Analysis of Variability in the Management of Respiratory Infections in Hospitalized Patients Under 2 Years of Age

NCT ID: NCT07202585

Last Updated: 2025-10-02

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

NOT_YET_RECRUITING

Total Enrollment

380 participants

Study Classification

OBSERVATIONAL

Study Start Date

2025-10-01

Study Completion Date

2026-09-01

Brief Summary

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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.

Detailed Description

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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.

Conditions

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Bronchiolitis Bronchiolitis Acute Viral

Study Design

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Observational Model Type

COHORT

Study Time Perspective

RETROSPECTIVE

Eligibility Criteria

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Inclusion Criteria

Children under 2 years hospitalized with LARI in general pediatric wards during the winter months (June-September) of 2025 and 2026 in Buenos Aires

Exclusion Criteria

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.
Minimum Eligible Age

1 Month

Maximum Eligible Age

24 Months

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Hospital General de NiƱos Pedro de Elizalde

OTHER

Sponsor Role lead

Responsible Party

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Juan Pablo Ferreira

Principal Investigator

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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HGNPE

Buenos Aires, , Argentina

Site Status

Countries

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Argentina

Facility Contacts

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JUAN PABLO FERREIRA, Msc

Role: primary

+5491136085959

References

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Kane LT, Fang T, Galetta MS, Goyal DKC, Nicholson KJ, Kepler CK, Vaccaro AR, Schroeder GD. Propensity Score Matching: A Statistical Method. Clin Spine Surg. 2020 Apr;33(3):120-122. doi: 10.1097/BSD.0000000000000932.

Reference Type BACKGROUND
PMID: 31913173 (View on PubMed)

Other Identifiers

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Variability PMS

Identifier Type: -

Identifier Source: org_study_id

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