Respiratory Support and Treatment for Efficient and Cost-Effective Care (REST EEC)

Christopher Horvat

Status: Enrolling

Conditions: Bronchiolitis

Treatments: Device: HHFNC Weaning; Other: Clinical Decision Support (CDS)

Study type: Interventional

Funder types: Other

Identifiers

NCT05909566

STUDY23010030

Details and patient eligibility

About

This project aims to answer the essential questions about the management of acute, pediatric respiratory illness, accelerate recovery from these all-too-common diseases, curb unnecessary costs of care, and demonstrate UPMC Children's Hospital of Pittsburgh's capabilities as the premier, world-class leader in the arena of pediatric learning healthcare systems. REST EEC will focus on the question of whether clinical decision support (CDS) facilitates the standardization of the initiation and weaning of heated high flow nasal cannula (HHFNC) for bronchiolitis.REST EEC will focus on whether the application of CDS improves adherence to a standardized guideline and leads to improved patient-centered outcomes.

Enrollment: 198 estimated patients

Sex: All

Ages: Under 2 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• <2 years of age Bronchiolitis WOB Score >2

Exclusion criteria

• Immunocompromised
• Immunosuppressed
• Chronic lung disease
• Congenital heart disease with baseline cardiorespiratory manifestations

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

---

198 participants in 2 patient groups

HHFNC + Clinical decision Support

Experimental group

Description:

Standardized HHFNC weaning coupled with clinical decision support consisting of electronic record embedded reminders to the clinical team to wean HHFNC

Treatment:

Other: Clinical Decision Support (CDS)

Device: HHFNC Weaning

HHFNC Weaning

Active Comparator group

Description:

Team does not receive clinical decision support reminders to wean the HHFNC

Treatment:

Other: Clinical Decision Support (CDS)

Device: HHFNC Weaning