RAUC pathway to reduce unplanned hospital stays after emergency digestive surgery
Official title: Effectiveness of the Augmented Rehabilitation of Digestive Surgical Emergencies Pathway in Reducing Unscheduled Hospitalizations After Surgery
Run by Centre Hospitalier Universitaire, Amiens · NCT06769438 · Data updated 2026-11-12
This program will test whether a new RAUC enhanced care pathway for adults needing emergency digestive surgery reduces unplanned hospital readmissions.
Quick facts
| Study type | Interventional |
|---|---|
| Ages | 18 Years and up |
| Sex | All |
| Enrollment | 3048 (estimated) |
| Sponsor | Centre Hospitalier Universitaire, Amiens Academic / other |
| Locations | 6 sites (Beauvais, Oise and 5 other locations) |
| Status | Recruiting |
| Started | June 2, 2025 |
| Main results expected | July 2027 |
| Study ends | February 2028 |
| Registry record updated | November 2, 2026 |
| Trial ID | NCT06769438 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Adults (≥18) who present to the emergency department with a digestive pathology that requires surgical treatment, can give informed consent, and have social security coverage are eligible.
✕Probably not a fit
Patients needing immediate operating room intervention, direct ICU admission, presenting for postoperative complications, those discharged to convalescent centers, pregnant or legally incapacitated individuals are not expected to benefit from this pathway.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This interventional project implements a bundled RAUC pathway—including ERAS principles and connected-health tools (ROFIM, DEEPSEN, RDS, Get ready)—for adults who present to the emergency department with a digestive condition requiring surgery. Patients treated under the pathway receive structured pre- and postoperative optimization and remote/connected follow-up rather than the usual ad hoc emergency management. The project is being run at CHU Amiens and CHU Rouen and focuses on measuring unscheduled hospitalizations and related postoperative outcomes. Patients with immediate life‑threatening needs or direct ICU/OR admission are excluded, and standard clinical and administrative data are used to compare pathway outcomes to usual care.
Why it matters
Potential benefit: If successful, the RAUC pathway could lower unplanned hospital readmissions, reduce postoperative complications, and streamline recovery for emergency digestive surgery patients.
How similar studies have gone: Enhanced recovery (ERAS) programs have shown benefit in elective digestive surgery, but applying structured ER pathways and connected-health models to emergency digestive surgery is relatively novel with limited direct evidence.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * 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 Exclusion Criteria: * 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
Where it's running
-
Centre Hospitalier de Beauvais
Beauvais, Oise, France Recruiting -
CHU Angers
Angers, France Recruiting -
Hopital Avicenne APHP
Bobigny, France Recruiting -
Hopital Cochin - Port Royal APHP
Paris, France Recruiting -
CHU Rouen
Rouen, France Recruiting -
Centre Hospitalier Universitaire, Amiens
Salouël, France Recruiting
Study contacts
- Principal investigator: Jean Marc Regimbeau, Pr — CHRU Amiens
- Study coordinator: Jean Marc Regimbeau, Pr
- Email: regimbeau.jean-marc@chu-amiens.fr
- Phone: 33 + 322 088 897
How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.