I-DECIDE After Bronchiolitis Hospitalization

Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age0-24
SponsorSeattle Children's Hospital

About this trial

Although automatic follow-up is a nearly universal practice, research has shown that these visits are often unnecessary after hospitalizations caused by bronchiolitis. Despite endorsement by national pediatric authorities, robust evidence, and family enthusiasm for as-needed (PRN) follow-up, it remains substantially underutilized for children hospitalized for bronchiolitis.

The goal of I-DECIDE is to compare the effects of two multi-component implementation strategies, both of which aim to (a) increase PRN follow-up prescribing by hospitalists (physicians who care for hospitalized children) and (b) decrease unnecessary follow-up visit attendance by families.

Eligibility criteria

Qualifiers

Primary diagnosis of bronchiolitis, discharged by a generalist inpatient service from a non-ICU, non-emergency department, non-step down unit

Disqualifiers

Children with a history of gestational age <28 weeks, chronic lung disease, complex or hemodynamically significant heart disease, immunodeficiency, or neuromuscular disease

Children being discharged with home oxygen therapy

Trial design

Treatments tested in this trial

  • Moderate-Resource Implementation Strategy
  • High-Resource Implementation Strategy

Treatment groups

2,700 Participants
are divided into 2 treatment groups

Sponsors and collaborators

Seattle Children's Hospital

Lead sponsor

Patient-Centered Outcomes Research Institute

Collaborator

Children's Hospital of Philadelphia

Collaborator