The document discusses a study validating a croup severity score for use by parents over the phone. It provides background on croup, aims to develop a parent-friendly score to assess severity. It describes methods of recruiting 10 cases to test the new score's ease of use and ability to describe illness. Results showed the new score was easy to complete and questions effectively described illness. Limitations included a small sample size and poor recruitment timing.

1. CROUP SCORE VALIDATION STUDY/08 Joshua Martin Dr Mike Moore

3. What we’ll cover     Background Information Methods of Study Results from Study Limitations and Conclusion

4. croup 1 |kroōp| noun inflammation of the larynx and trachea in children, associated with infection and causing breathing difficulties. ORIGIN mid 18th cent.: from dialect croup [to croak,]

6. Estimated Cost of croup hospital stays per year in the UK £1.7 million

7. Croup Search on the Internet

8. Croup Search on the Internet

9. Aims of Project To develop a parent friendly score to assess croup severity over the phone

10. Advantages of a parent friendly score Better prioritising of patients Reassure parents Better evaluate home therapies Prevent unnecessary visits to hospital

11. To developed a home score from hospital score Complete a small trial to validate its ease of use and any appropriate changes Phase 1

13. Methods

14. Methods

15. Eyeballing the Results

16. Mean 19.4 The Spread of Croup Severity in my Sample

17. The Spread of Croup Severity in my Sample Mean 19.4

18. The Spread of Croup Severity in my Sample Mean 19.4

19. Very Easy Quite Easy Not Easy Quite Hard How easy was each question to complete Average difficulty rating Questions from the new score

20. Very Easy Quite Easy Not Easy Quite Hard How easy was each question to complete Average difficulty rating Questions from the new score

21. Very Easy Quite Easy Not Easy Quite Hard How easy was each question to complete Average difficulty rating Questions from the new score

22. Very Little Help Slight Help Moderate Help Very Helpful Extremely Helpful *Incomplete Data How Much each Item Helped in Describing the Illness Average helpfulness in describing Questions from the new score

23. Very Little Help Slight Help Moderate Help Very Helpful Extremely Helpful *Incomplete Data How Much each Item Helped in Describing the Illness Average helpfulness in describing Questions from the new score

24. Very Little Help Slight Help Moderate Help Very Helpful Extremely Helpful *Incomplete Data How Much each Item Helped in Describing the Illness Average helpfulness in describing Questions from the new score

25. What most reflects your concerns about your child’s Illness

26. What most reflects your concerns about your child’s Illness

27. What most reflects your concerns about your child’s Illness

28. Additional Parents Comments or Concerns Colouring of the Child Floppy Body Whether taking liquid/food Behavioural change Being Sick Include examples in questions

29. Limitations of the study not enough patients! Recruitment locations poor time of year

30. Month Hospital admittance (thousands) Croup Admittance by Month

31. Project Approval Project Finishing Month Hospital admittance (thousands) Croup Admittance by Month

33. References Denny FW, Murphy TF, Clyde WA, Collier AM, Henderson FW. Croup: an 11 year study in pediatric practice. Pediatrics 1983; 71: 871-6. Kairys SW, Olmstead EM, OConnor GT. Steroid treatment of laryngo-tracheitis: a meta-analysis of the evidence of randomized trials. Pediatrics 1989;83:68393. Moore M, Little P. Humidified air inhalation for treating croup. Cochrane Database of Systematic Reviews 2006, Issue 3. Art. No.: CD002870. DOI: 10.1002/14651858.CD002870.pub2. Wolfsdorf and swift 1062-5 Julie C Brown, The management of croup, British Medical Bulletin 61:189-202 (2002)