Follow-up Automatically vs. As-Needed Comparison (FAAN-C) Trial (FAAN-C)
Pneumonia, Urinary Tract Infections, Soft Tissue Infections
About this trial
This is an interventional health services research trial for Pneumonia focused on measuring post-hospitalization, follow-up care, patient centered care, randomized control trial
Eligibility Criteria
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
Sites / Locations
- Phoenix Children's HospitalRecruiting
- Packard at El Camino HospitalRecruiting
- Lucile Packard Children's HospitalRecruiting
- St. Louis Children's HospitalRecruiting
- Penn Medicine Princeton Medical CenterRecruiting
- Cincinnati Children's Hospital Medical Center - Main CampusRecruiting
- Cincinnati Children's Hospital Medical Center - Liberty CampusRecruiting
- Children's Hospital of PhiladelphiaRecruiting
- Texas Children's MainRecruiting
- Texas Children's WestRecruiting
- Riverton HospitalRecruiting
- Primary Children's HospitalRecruiting
Arms of the Study
Arm 1
Arm 2
Experimental
Active Comparator
As-needed (PRN) post-hospitalization follow-up
Automatic post-hospitalization 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.
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.