Clinical characteristics of children and adolescents with croup and epiglottitis who visited 146 Emergency Departments in Korea
PurposeCroup 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 t...
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| Format: | Article |
| Language: | English |
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Korean Pediatric Society
2015-10-01
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| Series: | Korean Journal of Pediatrics |
| Subjects: | |
| Online Access: | http://kjp.or.kr/upload/pdf/kjped-58-380.pdf |
| _version_ | 1818202539529601024 |
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| author | Doo Ri Lee Chang Hyu Lee Youn Kyung Won Dong In Suh Eui-Jung Roh Mi-Hee Lee Eun Hee Chung |
| author_facet | Doo Ri Lee Chang Hyu Lee Youn Kyung Won Dong In Suh Eui-Jung Roh Mi-Hee Lee Eun Hee Chung |
| author_sort | Doo Ri Lee |
| collection | DOAJ |
| description | PurposeCroup 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.MethodsThe 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.ResultsWe 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).ConclusionBoth 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. |
| first_indexed | 2024-12-12T03:11:03Z |
| format | Article |
| id | doaj.art-91d746957da34f34b05f560585deebcf |
| institution | Directory Open Access Journal |
| issn | 1738-1061 2092-7258 |
| language | English |
| last_indexed | 2024-12-12T03:11:03Z |
| publishDate | 2015-10-01 |
| publisher | Korean Pediatric Society |
| record_format | Article |
| series | Korean Journal of Pediatrics |
| spelling | doaj.art-91d746957da34f34b05f560585deebcf2022-12-22T00:40:24ZengKorean Pediatric SocietyKorean Journal of Pediatrics1738-10612092-72582015-10-01581038038510.3345/kjp.2015.58.10.3802014600076Clinical characteristics of children and adolescents with croup and epiglottitis who visited 146 Emergency Departments in KoreaDoo Ri Lee0Chang Hyu Lee1Youn Kyung Won2Dong In Suh3Eui-Jung Roh4Mi-Hee Lee5Eun Hee Chung6Department of Pediatrics, Seoul National University College of Medicine, Seoul, Korea.Department of Pediatrics, National Medical Center, Seoul, Korea.Department of Pediatrics, National Medical Center, Seoul, Korea.Department of Pediatrics, Seoul National University College of Medicine, Seoul, Korea.Department of Pediatrics, Sun General Hospital, Daejeon, Korea.Department of Pediatrics, Incheon Medical Center, Incheon, Korea.Department of Pediatrics, National Medical Center, Seoul, Korea.PurposeCroup 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.MethodsThe 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.ResultsWe 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).ConclusionBoth 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.http://kjp.or.kr/upload/pdf/kjped-58-380.pdfCroupEpiglottitisEmergency Department |
| spellingShingle | Doo Ri Lee Chang Hyu Lee Youn Kyung Won Dong In Suh Eui-Jung Roh Mi-Hee Lee Eun Hee Chung Clinical characteristics of children and adolescents with croup and epiglottitis who visited 146 Emergency Departments in Korea Korean Journal of Pediatrics Croup Epiglottitis Emergency Department |
| title | Clinical characteristics of children and adolescents with croup and epiglottitis who visited 146 Emergency Departments in Korea |
| title_full | Clinical characteristics of children and adolescents with croup and epiglottitis who visited 146 Emergency Departments in Korea |
| title_fullStr | Clinical characteristics of children and adolescents with croup and epiglottitis who visited 146 Emergency Departments in Korea |
| title_full_unstemmed | Clinical characteristics of children and adolescents with croup and epiglottitis who visited 146 Emergency Departments in Korea |
| title_short | Clinical characteristics of children and adolescents with croup and epiglottitis who visited 146 Emergency Departments in Korea |
| title_sort | clinical characteristics of children and adolescents with croup and epiglottitis who visited 146 emergency departments in korea |
| topic | Croup Epiglottitis Emergency Department |
| url | http://kjp.or.kr/upload/pdf/kjped-58-380.pdf |
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