Clinical trial NCT03663660: Organizational Infrastructure Pediatric Plan in Bronchiolitis Epidemics
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
Study type: OBSERVATIONAL
Overall status: COMPLETED
Conditions: Bronchiolitis
Keywords: Bronchiolitis
Health care
Organizational change
children
Epidemic
cost
Lead sponsor: University Hospital, Montpellier
Sponsor class: OTHER
First posted: 2018-09-10
Enrollment: 1636
Sex: ALL
Maximum age (years): 2
Standard ages: CHILD
Accepts healthy volunteers: no
Observational model: COHORT
Time perspective: RETROSPECTIVE
Sampling method: NON_PROBABILITY_SAMPLE
Study population: Chidren under 2 years hospitalized for bronchiolitis

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).

Eligibility criteria: Inclusion criteria:

* age \< 2 years
* hospitalization for bronchiolitis

Exclusion criteria:

* None

Primary outcomes:
measure: Overall hospital length of stay
timeFrame: 1 year
Secondary outcomes:
measure: Hospitalization rate in ICU
timeFrame: 1 year
measure: Readmissions within 30 days after hospital discharge
timeFrame: 30 days
measure: Transfer rate between units
timeFrame: 1 year
measure: Cost of the OIPP implementation in our institution
timeFrame: 1 year
Other outcomes:
Locations:
city: Montpellier
country: France
facility: Uhmontpellier
Study officials:
affiliation: University Hospital, Montpellier
name: Pascal AMEDRO, MD, PhD
role: PRINCIPAL_INVESTIGATOR
References:
citation: Lavilledieu D, Abassi H, Mercier G, Guiraud M, Chaffaut GD, Milesi C, Cambonie G, Gavotto A, Jeziorski E, Amedro P. Implementation of an organizational infrastructure paediatric plan adapted to bronchiolitis epidemics. J Infect Public Health. 2020 Feb;13(2):167-172. doi: 10.1016/j.jiph.2019.07.007. Epub 2019 Aug 2.