Pediatric Cardiology and Pulmonology Department, M3C Regional Reference Centre, Montpellier University Hospital, Montpellier, France.
Pediatric Cardiology and Pulmonology Department, M3C Regional Reference Centre, Montpellier University Hospital, Montpellier, France; Self-Perceived Health Assessment Research Unit, EA3279, Public Health Department, Aix-Marseille University, Marseille, France.
J Infect Public Health. 2020 Feb;13(2):167-172. doi: 10.1016/j.jiph.2019.07.007. Epub 2019 Aug 2.
Acute bronchiolitis epidemics are known to destabilize healthcare structures and stand as a major public health issue. Our tertiary care regional university hospital designed an organizational infrastructure paediatric plan (OIPP) to adapt to bronchiolitis epidemics. This study aimed to assess the impact of the OIPP on the length of stay and quality of care of children hospitalized for bronchiolitis.
This epidemiological study analyzed data from 2 epidemic seasons before and after the OIPP implementation. The OIPP used a standardized algorithm of patient orientation and a 4-level stratification of care.
A total of 1636 children were included in the study, with 718 children before and 918 children after the OIPP implementation. The length of stay significantly decreased after the OIPP implementation, from 5.1±6.8 days to 3.9±3 days (P<0.001). The 30-day readmission for bronchiolitis remained stable (4.6% vs. 3.4%, P=0.2). The net annual patient service revenue increased from 1,292,532 € to 1,545,720 €.
The implementation of the OIPP resulted in a significant decrease in the average hospital length of stay. This plan improved patients' quality of care while maintained a balanced budget.
ClinicalTrials.gov NCT03663660.
急性细支气管炎流行会使医疗结构不稳定，成为一个主要的公共卫生问题。我们的三级保健区域大学医院设计了一种组织基础设施儿科计划（OIPP）以适应细支气管炎流行。本研究旨在评估 OIPP 对因细支气管炎住院的儿童的住院时间和护理质量的影响。
这项流行病学研究分析了 OIPP 实施前后两个流行季节的数据。OIPP 使用了标准化的患者导向算法和 4 级护理分层。
共有 1636 名儿童纳入研究，其中 OIPP 实施前有 718 名，实施后有 918 名。OIPP 实施后，住院时间显著缩短，从 5.1±6.8 天缩短至 3.9±3 天（P<0.001）。细支气管炎 30 天再入院率保持稳定（4.6% vs. 3.4%，P=0.2）。净年度患者服务收入从 1292532 欧元增加到 1545720 欧元。
OIPP 的实施导致平均住院时间显著缩短。该计划在保持预算平衡的同时，提高了患者的护理质量。
ClinicalTrials.gov NCT03663660。
