Application and Effect Evaluation of Integrated Nursing and Medical Management in Pediatric Lobar Pneumonia
1 other identifier
observational
50
1 country
1
Brief Summary
Integrated nursing and medical management significantly improves clinical symptoms and pulmonary function in children with lobar pneumonia, shortens hospitalization duration, reduces complication rates, and enhances caregiver satisfaction. These findings support its broad clinical applicability and value.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for all trials
Started Jan 2023
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
January 13, 2023
CompletedPrimary Completion
Last participant's last visit for primary outcome
March 20, 2024
CompletedStudy Completion
Last participant's last visit for all outcomes
October 18, 2024
CompletedFirst Submitted
Initial submission to the registry
April 16, 2025
CompletedFirst Posted
Study publicly available on registry
April 27, 2025
CompletedApril 27, 2025
April 1, 2025
1.2 years
April 16, 2025
April 22, 2025
Conditions
Outcome Measures
Primary Outcomes (1)
Time to Clinical Resolution of Symptoms
Duration (in days) from hospital admission until resolution of three key symptoms: fever (axillary temperature \<37.3°C for 24h), cough (absence of cough for 48h), and pulmonary rales (absence on auscultation). Assessed daily by blinded clinicians.
From admission until discharge (up to 14 days).
Secondary Outcomes (4)
Change in Pulmonary Function (FEV₁, FVC, FEV₁/FVC)
Baseline (T0) and discharge (T1; up to 14 days).
Reduction in Inflammatory Markers (CRP, PCT, WBC, LDH)
Baseline (T0) and discharge (T1; up to 14 days).
Length of Hospital Stay
Up to 14 days.
Parental Satisfaction Rate
At discharge (T1; up to 14 days).
Other Outcomes (3)
Incidence of Complications
From admission to discharge (up to 14 days).
Antibiotic Usage Duration
From admission to discontinuation (up to 14 days).
Adherence to Rehabilitation Protocols
Daily during hospitalization (up to 14 days).
Study Arms (2)
control group
The control group received routine nursing care
observation group
the observation group was additionally managed with an integrated nursing and medical approach.
Interventions
the observation group was additionally managed with an integrated nursing and medical approach.
Eligibility Criteria
Fifty pediatric patients diagnosed with lobar pneumonia and admitted to our hospital between January and December 2023 were selected and randomly assigned to either the observation group or the control group (n = 25 each) using a random number table.
You may qualify if:
- (1) Met the diagnostic criteria for lobar pneumonia, presenting with symptoms such as fever, cough, and pulmonary rales, and confirmed by laboratory tests and chest X-ray;
- (2) Aged between 1 and 12 years;
- (3) Informed consent was obtained from the child's legal guardians.
You may not qualify if:
- (1)Presence of other concurrent respiratory diseases;
- (2) Congenital or acquired airway malformations, or airway foreign bodies;
- (3) Impaired hepatic or renal function;
- (4) Presence of other systemic diseases;
- (5) Cognitive impairment.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Hebei Children's Hospital
Shijiazhuang, 050000, China
Related Publications (1)
Hu Y, Guo Q, Liu X, Lv W, Liu L. Integrated nursing and medical management improves outcomes in pediatric lobar pneumonia: a randomized controlled study. Front Pediatr. 2025 Jul 28;13:1612618. doi: 10.3389/fped.2025.1612618. eCollection 2025.
PMID: 40791810DERIVED
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Study Design
- Study Type
- observational
- Observational Model
- OTHER
- Time Perspective
- PROSPECTIVE
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Principal Investigator
Study Record Dates
First Submitted
April 16, 2025
First Posted
April 27, 2025
Study Start
January 13, 2023
Primary Completion
March 20, 2024
Study Completion
October 18, 2024
Last Updated
April 27, 2025
Record last verified: 2025-04