27 years of croup: An update highlighting the effectiveness of 0.15 mg/kg of dexamethasone

Dobrovoljac, Milana; Geelhoed, Gary C.

doi:10.1111/j.1742-6723.2009.01202.x

Cited by 16 publications

(14 citation statements)

References 26 publications

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“…This is most likely due to the use of steroids over the last two decades in children presenting with croup in WA, who are then likely to be treated as outpatients with very few being admitted [21]. The presentation rates for croup were similar in Aboriginal and non-Aboriginal children.…”

Section: Discussionmentioning

confidence: 99%

Can linked emergency department data help assess the out-of-hospital burden of acute lower respiratory infections? A population-based cohort study

et al. 2012

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BackgroundThere is a lack of data on the out-of-hospital burden of acute lower respiratory infections (ALRI) in developed countries. Administrative datasets from emergency departments (ED) may assist in addressing this.MethodsWe undertook a retrospective population-based study of ED presentations for respiratory-related reasons linked to birth data from 245,249 singleton live births in Western Australia. ED presentation rates <9 years of age were calculated for different diagnoses and predictors of ED presentation <5 years were assessed by multiple logistic regression.ResultsED data from metropolitan WA, representing 178,810 births were available for analysis. From 35,136 presentations, 18,582 (52.9%) had an International Classification of Diseases (ICD) code for ALRI and 434 had a symptom code directly relating to an ALRI ICD code. A further 9600 presentations had a non-specific diagnosis. From the combined 19,016 ALRI presentations, the highest rates were in non-Aboriginal children aged 6–11 months (81.1/1000 child-years) and Aboriginal children aged 1–5 months (314.8/1000). Croup and bronchiolitis accounted for the majority of ALRI ED presentations. Of Aboriginal births, 14.2% presented at least once to ED before age 5 years compared to 6.5% of non-Aboriginal births. Male sex and maternal age <20 years for Aboriginal children and 20–29 years for non-Aboriginal children were the strongest predictors of presentation to ED with ALRI.ConclusionsED data can give an insight into the out-of-hospital burden of ALRI. Presentation rates to ED for ALRI were high, but are minimum estimates due to current limitations of the ED datasets. Recommendations for improvement of these data are provided. Despite these limitations, ALRI, in particular bronchiolitis and croup are important causes of presentation to paediatric EDs.

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Section: Discussionmentioning

confidence: 99%

Can linked emergency department data help assess the out-of-hospital burden of acute lower respiratory infections? A population-based cohort study

et al. 2012

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“…9 A strong evidence base has now been established that supports administration of a corticosteroid to all children with moderate to severe croup, ie all of those with audible stridor, and arguably to any child presenting to a healthcare professional.…”

Section: Corticosteroidsmentioning

confidence: 99%

Assessment and management of viral croup in children

Wright¹,

Bush²

2016

Prescriber

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Croup is an acute respiratory illness that commonly affects preschool children. Although severe episodes requiring hospital admission occur in around 5 per cent of cases, the majority of children have a mild, self‐limiting illness, which can be safely managed at home. This article discusses the approach to clinical assessment and evidence‐based management of childhood croup in both hospital and primary care settings.

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“…There are several studies that show lower doses of dexamethasone (0.15-0.3 mg/kg) may be equally effective. [111][112][113] Inhaled budesonide can be used if available (2 mg via nebulizer) and has been shown to be similar in efficacy to dexamethasone, 109,114,115 though availability, cost, and convenience makes dexamethasone a more attractive option. There does not appear to be any additional benefit from combining oral and inhaled steroids in the setting of croup.…”

Section: Treatmentmentioning

confidence: 99%

Common Pediatric Respiratory Emergencies

Choi

Lee

2012

Emergency Medicine Clinics of North America

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27 years of croup: An update highlighting the effectiveness of 0.15 mg/kg of dexamethasone

Abstract: The improved outcomes for children with croup presenting to our paediatric ED have been maintained with a reduced, single oral dose of 0.15 mg/kg of dexamethasone.

Cited by 16 publications

References 26 publications

Can linked emergency department data help assess the out-of-hospital burden of acute lower respiratory infections? A population-based cohort study

Can linked emergency department data help assess the out-of-hospital burden of acute lower respiratory infections? A population-based cohort study

Assessment and management of viral croup in children

Common Pediatric Respiratory Emergencies

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