Croup classification: Difference between revisions

Jump to navigation Jump to search
VisualWikitext
(Created page with "__NOTOC__ {{Croup}} {{CMG}} {{AE}} {{LRO}} ==Overview== ==Classification of Croup== ==References== {{Reflist|2}} {{WikiDoc Help Menu}} {{WikiDoc Sources}} Category:P...")
 
m (Changes made per Mahshid's request)
 
(9 intermediate revisions by one other user not shown)
Line 1: Line 1:
__NOTOC__
__NOTOC__
{{Croup}}
{{Croup}}
{{CMG}} {{AE}} {{LRO}}
{{CMG}} {{AE}} {{LRO}}


==Overview==
==Overview==
Croup is classified by severity of symptoms. The Westley Score system quantifies symptoms from a score of 0-5. The sum of the symptom score stratifies croup into mild, moderate, severe, or indicative of total [[Respiratory|respiratory failure]].


==Classification of Croup==
==Classification of Croup==
Croup is classified by severity of symptoms through the Westley score of assessing croup severity, demonstrated in the table below:<ref name="pmid19445760">{{cite journal |vauthors=Johnson D |title=Croup |journal=BMJ Clin Evid |volume=2009 |issue= |pages= |year=2009 |pmid=19445760 |pmc=2907784 |doi= |url=}}</ref><ref name="pmid10629679">{{cite journal |vauthors=Klassen TP |title=Croup. A current perspective |journal=Pediatr. Clin. North Am. |volume=46 |issue=6 |pages=1167–78 |year=1999 |pmid=10629679 |doi= |url=}}</ref>


{| style="font-size: 85%;"
! style="width: 110px; background: #4479BA; text-align: center;" | {{fontcolor|#FFF|Feature}}
! style="width: 110px; background: #4479BA; text-align: center;" | {{fontcolor|#FFF|0}}
! style="width: 110px; background: #4479BA; text-align: center;" | {{fontcolor|#FFF|1}}
! style="width: 110px; background: #4479BA; text-align: center;" | {{fontcolor|#FFF|2}}
! style="width: 110px; background: #4479BA; text-align: center;" | {{fontcolor|#FFF|3}}
! style="width: 110px; background: #4479BA; text-align: center;" | {{fontcolor|#FFF|4}}
! style="width: 110px; background: #4479BA; text-align: center;" | {{fontcolor|#FFF|5}}
|-
| style="background: #DCDCDC; padding: 5px; text-align: center;" | '''Chest wall retraction'''
| style="background: #F5F5F5; padding: 5px;" | None
| style="background: #F5F5F5; padding: 5px;" | Mild
| style="background: #F5F5F5; padding: 5px;" | Moderate
| style="background: #F5F5F5; padding: 5px;" | Severe
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
|-
| style="background: #DCDCDC; padding: 5px; text-align: center;" | '''[[Stridor]]'''
| style="background: #F5F5F5; padding: 5px;" | None
| style="background: #F5F5F5; padding: 5px;" | With agitation
| style="background: #F5F5F5; padding: 5px;" | At rest
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
|-
| style="background: #DCDCDC; padding: 5px; text-align: center;" | '''[[Cyanosis]]'''
| style="background: #F5F5F5; padding: 5px;" | None
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" | With agitation
| style="background: #F5F5F5; padding: 5px;" | At rest
|-
| style="background: #DCDCDC; padding: 5px; text-align: center;" | '''Level of [[conscious|consciousness]]'''
| style="background: #F5F5F5; padding: 5px;" | Normal
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" | [[Confusion|Disoriented]]
|-
| style="background: #DCDCDC; padding: 5px; text-align: center;" | '''Air entry'''
| style="background: #F5F5F5; padding: 5px;" | Normal
| style="background: #F5F5F5; padding: 5px;" | Decreased
| style="background: #F5F5F5; padding: 5px;" | Markedly decreased
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
|}
The score is aggregated into a qualitative croup classification:<ref name="pmid19445760">{{cite journal |vauthors=Johnson D |title=Croup |journal=BMJ Clin Evid |volume=2009 |issue= |pages= |year=2009 |pmid=19445760 |pmc=2907784 |doi= |url=}}</ref><ref name="pmid10629679">{{cite journal |vauthors=Klassen TP |title=Croup. A current perspective |journal=Pediatr. Clin. North Am. |volume=46 |issue=6 |pages=1167–78 |year=1999 |pmid=10629679 |doi= |url=}}</ref>
{| style="font-size: 85%;"
! style="width: 110px; background: #4479BA; text-align: center;" | {{fontcolor|#FFF|Classification}}
! style="width: 110px; background: #4479BA; text-align: center;" | {{fontcolor|#FFF|Score}}
! style="width: 110px; background: #4479BA; text-align: center;" | {{fontcolor|#FFF|Features}}
|-
| style="background: #DCDCDC; padding: 5px; text-align: center;" | '''Mild'''
| style="background: #F5F5F5; padding: 5px;" | ≤2
| style="background: #F5F5F5; padding: 5px;" | Characteristic barking [[cough]] and [[hoarseness]]
|-
| style="background: #DCDCDC; padding: 5px; text-align: center;" | '''Moderate'''
| style="background: #F5F5F5; padding: 5px;" | 3-5
| style="background: #F5F5F5; padding: 5px;" | Cough, hoarseness, and [[stridor]]
|-
| style="background: #DCDCDC; padding: 5px; text-align: center;" | '''Severe'''
| style="background: #F5F5F5; padding: 5px;" | 6-11
| style="background: #F5F5F5; padding: 5px;" | Cough, hoarseness, stridor, and visible [[chest]] [[Respiratory examination|indrawing]]
|-
| style="background: #DCDCDC; padding: 5px; text-align: center;" | '''Respiratory Failure'''
| style="background: #F5F5F5; padding: 5px;" | ≥12
| style="background: #F5F5F5; padding: 5px;" | Failure of [[Respiratory system|respiratory system]]
|}


