Validation of a croup score and its use in triaging children with croup
The Syracuse croup scoring system was validated in 165 children with croup who were admitted to an intensive therapy unit for assessment over a one year period. The unit served as a croup triage point for Cardiff and its environs. A score of > 5 was taken as an indication that a patient was at ri...
Ausführliche Beschreibung
Gespeichert in:
| Autor*in: |
Jacobs, S. [verfasserIn] Shortland, G. [verfasserIn] Warner, J. [verfasserIn] |
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| Format: |
E-Artikel |
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| Erschienen: |
Oxford, UK: Blackwell Publishing Ltd ; 1994 |
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| Umfang: |
Online-Ressource |
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| Reproduktion: |
2007 ; Blackwell Publishing Journal Backfiles 1879-2005 |
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| Übergeordnetes Werk: |
In: Anaesthesia - Oxford [u.a.] : Wiley-Blackwell, 1946, 49(1994), 10, Seite 0 |
| Übergeordnetes Werk: |
volume:49 ; year:1994 ; number:10 ; pages:0 |
| Links: |
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| DOI / URN: |
10.1111/j.1365-2044.1994.tb04272.x |
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| 520 | |a The Syracuse croup scoring system was validated in 165 children with croup who were admitted to an intensive therapy unit for assessment over a one year period. The unit served as a croup triage point for Cardiff and its environs. A score of > 5 was taken as an indication that a patient was at risk of upper airway obstruction and was used to support a triage decision by the junior hospital doctor to admit a patient to the intensive therapy unit. All patients with an initial score ≤ 5 were considered safe for transfer to a general paediatric ward and none of these required subsequent admission to intensive care. This score was then tested on a further 134 children with croup, in order to identify those patients who required specialised monitoring, observation or treatment in intensive care. A score of > 5 gave a specificity of 100% and a sensitivity of 80%. Croup scoring continued after admission on the general paediatric wards. Two patients who were originally admitted to the intensive therapy unit with a score > 5 improved within 6 h and were transferred to the general ward with a score ≤ 5. These children subsequently required readmission to the intensive therapy unit. Our tracheal intubation rate of 2% was low and may relate to the routine use of regular adrenaline nebulisation. We recommend this scoring system to other paediatric departments for initial triaging decisions and for documenting progress on the wards. | ||
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10.1111/j.1365-2044.1994.tb04272.x doi (DE-627)NLEJ239146042 DE-627 ger DE-627 rakwb Jacobs, S. verfasserin aut Validation of a croup score and its use in triaging children with croup Oxford, UK Blackwell Publishing Ltd 1994 Online-Ressource nicht spezifiziert zzz rdacontent nicht spezifiziert z rdamedia nicht spezifiziert zu rdacarrier The Syracuse croup scoring system was validated in 165 children with croup who were admitted to an intensive therapy unit for assessment over a one year period. The unit served as a croup triage point for Cardiff and its environs. A score of > 5 was taken as an indication that a patient was at risk of upper airway obstruction and was used to support a triage decision by the junior hospital doctor to admit a patient to the intensive therapy unit. All patients with an initial score ≤ 5 were considered safe for transfer to a general paediatric ward and none of these required subsequent admission to intensive care. This score was then tested on a further 134 children with croup, in order to identify those patients who required specialised monitoring, observation or treatment in intensive care. A score of > 5 gave a specificity of 100% and a sensitivity of 80%. Croup scoring continued after admission on the general paediatric wards. Two patients who were originally admitted to the intensive therapy unit with a score > 5 improved within 6 h and were transferred to the general ward with a score ≤ 5. These children subsequently required readmission to the intensive therapy unit. Our tracheal intubation rate of 2% was low and may relate to the routine use of regular adrenaline nebulisation. We recommend this scoring system to other paediatric departments for initial triaging decisions and for documenting progress on the wards. 2007 Blackwell Publishing Journal Backfiles 1879-2005 |2007|||||||||| Shortland, G. verfasserin aut Warner, J. verfasserin aut Dearden, A. oth Gataure, P. Singh oth Tarpey, J. oth In Anaesthesia Oxford [u.a.] : Wiley-Blackwell, 1946 49(1994), 10, Seite 0 Online-Ressource (DE-627)NLEJ243927770 (DE-600)2003379-5 1365-2044 nnns volume:49 year:1994 number:10 pages:0 http://dx.doi.org/10.1111/j.1365-2044.1994.tb04272.x text/html Verlag Deutschlandweit zugänglich Volltext GBV_USEFLAG_U ZDB-1-DJB GBV_NL_ARTICLE AR 49 1994 10 0 |
