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  • 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
  • 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,]
  • 5. Croup Background
    • Inflammation of the Larynx and Trachea
    • Incidence about 3% <6yrs
    • Para-influenza virus is the most common causative organism
    • Symptoms include hoarse voice, barking cough and stridor
    • Treatments; Humidified air, steroids, adrenaline, intubation
  • 6. Estimated Cost of croup hospital stays per year in the UK £1.7 million
  • 7. Croup Search on the Internet
  • 8. Croup Search on the Internet
  • 9. Aims of Project To develop a parent friendly score to assess croup severity over the phone
  • 10. Advantages of a parent friendly score Better prioritising of patients Reassure parents Better evaluate home therapies Prevent unnecessary visits to hospital
  • 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
  • 12. How I recruited
    • The participants were from A&E
    • 10 Cases
    • None rejected for failing criteria
    • 2 rejected for incomplete data
    • 1 rejected for non-understanding
  • 13. Methods
  • 14. Methods
  • 15. Eyeballing the Results
  • 16. Mean 19.4 The Spread of Croup Severity in my Sample
  • 17. The Spread of Croup Severity in my Sample Mean 19.4
  • 18. The Spread of Croup Severity in my Sample Mean 19.4
  • 19. Very Easy Quite Easy Not Easy Quite Hard How easy was each question to complete Average difficulty rating Questions from the new score
  • 20. Very Easy Quite Easy Not Easy Quite Hard How easy was each question to complete Average difficulty rating Questions from the new score
  • 21. Very Easy Quite Easy Not Easy Quite Hard How easy was each question to complete Average difficulty rating Questions from the new score
  • 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
  • 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
  • 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
  • 25. What most reflects your concerns about your child’s Illness
  • 26. What most reflects your concerns about your child’s Illness
  • 27. What most reflects your concerns about your child’s Illness
  • 28. Additional Parents Comments or Concerns Colouring of the Child Floppy Body Whether taking liquid/food Behavioural change Being Sick Include examples in questions
  • 29. Limitations of the study not enough patients! Recruitment locations poor time of year
  • 30. Month Hospital admittance (thousands) Croup Admittance by Month
  • 31. Project Approval Project Finishing Month Hospital admittance (thousands) Croup Admittance by Month
  • 32. Thank You
    • A Short Time to take some Questions
  • 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)