Sustainability of evidence-based practices in the care for infants with bronchiolitis in hospitals involved in the Knowledge Translation (KT) in Australasian Paediatric Acute Care Settings Study

Not Applicable

Recruiting

• Conditions: Bronchiolitis; Emergency medicine - Other emergency care; Respiratory - Other respiratory disorders / diseases

• Registration Number: ACTRN12621001287820
• Lead Sponsor: Murdoch Children's Research Institute

Brief Summary

Not available

Detailed Description

Not available

Study Timeline

• Results First Posted: 1900-01-01
• Study Start: 2021-09-23
• Last Update Posted: 3 October 2022

Recruitment & Eligibility

• Status: Recruiting
• Sex: All
• Target Recruitment: 1800

Inclusion Criteria

Medical Record Audit Inclusion Criteria
Hospital Inclusion Criteria:
Twenty-six hospitals (Australia= 20 and New Zealand = 6) which participated in the PREDICT Bronchiolitis KT study (ACTRN12616001567415) conducted in 2017 will be invited to participate. In addition, to be eligible for this study, hospitals must have the ability to collect the required retrospective patient data from the medical records within a timely fashion and meet local governance requirements.

Patient Inclusion Criteria:
•Infants aged less than 12 months (at time of presentation), AND
•A recorded diagnosis of bronchiolitis on discharge from ED to home, OR
•A diagnosis of bronchiolitis on discharge from inpatient area AND a recorded diagnosis of bronchiolitis in ED.

Qualitative Group Interview Inclusion Criteria
Hospital Inclusion Criteria:
Twenty-six hospitals which participated in the PREDICT Bronchiolitis KT study conducted in 2017 will be invited to participate. In addition, to be eligible for this section of the study, hospitals must have agreed to participate in the retrospective medical records audit.

Clinician Inclusion Criteria:
Participants must be:
•on an active practice roster
•working part-time or full-time
•in a clinical role as either doctors (including trainees) and registered nurses who are responsible for caring for children with bronchiolitis in an Australian or New Zealand EDs or paediatric inpatient areas.

Where possible Clinical Leads from the PREDICT Bronchiolitis KT study will be included in the sample as will clinicians of varying seniority (years since completing training).

Exclusion Criteria

Medical Record Audit Exclusion Criteria:
Hospital Exclusion Criteria:
There are no hospital level exclusion criteria.

Patient Exclusion Criteria:
There are no patient level exclusion criteria.

Clinician Exclusion Criteria:
Hospital Exclusion Criteria:
There are no hospital level exclusion criteria.

Clinician Exclusion Criteria:
Students/interns, locums (medical); agency or bank staff (nurses) and clinicians not currently engaged in clinical practice will be excluded.

Study & Design

• Study Type: Observational
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
The proportion of infants presenting to hospital with bronchiolitis at intervention group hospitals, who received care that adhered with all 5 practice Australasian Bronchiolitis Guideline recommendations known to have no benefit (CXR, salbutamol, glucocorticoids, antibiotics, and adrenaline) in the acute care period (first 24 hours of hospitalisation) assessed as a composite outcome of all 5 practices by audit of patient medical records.[From completion of PREDICT Bronchiolitis KT study (2017) to 2 years post-completion (2019).]