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Simultaneously Implementing Pathways for Improving Asthma, Pneumonia, and Bronchiolitis Care for Hospitalized Children

NCT05206695

CompletedNA

Sponsor: University of California, San Francisco

Conditions: Asthma, Pneumonia, Bronchiolitis

Interventions: Multi-condition Pathway Intervention

Countries: United States

This study's objective is to identify and test pragmatic and sustainable strategies for implementing a multi-condition clinical pathway intervention for children hospitalized with asthma, pneumonia, or bronchiolitis in community hospitals. The hypothesis is that the multi-condition pathway intervention will be associated with significantly greater increases in clinicians' adoption of evidence-based practices compared to control. The study is a pragmatic, cluster-randomized trial in US community hospitals. The primary outcome will be adoption of evidence-based practices over a sustained period of 2 years. Secondary outcomes include length of hospital stay, intensive care unit transfer, and hospital readmission/emergency department revisit.

Eligibility overview

Sex: ALL

Age: — to 17 Years

Healthy volunteers: No

Study type: INTERVENTIONAL

Eligibility criteria

Inclusion Criteria:

* Primary diagnosis of asthma AND age \>2 to \<18 years-old at time of admission to the hospital OR
* Primary diagnosis of pneumonia AND age \>2 months and \<18 years at time of admission to the hospital OR
* Primary diagnosis of bronchiolitis AND age \<2 years at time of admission to the hospital

Exclusion Criteria:

* Diagnosis of SARS-CoV-2
* Transfer in from another inpatient facility
* Pre-existing chronic illnesses (e.g., lung disease, cardiovascular disease, neurologic disorders)

Locations (1)

San Francisco, California, United States