Video Discharge Instructions for Fever and ED Recidivism

Study Overview
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Brief Summary
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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.

Detailed Description
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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.

Official Title
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Video Discharge Instructions for Fever and ED Recidivism

Conditions
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Children Who Present to the ED With Minor Febrile Illnesses

Intervention / Treatment
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* Behavioral: Intervention


Participation Criteria
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Eligibility Criteria
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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

Ages Eligible for Study
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Minimum Age: 8 Weeks
Maximum Age: 18 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Prevention
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Intervention<br>Video (DVD) discharge instructions | Behavioral: Intervention<br> <br> * Other names: Video (DVD) discharge instructions;|
| No Intervention: Control<br> | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| recidivism | Proportion of subjects who returned to the ED within 72 hours of index visit for fever | 72 hours | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| usefulness | Rating of how useful the parents found the discharge instructions | 1 week | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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children, fever, emergency department