Follow-up Automatically vs. As-Needed Comparison (FAAN-C) Trial

Launched by UNIVERSITY OF UTAH · Jul 21, 2022

Keywords

ClinConnect Summary

The FAAN-C Trial is a study looking at how to best follow up with children who have recently been hospitalized for common infections like pneumonia, urinary tract infections, soft tissue infections, or gastroenteritis. Researchers want to compare two different ways of scheduling follow-up visits after leaving the hospital: one group will have automatic follow-up appointments, while the other group will have appointments scheduled only if needed. This study aims to find out which method is more effective in keeping children healthy after their hospital stay.

To be eligible for this trial, children must be under 18 years old and have been hospitalized for one of the infections mentioned. Their parents should be able to speak either English or Spanish. Participants will be asked to follow either the automatic or as-needed follow-up plan after leaving the hospital. It’s important to note that children with certain complications or those who already have follow-up visits scheduled within a week of discharge may not be able to participate. This trial is currently recruiting participants, and the information gathered will help improve care for children recovering from these infections.

Gender

ALL

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