Child with symptoms of acute croup at the emergency department – data analysis of children treated in 2016 and 2017

Česká verzia

Authors: J. Gécz ^1,2; B. Valentín ¹; M. Brenner ¹; J. Buchanec ²
Authors place of work: Oddelenie urgentného príjmu Národného ústavu detských chorôb, Bratislava, Slovensko ¹; Klinika detí a dorastu Jesseniovej lekárskej fakulty Univerzity Komenského a Univerzitnej nemocnice, Martin, Slovensko ²
Published in the journal: Čes-slov Pediat 2019; 74 (4): 240-243.
Category: Original Papers

Summary

Introduction: Acute croup is a common childhood disease. It is mostly of viral etiology and if treated correctly only a small amount of children needs hospitalisation.

Objective: The major goal of our work is to evaluae the management of children with acute croup treated at the Department of paediatric emergency (DPE) in National institute of children´s diseases (NICD) in Bratislava over the years 2016 and 2017.

Material and methods: The cohort consists of every child with acute croup treated at the DPE over the years 2016 and 2017. Point of interest is the treatment (given at home, at GP´s office, ambulance or emergency department), age, sex, seasonality, severity and a further destiny of the child. We analyzed data retrospectively from medical documentation.

Results: During two years there were 1168 children with acute croup who visited DPE in NICD. Most of them were boys less than 5 years old. The incidence peaked during the winter. 31% of patients came to the ER via an ambulance. All together 95% were released home after treated at the DPE. Hospitalised were mostly children less than 6 months old and those with other complications. Dexamethasone as the choice of treat-ment was only given to 70% of children. Only a few children returned to the hospital, mostly because of incorrect treatment.

Conclusion: Acute croup is a common children´s disease. It´s treatment is well defined and evidence based medicine proves it´s efficacy. Let´s treat children correctly and minimize their hospital visits.

Keywords:

acute croup – emergency department

Zdroje

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