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Video Discharge Instructions for Acute Otitis Media in Children: A Randomized Controlled Open-label Trial
Academic Emergency Medicine (2019)
  • Sheena Belisle, Western University
  • Andrei Dobrin
  • Sharlene Elsie
  • Samina Ali
  • Shaily Brahmbhatt
  • Kriti Kumar, Western University
  • Hardika Jasani
  • Michael Miller
  • Frank Ferlisi
  • Naveen Poonai, Western University
Thirty percent of children with acute otitis media (AOM) experience symptoms < 7 days after initiating treatment, highlighting the importance of comprehensive discharge instructions.

We randomized caregivers of children 6 months to 17 years presenting to the emergency department (ED) with AOM to discharge instructions using a video on management of pain and fever to a paper handout. The primary outcome was the AOM Severity of Symptom (AOM-SOS) score at 72 hours postdischarge. Secondary outcomes included caregiver knowledge (10-item survey), absenteeism, recidivism, and satisfaction (5-item Likert scale).

A total of 219 caregivers were randomized and 149 completed the 72-hour follow-up (72 paper and 77 video). The median (IQR) AOM-SOS score for the video was significantly lower than paper, even after adjusting for preintervention AOM-SOS score and medication at home (8 [7–11] vs. 10 [7–13], respectively; p = 0.004). There were no significant differences between video and paper in mean (±SD) knowledge score (9.2 [±1.3] vs. 8.8 [±1.8], respectively; p = 0.07), mean (±SD) number of children that returned to a health care provider (8/77 vs. 10/72, respectively; p = 0.49), mean (±SD) number of daycare/school days missed by child (1.2 [±1.5] vs. 1.1 [±2.1], respectively; p = 0.62), mean (±SD) number of workdays missed by caregiver (0.5 [±1] vs. 0.8 [±2], respectively; p = 0.05), or median (IQR) satisfaction score (5 [4–5] vs. 5 [4–5], respectively; p = 0.3).

Video discharge instructions in the ED are associated with less perceived AOM symptomatology compared to a paper handout.
Publication Date
Citation Information
Sheena Belisle, Andrei Dobrin, Sharlene Elsie, Samina Ali, et al.. "Video Discharge Instructions for Acute Otitis Media in Children: A Randomized Controlled Open-label Trial" Academic Emergency Medicine (2019)
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