Croup in children

Bjornson, Candice; Johnson, David W.

doi:10.1503/cmaj.121645

Cited by 81 publications

(149 citation statements)

References 54 publications

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“…6,7 Systemic corticosteroids are the main treatment in croup, and there is strong evidence to support a single dose of dexamethasone (0.15-0.6 mg/kg) in all patients with croup regardless of the care setting. 6,8 Given equal efficacy, except in severe cases or when oral intake is not tolerated, the oral route is preferred to the parenteral route for corticosteroid administration.…”

Section: What This Study Addsmentioning

confidence: 99%

“…Given the high rate of ICU admission, future studies need to determine whether inpatients may benefit from multiple doses rather than a single dose of dexamethasone. 6,7 In addition, more research is needed to understand why, unlike other outcomes, the hospital of admission did not influence antibiotic use. We hypothesize that this finding is due to patient-level variables that were not captured in our analysis, but other explanations may also exist.…”

Section: Figurementioning

confidence: 99%

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Variation in Inpatient Croup Management and Outcomes

et al. 2017

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BACKGROUND AND OBJECTIVES:Croup is a clinical diagnosis, and the available evidence suggests that, except in rare cases, ancillary testing, such as radiologic imaging, is not helpful. Given the paucity of inpatient-specific evidence for croup care, we hypothesized that there would be marked variability in the use of not routinely indicated resources (NRIRs). Our primary study objective was to describe the variation and predictors of variation in the use of NRIRs.

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Section: What This Study Addsmentioning

confidence: 99%

Section: Figurementioning

confidence: 99%

Variation in Inpatient Croup Management and Outcomes

et al. 2017

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“…The annual incidence of croup is as high as 6% in children <6 years of age presenting to paediatricians' offices and EDs (2,3). Although usually self-limited, with symptoms resolving by 48 h in 60% of cases, up to 5% of children presenting for medical care are admitted to hospital, and up to 3% of these children are intubated (2,3).…”

Section: Expert Commentary Importance Of the Topicmentioning

confidence: 99%

Evidence for Clinicians: Nebulized epinephrine for croup in children

Kawaguchi

Joffe²

2015

Paediatrics &Amp; Child Health

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“…Enkeltstudier og metaanalyser har vist at systemiske steroider har god effekt på luftveisobstruksjon ved laryngitt -symptomene blir redusert, det blir mindre behov for innleggelse, varigheten av sykehusopphold blir kortere og det blir mindre behov for intubasjon (1,2). Både deksametason og betametason kan benyttes, og det vil ofte vaere tilstrekkelig med én dose (1).…”

Section: Akutt Laryngittunclassified

“…1 -5 % av alle barn med laryngitt innlegges i sykehus, og de aller fleste barn med akutt laryngitt har et mildt forløp (1). Vi mener derfor at systemiske steroider bare bør vurderes ved moderat eller alvorlig luftveisobstruksjon, primaert for å redusere behovet for innleggelse i sykehus.…”

Section: Akutt Laryngittunclassified