Effectiveness of the RAUC Pathway in Reducing Unscheduled Hospitalizations After Emergency Digestive Surgery
RAUCAMIENS
Effectiveness of the Augmented Rehabilitation of Digestive Surgical Emergencies Pathway in Reducing Unscheduled Hospitalizations After Surgery
1 other identifier
interventional
3,000
1 country
2
Brief Summary
The number of emergencies's visits (22 million visits in 2019 in France), the organization of emergencies and the sustainability of the current health system are threatened. In the CHUAP adult emergency department, 60,000 visits were recorded in 2022. Unlike medical emergencies which have structured their care and research activities (heart, brain), and whose organization has demonstrated its general interest for society, digestive surgical emergencies, which involve complex patients (elderly people, comorbidities) , emergency situations and surgical procedures, have never been thought of globally in terms of personalized care and research pathways. Currently, patients treated in emergency are managed without a pre-established optimization program and without a dedicated pathway, where emergency constitutes a major risk factor for postoperative complications. RAUCAMIENS evaluates a new care pathway implemented within the framework of the RHU RAUC : the implementation of the Enhanced rehabilitation after surgery (ERAS) and e-health devices for home monitoring, for patients treated in the emergency room for a digestive pathology. The purpose is to evaluate the effectiveness of the RAUC pathway in reducing the rate of unplanned hospitalization readmission after emergency digestive surgery 30 days postoperative.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for not_applicable
Started Jun 2025
Typical duration for not_applicable
2 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
January 7, 2025
CompletedFirst Posted
Study publicly available on registry
January 10, 2025
CompletedStudy Start
First participant enrolled
June 2, 2025
CompletedPrimary Completion
Last participant's last visit for primary outcome
November 1, 2026
ExpectedStudy Completion
Last participant's last visit for all outcomes
August 1, 2027
June 13, 2025
June 1, 2025
1.4 years
January 7, 2025
June 11, 2025
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Occurrence of an unscheduled hospitalization readmission
Occurrence of an unscheduled hospitalization readmission following digestive surgery performed urgently within 30 days
30 days
Secondary Outcomes (8)
Clavien-Dindo score
30 days
Duration of hospitalization linked to the first admission to perform emergency digestive surgery
30 days
Quality of life score
0 day
Quality of Life score
30 days
STAI-Y scale
0 day
- +3 more secondary outcomes
Study Arms (3)
Experimental group
EXPERIMENTALpatients included in the CHUAP RAUC + course
Control group 1
ACTIVE COMPARATORpatients from CHU Rouen included over the same period as patients from CHUAP benefiting from standard care (RAUC -)
Control group 2
ACTIVE COMPARATORpatients verifying the inclusion/non-inclusion criteria and from the SNDS over the period from January 1, 2022 to December 31, 2025
Interventions
teleexpertise solution connecting extra-hospital and intra-hospital practitioners
Eligibility Criteria
You may qualify if:
- Criterion linked to the protocol :
- \-- Patient consulted in emergency for a digestive pathology requiring surgery
- Search criteria:
- Adult patient (≥ 18 years old),
- Able to give consent,
- Affiliation to a social security scheme
You may not qualify if:
- Criterion linked to the protocol:
- Patient leaving hospitalization to a convalescent center
- Patient requiring direct operating room (vital emergency or surgical revision)
- Patient presenting to the emergency room for a postoperative complication
- Patient directly admitted to intensive care
- Search criteria:
- Pregnant or breastfeeding woman
- Patient under guardianship, curatorship or deprived of liberty
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (2)
CHU Rouen
Rouen, 76000, France
Centre Hospitalier Universitaire, Amiens
Salouël, 80480, France
Study Officials
- PRINCIPAL INVESTIGATOR
Jean Marc Regimbeau, Pr
CHRU Amiens
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- NON RANDOMIZED
- Masking
- NONE
- Purpose
- OTHER
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
January 7, 2025
First Posted
January 10, 2025
Study Start
June 2, 2025
Primary Completion (Estimated)
November 1, 2026
Study Completion (Estimated)
August 1, 2027
Last Updated
June 13, 2025
Record last verified: 2025-06
Data Sharing
- IPD Sharing
- Will not share