Outpatient respiratory physiotherapy for infants with bronchiolitis

Is this trial a fit for you?

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This quasi-experimental study evaluates the effect of an outpatient respiratory physiotherapy protocol on hospitalization rates among infants up to 12 months with mild to moderate acute viral bronchiolitis. Participants are drawn from emergency care units in the public health system and compared to a similar group receiving standard care without physiotherapy referral. The protocol features slow expiratory techniques, rhinopharyngeal clearance, and cough assistance, implemented in real-world clinical settings. The design aims to emulate a clinical trial while reflecting routine practice conditions. Outcomes focus on hospitalization rates and associated health care utilization and costs.

Why it matters

Who can join: the full rules

Inclusion Criteria:

* Infants aged 12 months or younger.
* Clinical diagnosis of acute viral bronchiolitis.
* Mild or moderate bronchiolitis according to clinical assessment and Wang Bronchiolitis Severity Score.
* Initial evaluation performed at a participating emergency care unit (UPA).
* Parent or legal guardian able and willing to provide informed consent for participants receiving direct physiotherapy care.

Exclusion Criteria:

* Severe bronchiolitis requiring immediate hospitalization or emergency medical intervention.
* Infants who did not follow the predefined clinical care pathway (e.g., no initial evaluation at a participating emergency care unit).
* Absence of a clinical diagnosis of acute viral bronchiolitis by the attending pediatrician.
* Any medical condition that, in the opinion of the clinical team, would make participation inappropriate or interfere with study procedures.

Where it's running

• School of Public Health, University of São Paulo (USP), São Paulo, Brazil
  São Paulo, São Paulo, Brazil Recruiting

Study contacts

• Study coordinator: Franciny N Novaes, Graduate
• Email: francinydantas@usp.br
• Phone: +5515997576696

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How to take part

1. Review the eligibility criteria above with your treating physician.
2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.