دورية أكاديمية
High rates of subglottic stenosis seen in African-American children admitted with severe croup to hospitals in the United States between 2003 and 2013.
| العنوان: | High rates of subglottic stenosis seen in African-American children admitted with severe croup to hospitals in the United States between 2003 and 2013. |
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| المؤلفون: | Simmonds JC; Department of Otolaryngology-Head and Neck Surgery, Tufts Medical Center, Boston, MA, USA. Electronic address: jsimmonds@tuftsmedicalcenter.org., Tuomi A; Alpert Medical School, Brown University, Providence, RI, USA. Electronic address: adam_tuomi@alumni.brown.edu., Groblewski JC; Division of Otolaryngology-Head and Neck Surgery, Hasbro Children's Hospital, Providence, RI, USA; Alpert Medical School, Brown University, Providence, RI, USA; Department of Otolaryngology-Head and Neck Surgery, Tufts Medical Center, Boston, MA, USA. Electronic address: jgroblewski@univoto.net. |
| المصدر: | Respiratory medicine [Respir Med] 2018 Oct; Vol. 143, pp. 56-60. Date of Electronic Publication: 2018 Sep 01. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Elsevier Country of Publication: England NLM ID: 8908438 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1532-3064 (Electronic) Linking ISSN: 09546111 NLM ISO Abbreviation: Respir Med Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: 2003- : Oxford : Elsevier Original Publication: London : Baillière Tindall, in association with the British Thoracic Society, [c1989- |
| مواضيع طبية MeSH: | Black or African American/*statistics & numerical data , Laryngostenosis/*epidemiology, Age Factors ; Bronchoscopy/statistics & numerical data ; Child ; Cohort Studies ; Female ; Humans ; Incidence ; Intubation, Intratracheal/statistics & numerical data ; Laryngostenosis/diagnosis ; Male ; Sex Factors ; Time Factors ; United States/epidemiology |
| مستخلص: | Background: To assess whether differences exist in the epidemiology and the treatment of croup with respect to gender, race, income and geographical location. Methods: Retrospective weighted analysis of patients under 19 admitted with a diagnosis of croup with a subcohort of patients requiring intubation or diagnostic bronchoscopy from the National Inpatient Sample and Kids' Inpatient Database from 2003 to 2013. ICD-9 codes and demographics were analyzed; cross tabulations and linear regression modeling were performed. Results: Between 2003 and 2013, 202,188 pediatric patients were admitted with a diagnosis of croup, equivalent to 1-per-100 pediatric admissions. Males were more likely to be admitted for croup than females [OR 2.13 (2.08-2.17)]. Incidence of croup is highest in Caucasians and lowest in Asian and African-American patients. African-American children are more likely to undergo diagnostic bronchoscopy or require intubation [OR 1.23 (1.08-1.401)] than other races. A higher rate of subglottic stenosis was seen in African-American children who required bronchoscopy than expected (39.1% vs 26.7%). After controlling for subglottic stenosis, African-American patients were no longer more likely to undergo diagnostic bronchoscopy or require intubation than other races [OR 1.129 (0.959-1.33)]. Conclusion: African-American children admitted with a diagnosis of croup appear to have an increased rate of intubation or bronchoscopy. This may be related to the high incidence of subglottic stenosis in this population. After controlling for subglottic stenosis, no difference in intervention rates was seen. (Copyright © 2018 Elsevier Ltd. All rights reserved.) |
| فهرسة مساهمة: | Keywords: Bronchoscopy; Croup; Gender; Race; Subglottic stenosis |
| تواريخ الأحداث: | Date Created: 20180929 Date Completed: 20191002 Latest Revision: 20221207 |
| رمز التحديث: | 20231215 |
| DOI: | 10.1016/j.rmed.2018.08.015 |
| PMID: | 30261993 |
| قاعدة البيانات: | MEDLINE |
Full Text via ClinicalKey 
Full Text Finder | تدمد: | 1532-3064 |
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| DOI: | 10.1016/j.rmed.2018.08.015 |