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Discharge Stewardship in Children's Hospitals

Study acronym: DISCO
StatusCompleted
PhaseNot applicable
Started
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Record History

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  1. Lead sponsor: Children's Hospital of Philadelphia to Children's Hospital of Philadelphia Show 6 more changesShow less
    • Trial completed
    • Study completion date changed from estimate of Jul 2026 to Dec 16, 2025
    • Eligibility criteria expanded, about 10 words
    • Site details revised at 4 of 5 sites
    • Collaborators: details revised at 3 of 5 entries
    • Publications: details revised at 21 of 21 entries
  2. Primary completion date changed from estimate of Jul 2026 to Dec 16, 2025v7
  3. Re-verified, no change to tracked fieldsv6
  4. Primary completion date: Dec 31, 2024 to Jul 2026
    • Study completion date: Jul 2025 to Jul 2026
    v5
  5. Trial status: Enrolling by Invitation to Active, Not Recruiting
    • Enrollment target: estimated 5720 to confirmed 1131
    • Primary completion date changed from estimate of Jan 2025 to Dec 31, 2024
    v4
  6. 2 versions Re-verified since May 9, 2023, no change to tracked fieldsv2-v3
  7. Study First Submitted
  • Stopped: an ongoing trial was terminated, suspended or withdrawn.
  • Notable: the trial’s plan changed such as a big move in its timeline or size, a new primary endpoint, sponsor or phase, or recruiting opened or resumed.
  • Minor: routine progress and housekeeping, such as sites added or enrollment closed.
The goal of this interventional study is to test if a discharge stewardship bundle is effective at reducing inappropriate antibiotic prescriptions at hospital discharge for children with the three common infections: community-acquired pneumonia (CAP), urinary tract infections (UTI), and skin/soft tissue infections (SSTI). The goals of this study are: * To develop, locally adapt, and implement a discharge stewardship intervention across four geographically diverse children's hospitals. * To measure the impact of the discharge stewardship intervention on antibiotic prescribing and patient outcome for three common pediatric infections. Families who are enrolled in the study will be asked to: * complete a one question wellness track on days 3, 7, and 21 after hospital discharge * complete a brief survey on days 7 and 21 after hospital discharge The study team will conduct interviews with the hospitalists at each of the four participating hospitals to create a "discharge stewardship" bundle. Once the bundle intervention is implemented, the hospitalists will be asked to follow prescribing guidelines for CAP, UTI, and SSTI. They will receive regular group-level feedback reports to show how well they follow the guidelines and motivate the hospitalists to follow the guidelines better.
Trial Details
NCT Number NCT05826873
Lead Sponsor Children's Hospital of Philadelphia
Collaborators: Seattle Children's Hospital, Primary Children's Hospital, St. Louis Children's Hospital, University of Pennsylvania, Agency for Healthcare Research and Quality (AHRQ)
Conditions
(from sponsor)		 Pneumonia, Bacterial, Pneumonia Childhood, Urinary Tract Infections, Soft Tissue Infections, Skin Infections, Community-acquired Pneumonia
Related terms Cellulitis, Community-Acquired Pneumonia, Pneumonia, Bacterial, Soft Tissue Infections, Urinary Tract Infections
Enrollment 1,131 participants
Start Date
Primary Completion (estimated)
Study Completion (estimated)
Updated on ClinicalTrials.gov