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

H

Hospital General de Niños Pedro de Elizalde

Status

Not yet enrolling

Conditions

Bronchiolitis
Bronchiolitis Acute Viral

Study type

Observational

Funder types

Other

Identifiers

NCT07202585
Variability PMS

Details and patient eligibility

About

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.

Full description

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.

Enrollment

380 estimated patients

Sex

All

Ages

1 to 24 months old

Volunteers

No Healthy Volunteers

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.

Trial contacts and locations

1

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Data sourced from clinicaltrials.gov

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