RECRUITINGINTERVENTIONAL
Follow-up Automatically vs. As-Needed Comparison (FAAN-C) Trial
The Follow-up Automatically vs. As-Needed Comparison Trial
About This Trial
Compare the effectiveness of automatic vs as-needed (PRN) post-hospitalization follow-up for children who are hospitalized for common infections.
Who May Be Eligible (Plain English)
Who May Qualify:
- 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.
Who Should NOT Join This Trial:
- Presence of a comorbid disease that is both chronic and complex
- Principal disease required surgical intervention (beyond superficial incision and drainage)
- weakened immune system
- 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
Always talk to your doctor about whether this trial is right for you.
Original Eligibility Criteria
View original clinical language
Inclusion Criteria:
* 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 Criteria:
* 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
Treatments Being Tested
BEHAVIORAL
As-needed follow up
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.
BEHAVIORAL
Automatic follow-up
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)
Phoenix Children's Hospital
Phoenix, Arizona, United States
Packard at El Camino Hospital
Mountain View, California, United States
Lucile Packard Children's Hospital
Palo Alto, California, United States
St. Louis Children's Hospital
St Louis, Missouri, United States
Penn Medicine Princeton Medical Center
Plainsboro, New Jersey, United States
Cincinnati Children's Hospital Medical Center - Main Campus
Cincinnati, Ohio, United States
Cincinnati Children's Hospital Medical Center - Liberty Campus
Liberty Township, Ohio, United States
Children's Hospital of Philadelphia
Philadelphia, Pennsylvania, United States
Texas Children's Main
Houston, Texas, United States
Texas Children's West
Houston, Texas, United States
Intermountain Primary Children's Hospital Larry H. and Gail Miller Family Campus
Lehi, Utah, United States
Riverton Hospital
Riverton, Utah, United States
Primary Children's Hospital
Salt Lake City, Utah, United States
Seattle Children's Hospital
Seattle, Washington, United States