The ARRC III Trial of Advanced Recovery Room Care (ARRC).

Trial statusRecruiting
Trial phaseNot listed
Trial typeObservational
Biological sexAll
Age18+
SponsorUniversity of Adelaide

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

3,000 Participants
are divided into 1 treatment group

Sponsors and collaborators

University of Adelaide

Lead sponsor

Royal Adelaide Hospital

Collaborator