RecruitingNCT05836285

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


Sponsor

University of Adelaide

Enrollment

3,000 participants

Start Date

Apr 18, 2023

Study Type

OBSERVATIONAL

Conditions

Summary

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

Min Age: 18 Years

Inclusion Criteria3

  • Scheduled for elective or unplanned surgery
  • Scheduled to stay in hospital at least one night after surgery
  • day mortality of 0.5% to 8% by the US National Safety and Quality Improvement Program risk score (NSQIP)

Exclusion Criteria2

  • Undergoing cardiac surgery
  • Scheduled for postoperative Intensive Care Unit management

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Interventions

OTHERARRC

Eligible for ARRC and managed in ARRC unit

OTHERUsual Care

Eligible for ARRC but managed elsewhere as no ARRC bed available


Locations(1)

Royal Adelaide Hospital

Adelaide, South Australia, Australia

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NCT05836285


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