Eliminating Monitor Overuse Trial (EMO Trial)
Running, not enrolling · Not applicable
Conditions studied: Bronchiolitis Acute Viral
In brief
The purpose of this study is to identify the optimal deimplementation strategies for an overused practice: continuous pulse oximetry monitoring of children hospitalized with bronchiolitis who are not receiving supplemental oxygen.
Key facts
- Study ID
- NCT05132322
- Run by
- Children's Hospital of Philadelphia
- People needed
- 9265
- Starts
- 2021-12-01
- Expected to finish
- 2026-08-01
- Last updated by the study team
- 2026-02-13
Who can join
Age: 0 and older. Sex: any. Healthy volunteers: not accepted.
You may qualify if…
- Infants and children 2 months through 23 months old
- Hospitalized on non-ICU wards participating in the trial
- Cared for by generalist inpatient services (e.g. general pediatrics, hospital medicine)
- Primary diagnosis of bronchiolitis in most recent physician progress note
- Not actively receiving supplemental oxygen ("in room air")
- Last documented receipt of supplemental oxygen >1 hour prior to direct observational data collection
You may not qualify if…
- Documented apnea or cyanosis during the current illness
- Extreme prematurity (<28 weeks completed gestation)
- Cardiac disease
- Pulmonary hypertension
- Chronic lung disease
- Home oxygen requirement
- Neuromuscular disease
- Immunodeficiency
- Cancer
- Severe Acute Respiratory Syndrome Coronavirus 2 (Covid-19 / SARS-CoV-2)-related illness (known or suspected, including multisystem inflammatory syndrome in children multi-system inflammatory syndrome in children (MIS-C)
- Population b: Bronchiolitis patients directly observed while receiving supplemental oxygen (for underuse evaluation).
- Inclusion Criteria:
- Infants and children 2 months through 23 months old
- Hospitalized on non-ICU wards participating in the trial
- Cared for by generalist inpatient services (e.g. general pediatrics, hospital medicine)
- Primary diagnosis of bronchiolitis in most recent physician progress note
- Actively receiving ≥2 Liters/minute (2L/min) supplemental oxygen or 21% room air flow
- Exclusion Criteria:
- Extreme prematurity (<28 weeks completed gestation)
- Cardiac disease
- Pulmonary hypertension
- Chronic lung disease
- Home oxygen requirement
- Neuromuscular disease
- Immunodeficiency
Where it is running
- Children's of Alabama — Birmingham, Alabama, United States
- University of California Davis — Davis, California, United States
- Rady Children's Hospital/UCSD — Encinitas, California, United States
- Children's Hospital Los Angeles — Los Angeles, California, United States
- Valley Children's Hospital — Madera, California, United States
- Children's Hospital Orange County — Orange, California, United States
- Lucile Packard Children's Hospital Stanford — Stanford, California, United States
- Children's Hospital Colorado — Aurora, Colorado, United States
- Yale-New Haven Children's Hospital — New Haven, Connecticut, United States
- Children's National Medical Center — Washington D.C., District of Columbia, United States
- Ann & Robert H. Lurie Children's Hospital of Chicago — Chicago, Illinois, United States
- Northwestern University — Chicago, Illinois, United States
- Riley Hospital for Children at IU Health — Indianapolis, Indiana, United States
- Boston Children's Hospital — Boston, Massachusetts, United States
- CS Mott Children's Hospital — Ann Arbor, Michigan, United States
- Children's Minnesota — Minneapolis, Minnesota, United States
- Children's Mercy Kansas City — Kansas City, Missouri, United States
- Children's Hospital at Dartmouth-Hitchcock — Lebanon, New Hampshire, United States
- CHOP Pediatric Care at Penn Medicine/Princeton Health — Princeton, New Jersey, United States
- CHOP Care Network at Virtua — Voorhees Township, New Jersey, United States
- Albany Medical Center — Albany, New York, United States
- Cohen Children's Medical Center — New Hyde Park, New York, United States
- NYP-Morgan Stanley Children's Hospital — New York, New York, United States
- Komansky Children's Hospital/New York Presbyterian Medical Center /Weill Cornell Medicine — New York, New York, United States
- Texas Children's Hospital The Woodlands — The Woodlands, Texas, United States
Full record on ClinicalTrials.gov
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