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Clinical characteristics of children and adolescents with croup and epiglottitis who visited 146 Emergency Departments in Korea.

Lee DR, Lee CH, Won YK, Suh DI, Roh EJ, Lee MH, Chung EH - Korean J Pediatr (2015)

Bottom Line: The male:female sex ratios were 1.9:1 and 2.3:1 and mean ages were 2.2±2.0 and 5.6±5.8 years, respectively.Both groups had similar sex ratios, arrival times, 3 most common chief complaints, and 5 most common comorbidities.Epiglottitis patients had a lower incidence rate, higher mean age of onset, and higher hospitalization rate and experienced dyspnea, sore throat, and vomiting more often than croup patients.

View Article: PubMed Central - PubMed

Affiliation: Department of Pediatrics, Seoul National University College of Medicine, Seoul, Korea.

ABSTRACT

Purpose: Croup is a common pediatric respiratory illness with symptoms of varying severity. Moreover, epiglottitis is a rare disease that can rapidly progress to life-threatening airway obstruction. Although the clinical course and treatments differ between croup and epiglottitis, they are difficult to differentiate on presentation. We aimed to compare the clinical characteristics of croup and epiglottitis in Emergency Department patients.

Methods: The 2012 National Emergency Department Information System database of 146 Korean Emergency Departments was used to investigate patients aged ≤18 years presenting with croup or epiglottitis.

Results: We analyzed 19,374 croup patients and 236 epiglottitis patients. The male:female sex ratios were 1.9:1 and 2.3:1 and mean ages were 2.2±2.0 and 5.6±5.8 years, respectively. The peak incidence of croup was observed in July and that of epiglottitis was observed in May. The hospitalization rate was lower in croup than in epiglottitis patients, and the proportion of patients treated in the intensive care unit was lower among croup patients. The 3 most common chief complaints in both croup and epiglottitis patients were cough, fever, and dyspnea. Epiglottitis patients experienced dyspnea, sore throat, and vomiting more often than croup patients (P<0.05).

Conclusion: Both groups had similar sex ratios, arrival times, 3 most common chief complaints, and 5 most common comorbidities. Epiglottitis patients had a lower incidence rate, higher mean age of onset, and higher hospitalization rate and experienced dyspnea, sore throat, and vomiting more often than croup patients. Our results may help in the differential diagnosis of croup and epiglottitis.

No MeSH data available.


Related in: MedlinePlus

Comparison of the monthly variations in the number of detected viruses. Filled squares (▪), which are drawn together, represent the number of children and adolescents presenting to the Emergency Department with croup each month. The number of detected viruses was obtained from the database of the Korean Centers for Disease Control and Prevention in 2012.
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Figure 3: Comparison of the monthly variations in the number of detected viruses. Filled squares (▪), which are drawn together, represent the number of children and adolescents presenting to the Emergency Department with croup each month. The number of detected viruses was obtained from the database of the Korean Centers for Disease Control and Prevention in 2012.

Mentions: The month with the highest incidence of croup was July (11.6% of all ED visits). August, March, and April had the next highest incidences (10.8%, 10.4%, and 10.1%, respectively). A peak incidence in patients less than 3 years old was observed in July, while a peak incidence in patients older than 4 years was observed in March. A peak monthly incidence of epiglottitis was observed in May (16.7%) in all age groups, followed by decreasing incidences in March, April, and July (12.4%, 11.1%, and 11.0%, respectively) (Fig. 2). Parainfluenza virus detection and croup incidence shared a peak in July and August (Fig. 3).


Clinical characteristics of children and adolescents with croup and epiglottitis who visited 146 Emergency Departments in Korea.

Lee DR, Lee CH, Won YK, Suh DI, Roh EJ, Lee MH, Chung EH - Korean J Pediatr (2015)

Comparison of the monthly variations in the number of detected viruses. Filled squares (▪), which are drawn together, represent the number of children and adolescents presenting to the Emergency Department with croup each month. The number of detected viruses was obtained from the database of the Korean Centers for Disease Control and Prevention in 2012.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4644766&req=5

Figure 3: Comparison of the monthly variations in the number of detected viruses. Filled squares (▪), which are drawn together, represent the number of children and adolescents presenting to the Emergency Department with croup each month. The number of detected viruses was obtained from the database of the Korean Centers for Disease Control and Prevention in 2012.
Mentions: The month with the highest incidence of croup was July (11.6% of all ED visits). August, March, and April had the next highest incidences (10.8%, 10.4%, and 10.1%, respectively). A peak incidence in patients less than 3 years old was observed in July, while a peak incidence in patients older than 4 years was observed in March. A peak monthly incidence of epiglottitis was observed in May (16.7%) in all age groups, followed by decreasing incidences in March, April, and July (12.4%, 11.1%, and 11.0%, respectively) (Fig. 2). Parainfluenza virus detection and croup incidence shared a peak in July and August (Fig. 3).

Bottom Line: The male:female sex ratios were 1.9:1 and 2.3:1 and mean ages were 2.2±2.0 and 5.6±5.8 years, respectively.Both groups had similar sex ratios, arrival times, 3 most common chief complaints, and 5 most common comorbidities.Epiglottitis patients had a lower incidence rate, higher mean age of onset, and higher hospitalization rate and experienced dyspnea, sore throat, and vomiting more often than croup patients.

View Article: PubMed Central - PubMed

Affiliation: Department of Pediatrics, Seoul National University College of Medicine, Seoul, Korea.

ABSTRACT

Purpose: Croup is a common pediatric respiratory illness with symptoms of varying severity. Moreover, epiglottitis is a rare disease that can rapidly progress to life-threatening airway obstruction. Although the clinical course and treatments differ between croup and epiglottitis, they are difficult to differentiate on presentation. We aimed to compare the clinical characteristics of croup and epiglottitis in Emergency Department patients.

Methods: The 2012 National Emergency Department Information System database of 146 Korean Emergency Departments was used to investigate patients aged ≤18 years presenting with croup or epiglottitis.

Results: We analyzed 19,374 croup patients and 236 epiglottitis patients. The male:female sex ratios were 1.9:1 and 2.3:1 and mean ages were 2.2±2.0 and 5.6±5.8 years, respectively. The peak incidence of croup was observed in July and that of epiglottitis was observed in May. The hospitalization rate was lower in croup than in epiglottitis patients, and the proportion of patients treated in the intensive care unit was lower among croup patients. The 3 most common chief complaints in both croup and epiglottitis patients were cough, fever, and dyspnea. Epiglottitis patients experienced dyspnea, sore throat, and vomiting more often than croup patients (P<0.05).

Conclusion: Both groups had similar sex ratios, arrival times, 3 most common chief complaints, and 5 most common comorbidities. Epiglottitis patients had a lower incidence rate, higher mean age of onset, and higher hospitalization rate and experienced dyspnea, sore throat, and vomiting more often than croup patients. Our results may help in the differential diagnosis of croup and epiglottitis.

No MeSH data available.


Related in: MedlinePlus