery
Scheduled to stay in hospital at least one night after surgery
30-day mortality of 0.5% to 8% by the US National Safety and Quality Improvement Program risk score (NSQIP)
Disqualifiers
Undergoing cardiac surgery
Scheduled for postoperative Intensive Care Unit management
Trial design
Treatments tested in this trial
- ARRC
- Usual Care
Treatment groups
Sponsors and collaborators
University of Adelaide
Lead sponsor
Royal Adelaide Hospital
Collaborator