Post-discharge Monitoring Initiative on Outcomes of Post-surgical Patients

Pragmatic Pilot Study of SKH@Home Post-discharge Monitoring Initiative on Outcomes of Surgical Patients

The investigators are conducting a prospective study to evaluate the SKH@Home programme, a post-discharge monitoring initiative for surgical patients. The aim of this study is to conduct a pragmatic, non-randomized pilot study to compare the SKH@Home programme with standard post-surgical care on patient outcomes.

Inclusion Criteria:

1. Patient is keen for home management

2. Hemodynamically stable

3. Able and willing to self-care and monitor / Good social support

4. Lives in Singapore's Northeast region

   EITHER

5. Diagnosed with intra-abdominal abscess requiring ongoing IV antibiotics as recommended by Infectious Diseases Specialist where necessary OR Diagnosed with liver abscess requiring ongoing IV antibiotics as recommended by Infectious Diseases Specialist where necessary AND Has undergone initial treatment (e.g., drainage if required) and is clinically improving

   OR

6. Underwent an uneventful straightforward bariatric surgical procedure, and has been monitored overnight without any immediate postoperative issues OR Underwent uneventful straightforward laparoscopic/ endoscopic/ minimally invasive surgery, and has been monitored for at least 6 hours without any immediate postoperative issues AND has no significant intraprocedural concerns by the operating surgeon

Exclusion Criteria:

1. Unable to self-care / no caregiver
2. Requires daily review by the surgical team
3. Suspicion of surgical complications requiring surgical intervention
4. Requires post-discharge monitoring care for > 2 weeks
5. Unregulated psychiatric disorders
6. Daily flushing of drains required