Organizational Infrastructure Pediatric Plan in Bronchiolitis Epidemics (OIPP)
|ClinicalTrials.gov Identifier: NCT03663660|
Recruitment Status : Completed
First Posted : September 10, 2018
Last Update Posted : September 10, 2018
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.
|Condition or disease||Intervention/treatment|
|Bronchiolitis||Other: Organizational infrastructure pediatric plan (OIPP)|
|Study Type :||Observational|
|Actual Enrollment :||1636 participants|
|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|
|Actual Study Start Date :||April 1, 2018|
|Actual Primary Completion Date :||May 1, 2018|
|Actual Study Completion Date :||June 19, 2018|
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)
Restructuration of the hospital sectors with a stratification of health care into 4 levels.
- Overall hospital length of stay [ Time Frame: 1 year ]Overall hospital length of stay
- Hospitalization rate in ICU [ Time Frame: 1 year ]Rate of hospitalization in intensive care unit
- Readmissions within 30 days after hospital discharge [ Time Frame: 30 days ]Number of readmissions in our hospital in the 30 days after hospital discharge
- Transfer rate between units [ Time Frame: 1 year ]Transfer rate between units
- Cost of the OIPP implementation in our institution [ Time Frame: 1 year ]Cost of the OIPP implementation in our institution
Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT03663660
|Montpellier, France, 34295|
|Principal Investigator:||Pascal AMEDRO, MD, PhD||University Hospital, Montpellier|