Follow-up Automatically vs. As-Needed Comparison (FAAN-C) Trial
The Follow-up Automatically vs. As-Needed Comparison Trial
University of Utah
2,674 participants
Aug 22, 2022
INTERVENTIONAL
Conditions
Summary
Compare the effectiveness of automatic vs as-needed (PRN) post-hospitalization follow-up for children who are hospitalized for common infections.
Eligibility
Inclusion Criteria3
- Age \<18 years at the time of randomization
- Hospitalization due to a primary diagnosis of pneumonia, skin and soft tissue infection, acute gastroenteritis, or urinary tract infection.
- Parent speaks English or Spanish.
Exclusion Criteria22
- Presence of a comorbid disease that is both chronic and complex
- Principal disease required surgical intervention (beyond superficial incision and drainage)
- Immunodeficiency
- A well-child check-up or post-hospitalization follow-up visit is already scheduled within 7 days of hospital discharge
- Parent or participant strongly prefers PRN or automatic follow-up
- A medical provider feels strongly that a post-hospitalization follow-up visit is needed within 7 days of hospital discharge
- Sibling concurrently hospitalized
- Unable to identify a clinic where the participant would receive any needed post-hospitalization follow-up
- Diagnosis of pneumonia complicated by:
- o Receiving a chest tube
- Diagnosis of urinary tract infection complicated by:
- History of neurogenic bladder or urologic surgery
- Renal imaging anticipated within 7 days of hospital discharge
- Renal abscess
- Diagnosis of skin and soft tissue infection complicated by:
- Chronic wound
- Postoperative infection
- Predisposition to poor wound healing
- Discharging with a drain in place
- Complicated by necrotizing fasciitis or toxic shock syndrome
- Diagnosis of gastroenteritis complicated by:
- Hemolytic uremic syndrome
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Interventions
At hospital discharge, participant receives a recommendation for PRN follow-up. Recommendation informs participant that scheduling a follow-up visit is not needed at discharge and suggests that participant follow symptoms after discharge to decide if a visit is ultimately needed or not.
At hospital discharge, participant receives a recommendation for automatic follow-up. Recommendation instructs participant to schedule a follow-up visit and attend the visit even if symptoms get better.
Locations(14)
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NCT05471908