Croup classification: Difference between revisions

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__NOTOC__
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{{Croup}}
{{Croup}}
{{CMG}} {{AE}} {{LRO}}
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==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>
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="font-size: 85%;"
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| style="background: #F5F5F5; padding: 5px;" | Decreased
| style="background: #F5F5F5; padding: 5px;" | Decreased
| style="background: #F5F5F5; padding: 5px;" | Markedly decreased
| style="background: #F5F5F5; padding: 5px;" | Markedly decreased
| style="background: #F5F5F5; padding: 5px;" | Markedly decreased
| style="background: #F5F5F5; padding: 5px;" |  
| style="background: #F5F5F5; padding: 5px;" | Markedly decreased
| style="background: #F5F5F5; padding: 5px;" |  
| style="background: #F5F5F5; padding: 5px;" | Markedly decreased
| style="background: #F5F5F5; padding: 5px;" |  
|}
|}


The score is aggregated into a qualitative croup classification:
 
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="font-size: 85%;"
! style="width: 110px; background: #4479BA; text-align: center;" | {{fontcolor|#FFF|Classification}}
! 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|Score}}
! style="width: 110px; background: #4479BA; text-align: center;" | {{fontcolor|#FFF|Features}}
! style="width: 110px; background: #4479BA; text-align: center;" | {{fontcolor|#FFF|Features}}
|-
|-
| style="background: #DCDCDC; padding: 5px; text-align: center;" | '''Classification'''
| style="background: #DCDCDC; padding: 5px; text-align: center;" | '''Mild'''
| style="background: #F5F5F5; padding: 5px;" | Mild
| style="background: #F5F5F5; padding: 5px;" | ≤2
| style="background: #F5F5F5; padding: 5px;" | Moderate
| style="background: #F5F5F5; padding: 5px;" | Characteristic barking [[cough]] and [[hoarseness]]
| style="background: #F5F5F5; padding: 5px;" | Severe
| style="background: #F5F5F5; padding: 5px;" | [[Respiratory failure]]
|-
|-
| style="background: #DCDCDC; padding: 5px; text-align: center;" | '''Score'''
| style="background: #DCDCDC; padding: 5px; text-align: center;" | '''Moderate'''
| style="background: #F5F5F5; padding: 5px;" | ≤2
| style="background: #F5F5F5; padding: 5px;" | 3-5
| 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;" | 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;" | ≥12
|-
| style="background: #DCDCDC; padding: 5px; text-align: center;" | '''Features'''
| style="background: #F5F5F5; padding: 5px;" | Characteristic barking [[cough]] and hoarseness
| style="background: #F5F5F5; padding: 5px;" | Cough, hoarseness, and [[stridor]]
| style="background: #F5F5F5; padding: 5px;" | Cough, hoarseness, [[stridor]], and visible [[chest]] [[Respiratory examination|indrawing]]
| style="background: #F5F5F5; padding: 5px;" | Failure of [[Respiratory system|respiratory system]]
| style="background: #F5F5F5; padding: 5px;" | Failure of [[Respiratory system|respiratory system]]
|}
|}
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[[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

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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.


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