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

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