CROUP SCORE VALIDATION STUDY/08 Joshua Martin Dr Mike Moore
 
What we’ll cover     Background Information Methods of Study Results from Study Limitations and Conclusion
croup  1  |kroōp| noun inflammation of the larynx and trachea in children, associated with infection and causing breathing...
Croup Background <ul><li>Inflammation of the Larynx and Trachea </li></ul><ul><li>Incidence about 3% <6yrs </li></ul><ul><...
Estimated Cost of croup hospital stays per year in the UK £1.7 million
Croup Search on the Internet
Croup Search on the Internet
Aims of Project To develop a  parent friendly  score to assess  croup severity  over the phone
Advantages of a parent friendly score Better prioritising of patients Reassure parents Better evaluate home therapies Prev...
To developed a  home score  from  hospital score Complete a small trial to validate its  ease of use  and any  appropriate...
How I recruited <ul><li>The participants were from A&E </li></ul><ul><li>10 Cases </li></ul><ul><li>None rejected for fail...
Methods
Methods
Eyeballing the Results
Mean 19.4 The Spread of Croup Severity in my Sample
The Spread of Croup Severity in my Sample Mean 19.4
The Spread of Croup Severity in my Sample Mean 19.4
Very Easy Quite Easy Not Easy Quite Hard How easy was each question to complete Average difficulty rating Questions from t...
Very Easy Quite Easy Not Easy Quite Hard How easy was each question to complete Average difficulty rating Questions from t...
Very Easy Quite Easy Not Easy Quite Hard How easy was each question to complete Average difficulty rating Questions from t...
Very Little Help Slight Help Moderate Help Very Helpful Extremely Helpful *Incomplete Data How Much each Item Helped in De...
Very Little Help Slight Help Moderate Help Very Helpful Extremely Helpful *Incomplete Data How Much each Item Helped in De...
Very Little Help Slight Help Moderate Help Very Helpful Extremely Helpful *Incomplete Data How Much each Item Helped in De...
What most reflects your concerns about your child’s Illness
What most reflects your concerns about your child’s Illness
What most reflects your concerns about your child’s Illness
Additional Parents Comments or Concerns Colouring of the Child Floppy Body Whether taking liquid/food Behavioural change B...
Limitations of the study not enough patients! Recruitment locations poor time of year
Month Hospital admittance (thousands) Croup Admittance by Month
Project Approval Project Finishing Month Hospital admittance (thousands) Croup Admittance by Month
Thank You <ul><li>A Short Time to take some Questions </li></ul>
References Denny FW, Murphy TF, Clyde WA, Collier AM, Henderson FW.  Croup: an 11 year study in pediatric practice. Pediat...
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  • Croup 3 White

    1. 1. CROUP SCORE VALIDATION STUDY/08 Joshua Martin Dr Mike Moore
    2. 3. What we’ll cover     Background Information Methods of Study Results from Study Limitations and Conclusion
    3. 4. croup 1 |kroōp| noun inflammation of the larynx and trachea in children, associated with infection and causing breathing difficulties. ORIGIN mid 18th cent.: from dialect croup [to croak,]
    4. 5. Croup Background <ul><li>Inflammation of the Larynx and Trachea </li></ul><ul><li>Incidence about 3% <6yrs </li></ul><ul><li>Para-influenza virus is the most common causative organism </li></ul><ul><li>Symptoms include hoarse voice, barking cough and stridor </li></ul><ul><li>Treatments; Humidified air, steroids, adrenaline, intubation </li></ul>
    5. 6. Estimated Cost of croup hospital stays per year in the UK £1.7 million
    6. 7. Croup Search on the Internet
    7. 8. Croup Search on the Internet
    8. 9. Aims of Project To develop a parent friendly score to assess croup severity over the phone
    9. 10. Advantages of a parent friendly score Better prioritising of patients Reassure parents Better evaluate home therapies Prevent unnecessary visits to hospital
    10. 11. To developed a home score from hospital score Complete a small trial to validate its ease of use and any appropriate changes Phase 1
    11. 12. How I recruited <ul><li>The participants were from A&E </li></ul><ul><li>10 Cases </li></ul><ul><li>None rejected for failing criteria </li></ul><ul><li>2 rejected for incomplete data </li></ul><ul><li>1 rejected for non-understanding </li></ul>
    12. 13. Methods
    13. 14. Methods
    14. 15. Eyeballing the Results
    15. 16. Mean 19.4 The Spread of Croup Severity in my Sample
    16. 17. The Spread of Croup Severity in my Sample Mean 19.4
    17. 18. The Spread of Croup Severity in my Sample Mean 19.4
    18. 19. Very Easy Quite Easy Not Easy Quite Hard How easy was each question to complete Average difficulty rating Questions from the new score
    19. 20. Very Easy Quite Easy Not Easy Quite Hard How easy was each question to complete Average difficulty rating Questions from the new score
    20. 21. Very Easy Quite Easy Not Easy Quite Hard How easy was each question to complete Average difficulty rating Questions from the new score
    21. 22. Very Little Help Slight Help Moderate Help Very Helpful Extremely Helpful *Incomplete Data How Much each Item Helped in Describing the Illness Average helpfulness in describing Questions from the new score
    22. 23. Very Little Help Slight Help Moderate Help Very Helpful Extremely Helpful *Incomplete Data How Much each Item Helped in Describing the Illness Average helpfulness in describing Questions from the new score
    23. 24. Very Little Help Slight Help Moderate Help Very Helpful Extremely Helpful *Incomplete Data How Much each Item Helped in Describing the Illness Average helpfulness in describing Questions from the new score
    24. 25. What most reflects your concerns about your child’s Illness
    25. 26. What most reflects your concerns about your child’s Illness
    26. 27. What most reflects your concerns about your child’s Illness
    27. 28. Additional Parents Comments or Concerns Colouring of the Child Floppy Body Whether taking liquid/food Behavioural change Being Sick Include examples in questions
    28. 29. Limitations of the study not enough patients! Recruitment locations poor time of year
    29. 30. Month Hospital admittance (thousands) Croup Admittance by Month
    30. 31. Project Approval Project Finishing Month Hospital admittance (thousands) Croup Admittance by Month
    31. 32. Thank You <ul><li>A Short Time to take some Questions </li></ul>
    32. 33. References Denny FW, Murphy TF, Clyde WA, Collier AM, Henderson FW. Croup: an 11 year study in pediatric practice. Pediatrics 1983; 71: 871-6. Kairys SW, Olmstead EM, OConnor GT. Steroid treatment of laryngo-tracheitis: a meta-analysis of the evidence of randomized trials. Pediatrics 1989;83:68393. Moore M, Little P. Humidified air inhalation for treating croup. Cochrane Database of Systematic Reviews 2006, Issue 3. Art. No.: CD002870. DOI: 10.1002/14651858.CD002870.pub2. Wolfsdorf and swift 1062-5 Julie C Brown, The management of croup, British Medical Bulletin 61:189-202 (2002)
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