Version 1
: Received: 27 September 2024 / Approved: 27 September 2024 / Online: 27 September 2024 (16:47:09 CEST)
How to cite:
Song, H.-Y.; Kwon, J.-H.; Park, S. H.; Kim, M.-J.; Byun, Y.-H.; Paek, S.-H. Comparison of Croup Management Patterns between Pediatricians and Emergency Medicine Physicians: A Single Pediatric Emergency Department Study. Preprints2024, 2024092253. https://doi.org/10.20944/preprints202409.2253.v1
Song, H.-Y.; Kwon, J.-H.; Park, S. H.; Kim, M.-J.; Byun, Y.-H.; Paek, S.-H. Comparison of Croup Management Patterns between Pediatricians and Emergency Medicine Physicians: A Single Pediatric Emergency Department Study. Preprints 2024, 2024092253. https://doi.org/10.20944/preprints202409.2253.v1
Song, H.-Y.; Kwon, J.-H.; Park, S. H.; Kim, M.-J.; Byun, Y.-H.; Paek, S.-H. Comparison of Croup Management Patterns between Pediatricians and Emergency Medicine Physicians: A Single Pediatric Emergency Department Study. Preprints2024, 2024092253. https://doi.org/10.20944/preprints202409.2253.v1
APA Style
Song, H. Y., Kwon, J. H., Park, S. H., Kim, M. J., Byun, Y. H., & Paek, S. H. (2024). Comparison of Croup Management Patterns between Pediatricians and Emergency Medicine Physicians: A Single Pediatric Emergency Department Study. Preprints. https://doi.org/10.20944/preprints202409.2253.v1
Chicago/Turabian Style
Song, H., Young-Hoon Byun and So-Hyun Paek. 2024 "Comparison of Croup Management Patterns between Pediatricians and Emergency Medicine Physicians: A Single Pediatric Emergency Department Study" Preprints. https://doi.org/10.20944/preprints202409.2253.v1
Abstract
Background/Objectives: This study aimed to compare croup management patterns between pediatricians and emergency medicine (EM) physicians to enhance pediatric emergency care and inform the training of future specialists. Methods: A retrospective review of medical records was conducted for 1,676 children diagnosed with croup who visited a single pediatric emergency department (PED) from March 2019 to February 2023. Patient characteristics, management patterns, and the impact of physician specialty on emergency care were analyzed. Results: EM physicians used injected dexamethasone monotherapy more frequently, whereas pediatricians favored combined use of nebulized epinephrine and dexamethasone. Pediatricians also prescribed oral antibiotics and corticosteroids at discharge more often. The appropriate use of nebulized epinephrine based on the Westley Croup Score was significantly higher in the EM physician group. Despite these differences, there were no significant disparities in PED length of stay or revisit rates within 48 hours. Conclusions: EM physicians adhered more closely to clinical guidelines for croup management. These findings underscore the need for standardized, evidence-based pediatric emergency care and provide valuable insights for training programs in this field.
Keywords
croup; child; pediatricians; emergency medicine; emergency medical services
Subject
Medicine and Pharmacology, Emergency Medicine
Copyright:
This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
