دورية أكاديمية
A multicenter randomized trial to compare automatic versus as-needed follow-up for children hospitalized with common infections: The FAAN-C trial protocol.
| العنوان: | A multicenter randomized trial to compare automatic versus as-needed follow-up for children hospitalized with common infections: The FAAN-C trial protocol. |
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| المؤلفون: | Coon ER; Department of Pediatrics, University of Utah, Salt Lake City, Utah, USA., Greene T; Department of Pediatrics, University of Utah, Salt Lake City, Utah, USA., Fritz J; Department of Physical Therapy & Athletic Training, College of Health, University of Utah, Salt Lake City, Utah, USA., Desai AD; Department of Pediatrics, University of Washington School of Medicine, Seattle, Washington, USA., Ray KN; Department of Pediatrics, University of Pittsburgh, Pittsburgh, Pennsylvania, USA., Hersh AL; Department of Pediatrics, University of Utah, Salt Lake City, Utah, USA., Bardsley T; Department of Pediatrics, University of Utah, Salt Lake City, Utah, USA., Bonafide CP; Department of Pediatrics, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania, USA., Brady PW; Division of Hospital Medicine, Cincinnati Children's Hospital, Cincinnati, Ohio, USA., Wallace SS; Department of Pediatrics, Baylor College of Medicine, Houston, Texas, USA., Schroeder AR; Department of Pediatrics, Stanford University School of Medicine, Stanford, California, USA. |
| مؤلفون مشاركون: | FAAN‐C Trial Group |
| المصدر: | Journal of hospital medicine [J Hosp Med] 2024 Jun 05. Date of Electronic Publication: 2024 Jun 05. |
| Publication Model: | Ahead of Print |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Wiley Country of Publication: United States NLM ID: 101271025 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1553-5606 (Electronic) Linking ISSN: 15535592 NLM ISO Abbreviation: J Hosp Med Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: 2022- : Hoboken, NJ : Wiley Original Publication: Hoboken, NJ : John Wiley & Sons, 2006- |
| مستخلص: | Introduction: Physicians commonly recommend automatic primary care follow-up visits to children being discharged from the hospital. While automatic follow-up provides an opportunity to address postdischarge needs, the alternative is as-needed follow-up. With this strategy, families monitor their child's symptoms and decide if they need a follow-up visit in the days after discharge. In addition to being family centered, as-needed follow-up has the potential to reduce time and financial burdens on both families and the healthcare system. As-needed follow-up has been shown to be safe and effective for children hospitalized with bronchiolitis, but the extent to which hospitalized children with other common conditions might benefit from as-needed follow-up is unclear. Methods: The Follow-up Automatically versus As-Needed Comparison (FAAN-C, or "fancy") trial is a multicenter randomized controlled trial. Children who are hospitalized for pneumonia, urinary tract infection, skin and soft tissue infection, or acute gastroenteritis are eligible to participate. Participants are randomized to an as-needed versus automatic posthospitalization follow-up recommendation. The sample size estimate is 2674 participants and the primary outcome is all-cause hospital readmission within 14 days of discharge. Secondary outcomes are medical interventions and child health-related quality of life. Analyses will be conducted in an intention-to-treat manner, testing noninferiority of as-needed follow-up compared with automatic follow-up. Discussion: FAAN-C will elucidate the relative benefits of an as-needed versus automatic follow-up recommendation, informing one of the most common decisions faced by families of hospitalized children and their medical providers. Findings from FAAN-C will also have implications for national quality metrics and guidelines. (© 2024 Society of Hospital Medicine.) |
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| معلومات مُعتمدة: | IHS-2021C1-22388 United States PCORI Patient-Centered Outcomes Research Institute |
| تواريخ الأحداث: | Date Created: 20240606 Latest Revision: 20240606 |
| رمز التحديث: | 20240606 |
| DOI: | 10.1002/jhm.13425 |
| PMID: | 38840329 |
| قاعدة البيانات: | MEDLINE |
| تدمد: | 1553-5606 |
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| DOI: | 10.1002/jhm.13425 |