Organizational Infrastructure Pediatric Plan in Bronchiolitis Epidemics

NCT03663660 | Completed

• 1 other identifier: RECHMPL18_0174
• Study Type: observational
• Target: 1,636
• Locations: 1 country
• Sites: 1

Brief 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.

Conditions

Bronchiolitis

Keywords

Bronchiolitis; Health care; Organizational change; children; Epidemic; cost

Outcome Measures

Primary Outcomes (1)

• Overall hospital length of stay

  Overall hospital length of stay

  1 year

Secondary Outcomes (4)

• Hospitalization rate in ICU

  1 year

• Readmissions within 30 days after hospital discharge

  30 days

• Transfer rate between units

  1 year

• Cost of the OIPP implementation in our institution

  1 year

Study Arms (2)

before the OIPP

Period 1 : Children hospitalized before the OIPP implementation

after the OIPP implementation

Period 2 :Children hospitalized after the OIPP implementation

Other: Organizational infrastructure pediatric plan (OIPP)

Interventions

Organizational infrastructure pediatric plan (OIPP) OTHER

Restructuration of the hospital sectors with a stratification of health care into 4 levels.

after the OIPP implementation

Eligibility Criteria

• Age: Up to 2 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17)
• Sampling Method: Non-Probability Sample

Study Population

Chidren under 2 years hospitalized for bronchiolitis

You may qualify if:

• age \< 2 years
• hospitalization for bronchiolitis

You may not qualify if:

• None

Sponsors & Collaborators

• University Hospital, Montpellier: lead

Study Sites (1)

Uhmontpellier

Montpellier, 34295, France

Location

Related Publications (1)

• Lavilledieu D, Abassi H, Mercier G, Guiraud M, Chaffaut GD, Milesi C, Cambonie G, Gavotto A, Jeziorski E, Amedro P. Implementation of an organizational infrastructure paediatric plan adapted to bronchiolitis epidemics. J Infect Public Health. 2020 Feb;13(2):167-172. doi: 10.1016/j.jiph.2019.07.007. Epub 2019 Aug 2.

  PMID: 31378693 DERIVED

MeSH Terms

Conditions

Bronchiolitis

Condition Hierarchy (Ancestors)

Bronchitis; Respiratory Tract Infections; Infections; Bronchial Diseases; Respiratory Tract Diseases; Lung Diseases, Obstructive; Lung Diseases

Study Officials

• Pascal AMEDRO, MD, PhD

  University Hospital, Montpellier

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: observational
• Observational Model: COHORT
• Time Perspective: RETROSPECTIVE
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: June 20, 2018
• First Posted: September 10, 2018
• Study Start: April 1, 2018
• Primary Completion: May 1, 2018
• Study Completion: June 19, 2018
• Last Updated: September 10, 2018

Record last verified: 2018-06

Locations

FR (1)