クループ スコア
クループとは、ウイルス感染症により発生する気管と喉頭の炎症で、せきと、高いキューキューいう呼吸音(吸気性喘鳴)が起こり、ときに息を吸う(吸気)のが難しくなります。. 原因はウイルスです。. 症状には、発熱、鼻水、典型的なイヌが吠えるよう
合計スコア 3-5の場合中等度クループに分類される。吸気時喘鳴がはっきり聞こえるがこれ以外の徴候はあまりみられない。 合計スコア 6-11は重度 クループにあたる。この場合もはっきりした喘鳴が聞こえるほか、胸壁陥没が目立つ。
Croup is an upper respiratory tract infection commonly caused by a viral infection (parainfluenza and RSV). Croup is commonly seen in children aged 6-36 months. Clinical features include a barking cough (often described as seal-like), stridor and respiratory distress. The spectrum of severity varies from mild croup requiring no treatment, to
The Westley croup score is a widely accepted measure of assessing croup severity. 7 Although not a sub-stitute for judgement and experi-ence, and originally used in research, it can be a supportive clinical tool (see Table 3). The most important issue in croup is the maintenance of the airway. If there is any risk of the child developing acute
The severity of croup can be described by a clinical scoring system, the most extensively studied being the Westley croup score. No matter which system is used to assess severity, the two most critical features are the presence of chest wall retractions and stridor at rest.
Change in croup score: Systematic review: 186 children 4 RCTs in this analysis: Difference between groups in change in croup score from baseline (assessed using Westley croup score [see table 1]) 6 hours with dexamethasone (intramuscular or oral) with placebo Absolute results not reported: WMD -0.50 95% CI -2.44 to +1.45
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