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NCT03663660 Clinical Trial

Organizational Infrastructure Pediatric Plan in Bronchiolitis Epidemics

Bronchiolitis Clinical Trial

— OIPP  

Official title:
Design of an Organizational Infrastructure Pediatric Plan to Deal With Bronchiolitis Epidemics: Impact on Length of Stay and Quality of Care in a Tertiary Care Regional Hospital

Clinical Trial Details — Status: Completed

Administrative data
NCT number NCT03663660
Other study ID # RECHMPL18_0174
Secondary ID
Status Completed
Phase
First received
Last updated
Start date April 1, 2018
Est. completion date June 19, 2018

Study information
Verified date June 2018
Source University Hospital, Montpellier
Contact n/a
Is FDA regulated No
Health authority
Study type Observational

Clinical Trial Summary

Acute bronchiolitis is a frequent respiratory viral infection of infants, responsible for 460,000 new cases per year in France. Over the years, the number of hospitalizations during the epidemic season appears to be increasing. Bronchiolitis epidemics lead to recurrent hospital disruption. The current trend towards a reduction of hospital beds is exacerbating the pressure on bronchiolitis epidemics on healthcare systems.

In this context, the pediatric departments of Montpellier University Hospital, France, designed in 2014 a common organizational infrastructure pediatric plan (OIPP) to to adapt to these multiple constraints while respecting the quality of care.

This plan includes a referral flowchart for hospitalized children, an increase in medical and paramedical staff and a restructuring of the pediatric units, with a specific stratification into 4 levels of care.

The study aims to assess the impact of our OIPP on the overall length of stay for children hospitalized for bronchiolitis. The investigator also intend to measure the impact of the OIPP on the length of stay within each unit, the number of transfers from one unit to the other and the number of readmissions within 30 days after hospital discharge. The cost of the implementation of the OIPP in the structure will be analyzed.

Description:

The investigator compared data between two periods of time, e.g. the two consecutive years before the beginning of the OIPP (winters 2012-2013 and 2013-2014) and two first years after the beginning of the OIPP (winters 2015-2016 and 2016-2017).

Recruitment information / eligibility
Status Completed
Enrollment 1636
Est. completion date June 19, 2018
Est. primary completion date May 1, 2018
Accepts healthy volunteers No
Gender All
Age group N/A to 2 Years
Eligibility Inclusion criteria:

- age < 2 years

- hospitalization for bronchiolitis

Exclusion criteria:

Study Design

Related Conditions & MeSH terms

Intervention

Other:
• Organizational infrastructure pediatric plan (OIPP)
Restructuration of the hospital sectors with a stratification of health care into 4 levels.

Locations
Country Name City State
France Uhmontpellier Montpellier

Sponsors (1)
Lead Sponsor Collaborator
University Hospital, Montpellier

Country where clinical trial is conducted

France, 

Outcome
Type Measure Description Time frame Safety issue
Primary Overall hospital length of stay Overall hospital length of stay 1 year
Secondary Hospitalization rate in ICU Rate of hospitalization in intensive care unit 1 year
Secondary Readmissions within 30 days after hospital discharge Number of readmissions in our hospital in the 30 days after hospital discharge 30 days
Secondary Transfer rate between units Transfer rate between units 1 year
Secondary Cost of the OIPP implementation in our institution Cost of the OIPP implementation in our institution 1 year
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