==References==
==References==
Line 17: Line 92:


[[Category:Pediatrics]]
[[Category:Pediatrics]]
[[Category:Infectious disease]]
 
[[Category:Pulmonology]]
[[Category:Pulmonology]]
[[Category:Emergency medicine]]
[[Category:Emergency medicine]]
[[Category:Disease]]
[[Category:Disease]]

Latest revision as of 17:30, 18 September 2017

Croup Microchapters

Home

Patient Information

Overview

Historical Perspective

Pathophysiology

Causes

Classification

Differentiating Croup from other Diseases

Epidemiology and Demographics

Risk Factors

Natural History, Complications and Prognosis

Diagnosis

History and Symptoms

Physical Examination

Laboratory Findings

X Ray

Other Diagnostic Studies

Treatment

Medical Therapy

Prevention

Cost-Effectiveness of Therapy

Future or Investigational Therapies

Case Studies

Case #1

Croup classification On the Web

Most recent articles

Most cited articles

Review articles

CME Programs

Powerpoint slides

Images

American Roentgen Ray Society Images of Croup classification

All Images
X-rays
Echo & Ultrasound
CT Images
MRI

Ongoing Trials at Clinical Trials.gov

US National Guidelines Clearinghouse

NICE Guidance

FDA on Croup classification

CDC on Croup classification

Croup classification in the news

Blogs on Croup classification

Directions to Hospitals Treating Croup

Risk calculators and risk factors for Croup classification

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Luke Rusowicz-Orazem, B.S.

Overview

Croup is classified by severity of symptoms. The Westley Score system quantifies symptoms from a score of 0-5. The sum of the symptom score stratifies croup into mild, moderate, severe, or indicative of total respiratory failure.

Classification of Croup

Croup is classified by severity of symptoms through the Westley score of assessing croup severity, demonstrated in the table below:[1][2]

Feature 0 1 2 3 4 5
Chest wall retraction None Mild Moderate Severe
Stridor None With agitation At rest
Cyanosis None With agitation At rest
Level of consciousness Normal Disoriented
Air entry Normal Decreased Markedly decreased


The score is aggregated into a qualitative croup classification:[1][2]

Classification Score Features
Mild ≤2 Characteristic barking cough and hoarseness
Moderate 3-5 Cough, hoarseness, and stridor
Severe 6-11 Cough, hoarseness, stridor, and visible chest indrawing
Respiratory Failure ≥12 Failure of respiratory system

References

  1. ↑ 1.0 1.1 Johnson D (2009). "Croup". BMJ Clin Evid. 2009. PMC 2907784. PMID 19445760.
  2. ↑ 2.0 2.1 Klassen TP (1999). "Croup. A current perspective". Pediatr. Clin. North Am. 46 (6): 1167–78. PMID 10629679.


Template:WikiDoc Sources

Retrieved from "https://www.wikidoc.org/index.php?title=Croup_classification&oldid=1354889"