Early Discharge With Hospital-at-Home After Bariatric Surgery and Economic Evaluation.

NCT07782281 | Recruiting

• 2 other identifiers: PT-BEHOME-2026CEIm 2026.176-50
• Study Type: observational
• Target: 300
• Locations: 1 country
• Sites: 1

Brief Summary

Bariatric surgery is the most effective treatment for severe obesity and its associated diseases. Advances in surgical techniques, enhanced recovery protocols, and multimodal perioperative care have made earlier hospital discharge possible while maintaining patient safety. This observational cohort study aims to evaluate the economic impact of an early discharge pathway consisting of 24 hours of hospital stay followed by Hospital-at-Home care, compared with the conventional 48-hour hospital stay after bariatric surgery. The study will compare healthcare costs, resource utilization, clinical safety, organizational efficiency, applicability of the early discharge pathway, and patient satisfaction between both postoperative care models under routine clinical practice.

Conditions

Severe Obesity; Morbid Obesity Requiring Bariatric Surgery

Keywords

bariatric surgery; early discharge; hospiral-at-home; enhanced recovery after surgery; ERAS; healthcare costs; health resource utilization; economic evaluation; postoperative care; severe obesity

Outcome Measures

Primary Outcomes (1)

• Mean Direct Healthcare Cost per Patient

  Mean direct healthcare cost per patient, including hospital stay, Hospital-at-Home care, emergency department visits, hospital readmissions, and additional healthcare resources used during the postoperative follow-up period.

  Within 90 days after bariatric surgery

Secondary Outcomes (8)

• Length of Hospital Stay

  From surgery until hospital discharge (approximately 24-48 hours).

• Hospital-at-Home Utilization

  During the Hospital-at-Home follow-up period (postoperative day 2).

• Emergency Department Visits

  Within 90 days after bariatric surgery.

• Hospital Readmissions

  Within 90 days after bariatric surgery.

• Postoperative Complications

  Within 90 days after bariatric surgery.

Study Arms (2)

Conventional Hospital Stay

Patients who underwent elective bariatric surgery before implementation of the early discharge pathway and received conventional postoperative care with approximately 48 hours of inpatient hospital stay.

Early Discharge With Hospital-at-Home

Patients who underwent elective bariatric surgery after implementation of the early discharge pathway and received 24 hours of inpatient hospital stay followed by structured Hospital-at-Home care during the second postoperative day.

Eligibility Criteria

• Age: 18 Years - 65 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)
• Sampling Method: Non-Probability Sample

Study Population

The study population consists of adult patients with severe obesity undergoing elective bariatric surgery at Hospital Universitari Parc Taulí. The study includes two consecutive cohorts: patients treated before implementation of the early discharge pathway with conventional postoperative hospitalization, and patients treated after implementation of the early discharge pathway with Hospital-at-Home care as part of routine clinical practice.

You may qualify if:

• Age 18 years or older.
• Patients undergoing elective bariatric surgery.
• Bariatric surgery performed during the predefined study periods for either cohort.
• Availability of sufficient clinical and economic data for study analysis.

You may not qualify if:

• Emergency surgery.
• Intraoperative complications requiring postoperative management outside the standard care pathway.
• Unplanned admission to an intensive care unit.
• Incomplete clinical or economic data preventing study analysis.

Sponsors & Collaborators

• Corporacion Parc Tauli: lead

Study Sites (1)

Hospital Universitari Parc Taulí

Sabadell, Barcelona, 08758, Spain

RECRUITING

MeSH Terms

Conditions

Obesity, Morbid

Condition Hierarchy (Ancestors)

Obesity; Overweight; Overnutrition; Nutrition Disorders; Nutritional and Metabolic Diseases; Body Weight; Signs and Symptoms; Pathological Conditions, Signs and Symptoms

Central Study Contacts

Noelia Pérez Romero, MD, PhD

CONTACT

696848757; 35667npr@gmail.com

Study Design

• Study Type: observational
• Observational Model: COHORT
• Time Perspective: OTHER
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: MD, PhD

Study Record Dates

• First Submitted: August 19, 2026
• First Posted: August 24, 2026
• Study Start: February 15, 2025
• Primary Completion (Estimated): January 1, 2028
• Study Completion (Estimated): January 1, 2028
• Last Updated: August 24, 2026

Record last verified: 2026-08

Data Sharing

• IPD Sharing: Will not share

Locations

ES (1)