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Video Discharge Instructions for Fever and ED Recidivism

This study has been completed.
Information provided by (Responsible Party):
Sharon Smith, Connecticut Children's Medical Center Identifier:
First received: July 30, 2012
Last updated: NA
Last verified: July 2012
History: No changes posted
To evaluate the effect of video discharge instructions on return visits to the ER or ED within 72 hours of the original visit for children with febrile illnesses.

Condition Intervention
Children Who Present to the ED With Minor Febrile Illnesses
Behavioral: Intervention

Study Type: Interventional
Study Design: Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Open Label
Primary Purpose: Prevention
Official Title: Video Discharge Instructions for Fever and ED Recidivism

Resource links provided by NLM:

Further study details as provided by Sharon Smith, Connecticut Children's Medical Center:

Primary Outcome Measures:
  • recidivism [ Time Frame: 72 hours ]
    Proportion of subjects who returned to the ED within 72 hours of index visit for fever

Secondary Outcome Measures:
  • usefulness [ Time Frame: 1 week ]
    Rating of how useful the parents found the discharge instructions

Enrollment: 273
Study Start Date: February 2011
Study Completion Date: May 2012
Primary Completion Date: May 2012 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Experimental: Intervention
Video (DVD) discharge instructions
Behavioral: Intervention
Other Name: Video (DVD) discharge instructions
No Intervention: Control

Detailed Description:
This is a randomized prospective convenience study of children presenting to the ED. Children greater than 8 weeks and up to and including their 18th birthday are enrolled. Patients were randomly assigned to one of two study groups: video + written fever specific discharge instructions and only written fever specific discharge instructions. Parents assigned to the video group watched the DVD in the emergency department (ED) and take it home along with the written instructions. At 72 hours both groups received a phone call asking whether they returned to the ED and the usefulness of discharge instructions (DVD and/or written). Critically ill children and those with chronic medical conditions were excluded. The primary outcome is a return ED visit for fever confirmed in our electronic medical record and questionnaire response. The secondary outcome is reported parental usefulness of the discharge instructions.

Ages Eligible for Study:   8 Weeks to 18 Years   (Child, Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   Yes

Inclusion Criteria:

  • Children ages 8 weeks to 18 years
  • Presented to the ED with a chief complaint of fever. Fever was defined as a temperature greater than or equal to 100.4⁰F
  • English or Spanish speaking
  • Working telephone for follow-up call
  • Venue to view DVD at home (TV, computer, etc)

Exclusion Criteria:

  • Children with a chronic medical illness
  • Children with immune-compromising conditions
  • Allergies to acetaminophen or ibuprofen
  • Previously enrolled
  • Admitted at the time of their index ED visit
  Contacts and Locations
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Please refer to this study by its identifier: NCT01655251

United States, Connecticut
Connecticut Children's Medical Center
Hartford, Connecticut, United States, 06016
Connecticut Children's Medical Center
Hartford, Connecticut, United States, 06106
Sponsors and Collaborators
Connecticut Children's Medical Center
  More Information

Responsible Party: Sharon Smith, ED Research Director, Connecticut Children's Medical Center Identifier: NCT01655251     History of Changes
Other Study ID Numbers: 10-098-CCMC
Study First Received: July 30, 2012
Last Updated: July 30, 2012

Keywords provided by Sharon Smith, Connecticut Children's Medical Center:
emergency department processed this record on May 25, 2017