Sixteen years of croup in a Western Australian teaching hospital: effects of routine steroid treatment

Annals of Emergency Medicine
G C Geelhoed

Abstract

To describe the experience of croup at Princess Margaret Hospital for Children (PMH), the only tertiary pediatric hospital in Western Australia, from 1980 through 1995 with reference to the introduction of routine steroid treatment in the ICU in 1989, in the general hospital wards from 1989 through 1993, and in the emergency department observation ward in 1993. Information on the numbers of children with croup presenting to PMH from 1980 through 1985 who were admitted to the general wards, the ICU, and the observation ward; intubation rate; and length of stay was obtained from a combination of state health records, hospital statistics, logbooks, and computer records. The numbers of children who presented to and were admitted to PMH with croup were similar for all years of the study period. Since 1989, the annual number of children intubated (1980-1989 average, 8; 1990-1995 average, 4) and total ICU days for croup (1980-1989 average, 129; 1990-1995 average, 24) has decreased dramatically. The annual percentage of children transferred to the ICU (1980-1989 average, 11.6%; 1994-1995 average, 2.6%) and the average length of stay for PMH (1980-1989 average, 2.03 days; 1994-1995 average, 1.1 days) decreased every year from 1989 throu...Continue Reading

References

Nov 1, 1984·Australian Paediatric Journal·D BourchierD M Fergusson
Oct 1, 1983·American Journal of Diseases of Children·G KorenS M MacLeod
Aug 4, 1994·The New England Journal of Medicine·T P KlassenP C Rowe

❮ Previous
Next ❯

Citations

May 1, 1997·Pediatric Pulmonology·G C Geelhoed
Mar 12, 2004·International Journal of Pediatric Otorhinolaryngology·Feyzullah CetinkayaGünsel Kutluk
Feb 26, 2008·Lancet·Candice L Bjornson, David W Johnson
Feb 6, 2002·Emergency Medicine Clinics of North America·Robert Bruce WrightJoseph W Luria
Aug 3, 1999·Archives de pédiatrie : organe officiel de la Sociéte française de pédiatrie·P Lebecque
Aug 26, 1998·The New England Journal of Medicine·D M Jaffe
Jan 25, 2008·The New England Journal of Medicine·James D Cherry
Jul 17, 2003·Pediatric Case Reviews·Paul Ishimine
Jan 13, 2004·Pediatric Emergency Care·Jay D Fisher
Jun 9, 2005·Pediatric Emergency Care·Gary Cornelis Geelhoed
Dec 13, 2005·Pediatric Emergency Care·Candice Leigh Bjornson, David W Johnson
Jun 27, 2008·Pediatric Emergency Care·Meredith Louise BorlandAmanda Doreen Esson
Apr 21, 2006·Archives of Disease in Childhood·A Sparrow, G Geelhoed
Sep 3, 1999·BMJ : British Medical Journal·M AusejoT P Klassen
Nov 26, 1997·Thorax·W B Macdonald, G C Geelhoed
Nov 1, 2000·Critical Care : the Official Journal of the Critical Care Forum·J RajahH Hon
Apr 19, 2002·Paediatric Drugs·Wendy Stannard, Chris O'Callaghan
Jan 13, 2009·Pediatric Clinics of North America·Mark L Everard
Aug 18, 2009·Emergency Medicine Australasia : EMA·Milana Dobrovoljac, Gary C Geelhoed
Feb 9, 2012·Emergency Medicine Australasia : EMA·Milana Dobrovoljac, Gary C Geelhoed
Dec 3, 2009·Pediatric Pulmonology·Rhonda J RosychukBrian H Rowe
Sep 13, 2005·Paediatric Respiratory Reviews·Alan W Duncan
Feb 24, 2001·Emergency Medicine Clinics of North America·S E Mace
Mar 11, 2005·Expert Opinion on Pharmacotherapy·Robert Bruce WrightTerry P Klassen
May 9, 2002·British Medical Bulletin·Julie C Brown
Jul 9, 2004·Emergency Medicine Australasia : EMA·Robyn ParkerAnne-Maree Kelly
Jan 21, 2011·The Cochrane Database of Systematic Reviews·Kelly F RussellTerry P Klassen
Oct 31, 2019·International Journal for Quality in Health Care : Journal of the International Society for Quality in Health Care·Bernadette PrenticeAdam Jaffe
Nov 26, 2008·Paediatrics & Child Health·Candice L Bjornson, David W Johnson
Sep 25, 2003·The Medical Journal of Australia·Dominic A Fitzgerald, Henry A Kilham

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.