Analysis of Variability in the Management of Respiratory Infections in Hospitalized Patients Under 2 Years of Age Using Propensity Score Matching in Pediatric Inpatient Units"
试验速览
- 阶段
- 不适用
- 状态
- 尚未招募
- 入组人数
- 380
- 试验地点
- 1
- 主要终点
- Variability in the treatment:Length of Hospital Stay
研究概览
简要总结
Medical practice variability refers to differences in treatment and clinical outcomes that cannot be solely explained by patient characteristics or medical conditions. This variability can lead to inconsistent outcomes, especially in complex environments like pediatric inpatient wards. Standardization of care protocols is proposed as a way to reduce this inconsistency.
详细描述
Medical practice variability refers to differences in treatment and clinical outcomes that cannot be solely explained by patient characteristics or medical conditions. This variability can lead to inconsistent outcomes, especially in complex environments like pediatric inpatient wards. Standardization of care protocols is proposed as a way to reduce this inconsistency.
One key area of variability is the diagnosis and treatment of respiratory infections, particularly distinguishing bacterial from viral bronchial infections. Due to the lack of definitive clinical criteria, there is widespread antibiotic use (65-80% of cases), despite ongoing debate about their effectiveness.
Implementing standardized management protocols in pediatric wards aims to reduce such variability and improve clinical outcomes. This study will attempt to measure variability in outcomes based on treatment variables, identifying sources of medical variability and their impact.
研究设计
- 研究类型
- Observational
- 观察模型
- Cohort
- 时间视角
- Retrospective
入排标准
- 年龄范围
- 1 Month 至 24 Months(Child)
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Children under 2 years hospitalized with LARI in general pediatric wards during the winter months (June-September) of 2025 and 2026 in Buenos Aires
排除标准
- •Intensive care admission on entry Presence of comorbidities: congenital heart disease. Chronic respiratory conditions, neuromuscular diseases, immunodeficiencies,.
- •Prolonged previous hospitalizations for unrelated causes Severe disabilities influencing hospitalization duration.
结局指标
主要结局
Variability in the treatment:Length of Hospital Stay
时间窗: 2 years
* Definition: Total number of full calendar days from admission to pediatric ward until medical discharge. * Measurement: Recorded in patient's medical record. Calculated as discharge date - admission date. * Type of Variable: Continuous (days). * Analysis: Mean/median days compared between groups after Propensity Score Matching.
次要结局
- Explore Clinical outcomes(2 years)
研究者
Juan Pablo Ferreira
Principal Investigator
Hospital General de Niños Pedro de Elizalde
