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2015 ; 58
(10
): 380-5
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Clinical characteristics of children and adolescents with croup and epiglottitis
who visited 146 Emergency Departments in Korea
#MMPMID26576182
Lee DR
; Lee CH
; Won YK
; Suh DI
; Roh EJ
; Lee MH
; Chung EH
Korean J Pediatr
2015[Oct]; 58
(10
): 380-5
PMID26576182
show ga
PURPOSE: Croup 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. METHODS: The 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. RESULTS: We 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). CONCLUSION: Both 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.