Croup 3 White

Joshua Martin Dr Mike MooreJoshua Martin

Dr Mike Moore

CROUP SCORE VALIDATION STUDY/08

CROUP SCORE VALIDATION STUDY/08

What we’ll cover

Background Information

Methods of Study

Results from Study

Limitations and Conclusion

croup 1 |kroōp|nouninflammation of the larynx and trachea in children, associated with infection and causing breathing difficulties.ORIGIN mid 18th cent.: from dialect croup [to croak,]

Croup Background

‣ Inflammation of the Larynx and Trachea

‣ Incidence about 3% <6yrs

‣ Para-influenza virus is the most common causative organism

‣ Symptoms include hoarse voice, barking cough and stridor

‣ Treatments; Humidified air, steroids, adrenaline, intubation

Estimated Cost of croup hospital stays per year in the UK

£1.7 million£1.7 million

Croup Search on the Internet

Croup Search on the Internet

Aims of Project

To develop a parent friendly score

to assess croup severity over the phone

Advantages of a parent friendly score

Better prioritising of Better prioritising of patientspatients Reassure parentsReassure parents

Better evaluate home Better evaluate home therapiestherapies

Prevent unnecessary visits Prevent unnecessary visits to hospitalto hospital

To developed a home score from hospital score

Complete a small trial to validate its ease of use and any appropriate changes

Phase 1

How I recruited

• The participants were from A&E

• 10 Cases

• None rejected for failing criteria

• 2 rejected for incomplete data

• 1 rejected for non-understanding

Methods

Methods

Eyeballing the Results

Mean 19.4

The Spread of Croup Severity in my Sample

The Spread of Croup Severity in my Sample

Mean 19.4

The Spread of Croup Severity in my Sample

Mean 19.4

Very Easy

Quite Easy

Not Easy

Quite Hard

How easy was each question to complete

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Questions from the new scoreQuestions from the new score

Very Easy

Quite Easy

Not Easy

Quite Hard

How easy was each question to complete

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Avera

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Questions from the new scoreQuestions from the new score

Very Easy

Quite Easy

Not Easy

Quite Hard

How easy was each question to complete

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Questions from the new scoreQuestions from the new score

Very Little Help

Slight Help

Moderate Help

Very Helpful

Extremely Helpful

*Incomplete Data

How Much each Item Helped in Describing the Illness

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Questions from the new scoreQuestions from the new score

Very Little Help

Slight Help

Moderate Help

Very Helpful

Extremely Helpful

*Incomplete Data

How Much each Item Helped in Describing the Illness

Avera

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desc

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Questions from the new scoreQuestions from the new score

Very Little Help

Slight Help

Moderate Help

Very Helpful

Extremely Helpful

*Incomplete Data

How Much each Item Helped in Describing the Illness

Avera

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Questions from the new scoreQuestions from the new score

What most reflects your concerns about your child’s Illness

What most reflects your concerns about your child’s Illness

What most reflects your concerns about your child’s Illness

Additional Parents Comments or Concerns

Colouring of the Child

Floppy BodyWhether taking

liquid/food

Behavioural change Being SickInclude examples in

questions

Limitations of the study

not enough patients!

Recruitment locations

poor time of year

Month

Hosp

ital adm

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(th

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Croup Admittance by Month

Project ApprovalProject Approval

Project FinishingProject Finishing

Month

Hosp

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nce

(th

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Croup Admittance by Month

Thank YouA Short Time to take some Questions

References

Denny FW, Murphy TF, Clyde WA, Collier AM, Henderson FW. Croup: an 11 year study in pediatric practice. Pediatrics 1983; 71: 871-6.

Kairys SW, Olmstead EM, OConnor GT. Steroid treatment of laryngo-tracheitis: a meta-analysis of the evidence of randomized trials. Pediatrics 1989;83:68393.

Moore M, Little P. Humidified air inhalation for treating croup. Cochrane Database of Systematic Reviews 2006, Issue 3. Art. No.: CD002870. DOI: 10.1002/14651858.CD002870.pub2. Wolfsdorf and swift 1062-5

Julie C Brown, The management of croup, British Medical Bulletin 61:189-202 (2002)