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10.1111/j.1365-2044.1994.tb04272.x doi (DE-627)NLEJ239146042 DE-627 ger DE-627 rakwb Jacobs, S. verfasserin aut Validation of a croup score and its use in triaging children with croup Oxford, UK Blackwell Publishing Ltd 1994 Online-Ressource nicht spezifiziert zzz rdacontent nicht spezifiziert z rdamedia nicht spezifiziert zu rdacarrier The Syracuse croup scoring system was validated in 165 children with croup who were admitted to an intensive therapy unit for assessment over a one year period. The unit served as a croup triage point for Cardiff and its environs. A score of > 5 was taken as an indication that a patient was at risk of upper airway obstruction and was used to support a triage decision by the junior hospital doctor to admit a patient to the intensive therapy unit. All patients with an initial score ≤ 5 were considered safe for transfer to a general paediatric ward and none of these required subsequent admission to intensive care. This score was then tested on a further 134 children with croup, in order to identify those patients who required specialised monitoring, observation or treatment in intensive care. A score of > 5 gave a specificity of 100% and a sensitivity of 80%. Croup scoring continued after admission on the general paediatric wards. Two patients who were originally admitted to the intensive therapy unit with a score > 5 improved within 6 h and were transferred to the general ward with a score ≤ 5. These children subsequently required readmission to the intensive therapy unit. Our tracheal intubation rate of 2% was low and may relate to the routine use of regular adrenaline nebulisation. We recommend this scoring system to other paediatric departments for initial triaging decisions and for documenting progress on the wards. 2007 Blackwell Publishing Journal Backfiles 1879-2005 |2007|||||||||| Shortland, G. verfasserin aut Warner, J. verfasserin aut Dearden, A. oth Gataure, P. Singh oth Tarpey, J. oth In Anaesthesia Oxford [u.a.] : Wiley-Blackwell, 1946 49(1994), 10, Seite 0 Online-Ressource (DE-627)NLEJ243927770 (DE-600)2003379-5 1365-2044 nnns volume:49 year:1994 number:10 pages:0 http://dx.doi.org/10.1111/j.1365-2044.1994.tb04272.x text/html Verlag Deutschlandweit zugänglich Volltext GBV_USEFLAG_U ZDB-1-DJB GBV_NL_ARTICLE AR 49 1994 10 0 |
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10.1111/j.1365-2044.1994.tb04272.x doi (DE-627)NLEJ239146042 DE-627 ger DE-627 rakwb Jacobs, S. verfasserin aut Validation of a croup score and its use in triaging children with croup Oxford, UK Blackwell Publishing Ltd 1994 Online-Ressource nicht spezifiziert zzz rdacontent nicht spezifiziert z rdamedia nicht spezifiziert zu rdacarrier The Syracuse croup scoring system was validated in 165 children with croup who were admitted to an intensive therapy unit for assessment over a one year period. The unit served as a croup triage point for Cardiff and its environs. A score of > 5 was taken as an indication that a patient was at risk of upper airway obstruction and was used to support a triage decision by the junior hospital doctor to admit a patient to the intensive therapy unit. All patients with an initial score ≤ 5 were considered safe for transfer to a general paediatric ward and none of these required subsequent admission to intensive care. This score was then tested on a further 134 children with croup, in order to identify those patients who required specialised monitoring, observation or treatment in intensive care. A score of > 5 gave a specificity of 100% and a sensitivity of 80%. Croup scoring continued after admission on the general paediatric wards. Two patients who were originally admitted to the intensive therapy unit with a score > 5 improved within 6 h and were transferred to the general ward with a score ≤ 5. These children subsequently required readmission to the intensive therapy unit. Our tracheal intubation rate of 2% was low and may relate to the routine use of regular adrenaline nebulisation. We recommend this scoring system to other paediatric departments for initial triaging decisions and for documenting progress on the wards. 2007 Blackwell Publishing Journal Backfiles 1879-2005 |2007|||||||||| Shortland, G. verfasserin aut Warner, J. verfasserin aut Dearden, A. oth Gataure, P. Singh oth Tarpey, J. oth In Anaesthesia Oxford [u.a.] : Wiley-Blackwell, 1946 49(1994), 10, Seite 0 Online-Ressource (DE-627)NLEJ243927770 (DE-600)2003379-5 1365-2044 nnns volume:49 year:1994 number:10 pages:0 http://dx.doi.org/10.1111/j.1365-2044.1994.tb04272.x text/html Verlag Deutschlandweit zugänglich Volltext GBV_USEFLAG_U ZDB-1-DJB GBV_NL_ARTICLE AR 49 1994 10 0 |
