The clinical experience of croup at a tertiary care center in Jeddah, Western Saudi Arabia
Background: Viral croup is an upper respiratory tract inflammation that commonly affects children. This paper reports the prevalence, clinical characteristics, outcomes, and management of patients with croup who presented to the emergency department of a tertiary care center in Jeddah, Saudi Arabia....
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| Format: | Article |
| Language: | English |
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Discover STM Publishing Ltd
2023-03-01
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| Series: | Saudi Journal of Emergency Medicine |
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| Online Access: | https://sjemed.com/?mno=158137 |
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| author | Hazem Alhazmi Bsaim Abdulsalam Altirkistani Yousof Fahad Allarakia Dania E. Faidah Danah Ahmed Alqarni Wesal Waheed Murad Shaimaa Ali Alghamdi |
| author_facet | Hazem Alhazmi Bsaim Abdulsalam Altirkistani Yousof Fahad Allarakia Dania E. Faidah Danah Ahmed Alqarni Wesal Waheed Murad Shaimaa Ali Alghamdi |
| author_sort | Hazem Alhazmi |
| collection | DOAJ |
| description | Background: Viral croup is an upper respiratory tract inflammation that commonly affects children. This paper reports the prevalence, clinical characteristics, outcomes, and management of patients with croup who presented to the emergency department of a tertiary care center in Jeddah, Saudi Arabia.
Methods: A retrospective study was conducted using the hospital's electronic medical records of pediatric patients with croup aged 0–14 who presented to the emergency department between July 1, 2016, and December 30, 2022. A data collection sheet containing four sections–demographics, clinical manifestations, assessment, and management–was used. Statistical analysis was conducted using JMP statistical software version 15.2.0.
Results: A total of 146 patients were included; 74 (50.68%) were under 2 years of age, and approximately half presented to the ER during autumn. Cough was the most common clinical manifestation, reported in 134 patients (91.78%). Regarding the Westley score, a mild grade was reported in 25 (58.14%) patients. Abnormal chest and neck radiographs were observed in 38 (60.32%) and 21 patients (65.63%). Regarding management, dexamethasone was administered to 131 (89.73 %) patients. Moreover, only 15 (10.27%) patients were hospitalized, and the rest were discharged from the emergency department.
Conclusion: The study found that approximately half of the total emergency visits for croup cases occurred during autumn, with most patients under 2 years old. The most common clinical symptom noted in these patients was cough. Dexamethasone was administered to most patients; interestingly, most patients did not require hospitalization. [SJEMed 2023; 4(3.000): 157-161] |
| format | Article |
| id | doaj-art-e1e9ad14896b4e15903cffce0bbeb5be |
| institution | Kabale University |
| issn | 1658-8487 |
| language | English |
| publishDate | 2023-03-01 |
| publisher | Discover STM Publishing Ltd |
| record_format | Article |
| series | Saudi Journal of Emergency Medicine |
| spelling | doaj-art-e1e9ad14896b4e15903cffce0bbeb5be2025-08-20T03:40:25ZengDiscover STM Publishing LtdSaudi Journal of Emergency Medicine1658-84872023-03-014315716110.24911/SJEMed/72-1687213663158137The clinical experience of croup at a tertiary care center in Jeddah, Western Saudi ArabiaHazem Alhazmi0Bsaim Abdulsalam Altirkistani1Yousof Fahad Allarakia2Dania E. Faidah3Danah Ahmed Alqarni4Wesal Waheed Murad5Shaimaa Ali Alghamdi6Department of Pediatric Emergency Medicine, Ministry of the National Guard – Health Affairs, Jeddah, Saudi Arabia, King Abdullah International Medical Research Center, Jeddah, Saudi Arabia King Abdullah International Medical Research Center, Jeddah, Saudi Arabia, College of Medicine, King Saud bin Abdulaziz University for Health Sciences, Jeddah, Saudi Arabia King Abdullah International Medical Research Center, Jeddah, Saudi Arabia, College of Medicine, King Saud bin Abdulaziz University for Health Sciences, Jeddah, Saudi Arabia King Abdullah International Medical Research Center, Jeddah, Saudi Arabia, College of Medicine, King Saud bin Abdulaziz University for Health Sciences, Jeddah, Saudi Arabia King Abdullah International Medical Research Center, Jeddah, Saudi Arabia, College of Medicine, King Saud bin Abdulaziz University for Health Sciences, Jeddah, Saudi Arabia Faculty of Medicine, King Abdulaziz University, Jeddah, Saudi Arabia Department of Pediatric, Ministry of the National Guard – Health Affairs, Jeddah, Saudi ArabiaBackground: Viral croup is an upper respiratory tract inflammation that commonly affects children. This paper reports the prevalence, clinical characteristics, outcomes, and management of patients with croup who presented to the emergency department of a tertiary care center in Jeddah, Saudi Arabia. Methods: A retrospective study was conducted using the hospital's electronic medical records of pediatric patients with croup aged 0–14 who presented to the emergency department between July 1, 2016, and December 30, 2022. A data collection sheet containing four sections–demographics, clinical manifestations, assessment, and management–was used. Statistical analysis was conducted using JMP statistical software version 15.2.0. Results: A total of 146 patients were included; 74 (50.68%) were under 2 years of age, and approximately half presented to the ER during autumn. Cough was the most common clinical manifestation, reported in 134 patients (91.78%). Regarding the Westley score, a mild grade was reported in 25 (58.14%) patients. Abnormal chest and neck radiographs were observed in 38 (60.32%) and 21 patients (65.63%). Regarding management, dexamethasone was administered to 131 (89.73 %) patients. Moreover, only 15 (10.27%) patients were hospitalized, and the rest were discharged from the emergency department. Conclusion: The study found that approximately half of the total emergency visits for croup cases occurred during autumn, with most patients under 2 years old. The most common clinical symptom noted in these patients was cough. Dexamethasone was administered to most patients; interestingly, most patients did not require hospitalization. [SJEMed 2023; 4(3.000): 157-161]https://sjemed.com/?mno=158137viral crouprespiratory conditionpediatric emergency departmentrespiratory distress |
| spellingShingle | Hazem Alhazmi Bsaim Abdulsalam Altirkistani Yousof Fahad Allarakia Dania E. Faidah Danah Ahmed Alqarni Wesal Waheed Murad Shaimaa Ali Alghamdi The clinical experience of croup at a tertiary care center in Jeddah, Western Saudi Arabia Saudi Journal of Emergency Medicine viral croup respiratory condition pediatric emergency department respiratory distress |
| title | The clinical experience of croup at a tertiary care center in Jeddah, Western Saudi Arabia |
| title_full | The clinical experience of croup at a tertiary care center in Jeddah, Western Saudi Arabia |
| title_fullStr | The clinical experience of croup at a tertiary care center in Jeddah, Western Saudi Arabia |
| title_full_unstemmed | The clinical experience of croup at a tertiary care center in Jeddah, Western Saudi Arabia |
| title_short | The clinical experience of croup at a tertiary care center in Jeddah, Western Saudi Arabia |
| title_sort | clinical experience of croup at a tertiary care center in jeddah western saudi arabia |
| topic | viral croup respiratory condition pediatric emergency department respiratory distress |
| url | https://sjemed.com/?mno=158137 |
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