Organizational Infrastructure Pediatric Plan in Bronchiolitis Epidemics

Completed

• Conditions: Bronchiolitis
• Interventions: Other: Organizational infrastructure pediatric plan (OIPP)

• Registration Number: NCT03663660
• Lead Sponsor: University Hospital, Montpellier

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.

Detailed 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).

Study Timeline

• Study Start: 2018-04-01
• Primary Completion: 2018-05-01
• Status Verified: 2018-06
• Study Completion: 2018-06-19
• Study First Submitted: 2018-06-20
• Study First Submitted QC: 2018-09-06
• Last Update Submitted: 2018-09-06
• Study First Posted: 2018-09-10
• Last Update Posted: 2018-09-10

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 1636

Inclusion Criteria

Not provided

Exclusion Criteria

Not provided

Study & Design

• Study Type: OBSERVATIONAL
• Study Design: Not specified

Arm && Interventions

Group	Intervention	Description
after the OIPP implementation	Organizational infrastructure pediatric plan (OIPP)	Period 2 :Children hospitalized after the OIPP implementation

Primary Outcome Measures

Name	Time	Method
Overall hospital length of stay	1 year	Overall hospital length of stay

Secondary Outcome Measures

Name	Time	Method
Hospitalization rate in ICU	1 year	Rate of hospitalization in intensive care unit
Readmissions within 30 days after hospital discharge	30 days	Number of readmissions in our hospital in the 30 days after hospital discharge
Cost of the OIPP implementation in our institution	1 year	Cost of the OIPP implementation in our institution
Transfer rate between units	1 year	Transfer rate between units

Trial Locations

Locations (1)

Uhmontpellier; 🇫🇷 Montpellier, France