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10.1111/j.1365-2044.1994.tb04272.x doi (DE-627)NLEJ239146042 DE-627 ger DE-627 rakwb Jacobs, S. verfasserin aut Validation of a croup score and its use in triaging children with croup Oxford, UK Blackwell Publishing Ltd 1994 Online-Ressource nicht spezifiziert zzz rdacontent nicht spezifiziert z rdamedia nicht spezifiziert zu rdacarrier The Syracuse croup scoring system was validated in 165 children with croup who were admitted to an intensive therapy unit for assessment over a one year period. The unit served as a croup triage point for Cardiff and its environs. A score of > 5 was taken as an indication that a patient was at risk of upper airway obstruction and was used to support a triage decision by the junior hospital doctor to admit a patient to the intensive therapy unit. All patients with an initial score ≤ 5 were considered safe for transfer to a general paediatric ward and none of these required subsequent admission to intensive care. This score was then tested on a further 134 children with croup, in order to identify those patients who required specialised monitoring, observation or treatment in intensive care. A score of > 5 gave a specificity of 100% and a sensitivity of 80%. Croup scoring continued after admission on the general paediatric wards. Two patients who were originally admitted to the intensive therapy unit with a score > 5 improved within 6 h and were transferred to the general ward with a score ≤ 5. These children subsequently required readmission to the intensive therapy unit. Our tracheal intubation rate of 2% was low and may relate to the routine use of regular adrenaline nebulisation. We recommend this scoring system to other paediatric departments for initial triaging decisions and for documenting progress on the wards. 2007 Blackwell Publishing Journal Backfiles 1879-2005 |2007|||||||||| Shortland, G. verfasserin aut Warner, J. verfasserin aut Dearden, A. oth Gataure, P. Singh oth Tarpey, J. oth In Anaesthesia Oxford [u.a.] : Wiley-Blackwell, 1946 49(1994), 10, Seite 0 Online-Ressource (DE-627)NLEJ243927770 (DE-600)2003379-5 1365-2044 nnns volume:49 year:1994 number:10 pages:0 http://dx.doi.org/10.1111/j.1365-2044.1994.tb04272.x text/html Verlag Deutschlandweit zugänglich Volltext GBV_USEFLAG_U ZDB-1-DJB GBV_NL_ARTICLE AR 49 1994 10 0 |
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10.1111/j.1365-2044.1994.tb04272.x doi (DE-627)NLEJ239146042 DE-627 ger DE-627 rakwb Jacobs, S. verfasserin aut Validation of a croup score and its use in triaging children with croup Oxford, UK Blackwell Publishing Ltd 1994 Online-Ressource nicht spezifiziert zzz rdacontent nicht spezifiziert z rdamedia nicht spezifiziert zu rdacarrier The Syracuse croup scoring system was validated in 165 children with croup who were admitted to an intensive therapy unit for assessment over a one year period. The unit served as a croup triage point for Cardiff and its environs. A score of > 5 was taken as an indication that a patient was at risk of upper airway obstruction and was used to support a triage decision by the junior hospital doctor to admit a patient to the intensive therapy unit. All patients with an initial score ≤ 5 were considered safe for transfer to a general paediatric ward and none of these required subsequent admission to intensive care. This score was then tested on a further 134 children with croup, in order to identify those patients who required specialised monitoring, observation or treatment in intensive care. A score of > 5 gave a specificity of 100% and a sensitivity of 80%. Croup scoring continued after admission on the general paediatric wards. Two patients who were originally admitted to the intensive therapy unit with a score > 5 improved within 6 h and were transferred to the general ward with a score ≤ 5. These children subsequently required readmission to the intensive therapy unit. Our tracheal intubation rate of 2% was low and may relate to the routine use of regular adrenaline nebulisation. We recommend this scoring system to other paediatric departments for initial triaging decisions and for documenting progress on the wards. 2007 Blackwell Publishing Journal Backfiles 1879-2005 |2007|||||||||| Shortland, G. verfasserin aut Warner, J. verfasserin aut Dearden, A. oth Gataure, P. Singh oth Tarpey, J. oth In Anaesthesia Oxford [u.a.] : Wiley-Blackwell, 1946 49(1994), 10, Seite 0 Online-Ressource (DE-627)NLEJ243927770 (DE-600)2003379-5 1365-2044 nnns volume:49 year:1994 number:10 pages:0 http://dx.doi.org/10.1111/j.1365-2044.1994.tb04272.x text/html Verlag Deutschlandweit zugänglich Volltext GBV_USEFLAG_U ZDB-1-DJB GBV_NL_ARTICLE AR 49 1994 10 0 |
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Validation of a croup score and its use in triaging children with croup |
| abstract |
The Syracuse croup scoring system was validated in 165 children with croup who were admitted to an intensive therapy unit for assessment over a one year period. The unit served as a croup triage point for Cardiff and its environs. A score of > 5 was taken as an indication that a patient was at risk of upper airway obstruction and was used to support a triage decision by the junior hospital doctor to admit a patient to the intensive therapy unit. All patients with an initial score ≤ 5 were considered safe for transfer to a general paediatric ward and none of these required subsequent admission to intensive care. This score was then tested on a further 134 children with croup, in order to identify those patients who required specialised monitoring, observation or treatment in intensive care. A score of > 5 gave a specificity of 100% and a sensitivity of 80%. Croup scoring continued after admission on the general paediatric wards. Two patients who were originally admitted to the intensive therapy unit with a score > 5 improved within 6 h and were transferred to the general ward with a score ≤ 5. These children subsequently required readmission to the intensive therapy unit. Our tracheal intubation rate of 2% was low and may relate to the routine use of regular adrenaline nebulisation. We recommend this scoring system to other paediatric departments for initial triaging decisions and for documenting progress on the wards. |
| abstractGer |
The Syracuse croup scoring system was validated in 165 children with croup who were admitted to an intensive therapy unit for assessment over a one year period. The unit served as a croup triage point for Cardiff and its environs. A score of > 5 was taken as an indication that a patient was at risk of upper airway obstruction and was used to support a triage decision by the junior hospital doctor to admit a patient to the intensive therapy unit. All patients with an initial score ≤ 5 were considered safe for transfer to a general paediatric ward and none of these required subsequent admission to intensive care. This score was then tested on a further 134 children with croup, in order to identify those patients who required specialised monitoring, observation or treatment in intensive care. A score of > 5 gave a specificity of 100% and a sensitivity of 80%. Croup scoring continued after admission on the general paediatric wards. Two patients who were originally admitted to the intensive therapy unit with a score > 5 improved within 6 h and were transferred to the general ward with a score ≤ 5. These children subsequently required readmission to the intensive therapy unit. Our tracheal intubation rate of 2% was low and may relate to the routine use of regular adrenaline nebulisation. We recommend this scoring system to other paediatric departments for initial triaging decisions and for documenting progress on the wards. |
| abstract_unstemmed |
The Syracuse croup scoring system was validated in 165 children with croup who were admitted to an intensive therapy unit for assessment over a one year period. The unit served as a croup triage point for Cardiff and its environs. A score of > 5 was taken as an indication that a patient was at risk of upper airway obstruction and was used to support a triage decision by the junior hospital doctor to admit a patient to the intensive therapy unit. All patients with an initial score ≤ 5 were considered safe for transfer to a general paediatric ward and none of these required subsequent admission to intensive care. This score was then tested on a further 134 children with croup, in order to identify those patients who required specialised monitoring, observation or treatment in intensive care. A score of > 5 gave a specificity of 100% and a sensitivity of 80%. Croup scoring continued after admission on the general paediatric wards. Two patients who were originally admitted to the intensive therapy unit with a score > 5 improved within 6 h and were transferred to the general ward with a score ≤ 5. These children subsequently required readmission to the intensive therapy unit. Our tracheal intubation rate of 2% was low and may relate to the routine use of regular adrenaline nebulisation. We recommend this scoring system to other paediatric departments for initial triaging decisions and for documenting progress on the wards. |
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Shortland, G. Warner, J. Dearden, A. Gataure, P. Singh Tarpey, J. |
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