FRINK Linked Data Fragments server

Matches in SemOpenAlex for { <https://semopenalex.org/work/W4387247946> ?p ?o ?g. }

• W4387247946 endingPage "A5178" @default.
• W4387247946 startingPage "A5177" @default.
• W4387247946 abstract "SESSION TITLE: Pediatrics Pulmonary Potpourri SESSION TYPE: Rapid Fire Original Inv PRESENTED ON: 10/10/2023 12:55 pm - 01:40 pm PURPOSE: Recurrent croup is a significant respiratory illness that can necessitate frequent visits to the emergency department. Unlike viral croup, recurrent croup describes a condition that may have multiple underlying causes, with attributions made to asthma, allergy, eosinophilic esophagitis, gastroesophageal reflux and anatomic airway abnormalities. While some institutions in Canada have site specific strategies, there remains a lack of consensus on management and no published treatment algorithms are in use in Canada. METHODS: We conducted a nationwide survey of paediatric respirologists and otolaryngologists in a web-based format (Qualtrics), with questions regarding centre and individual management practices for recurrent croup. In addition, a retrospective analysis was performed on croup diagnosis, management, and outcomes. The analysis was performed for patients from a multi-disciplinary joint-airway clinic at London Health Sciences Centre, in London, Ontario, Canada over the past 10 years. Descriptive statistics was performed for the following findings. RESULTS: A total of 72 survey participants from over 13 institutions across Canada responded. Among those surveyed, 62% were reported as paediatric respirologists and 38% as otolaryngologists, with a majority having 10 or more years of clinical experience in healthcare. Recurrent croup was most commonly defined as having more than three episodes per year, and the median referral to otolaryngology occurred after three episodes. Otolaryngology (46%), respirology (32%), and pediatricians (21%) primarily managed recurrent croup, while gastroenterology was less commonly involved (2%). Only 21% of individuals reported having a multi-disciplinary team to manage recurrent croup patients. Standing order prescriptions for oral steroids were divided, with 51% reporting doing so and 49% not. When prescribed, dexamethasone 0.6mg/kg was the most common dose given once. Most institutions did not have a standardized approach for nebulized or metered dose inhalers, and anti-reflux medication was uncommonly used (23%). Investigations were primarily nasopharyngoscopy (34%), bronchoscopy (26%), and X-ray (26%), with CT being less common (7%). Airway evaluation in the OR was indicated in those with severe, refractory, and symptomatic recurrent croup, and was performed in collaboration with ENT. Direct laryngoscopy or flex and rigid bronchoscopy were equally common investigations. Airway evaluation when normal was usually managed with reassurance, while subglottic stenosis grade 1 was the most common abnormal finding followed by tracheomalacia. In subglottic stenosis grade 1, most reported managing the patient through observation (68%), with medical treatment (26%) and surgery (6%) being reserved based on the severity of symptoms. CONCLUSIONS: There remains significant disparities regarding management of recurrent croup across Canada. This study elucidates some of the common diagnostic and management approaches from clinicians nationwide. CLINICAL IMPLICATIONS: These findings will help support the development of consensus positions that would standardize treatment of this common and severe disease. DISCLOSURES: No relevant relationships by Yuchen Cen Advisory Committee Member relationship with Vertex Please note: December 15, 2022 Added 04/04/2023 by Erin Fleischer, source=Web Response, value=Consulting fee Sponsored Trial relationship with Vertex Please note: Dec 2023 to now Added 04/04/2023 by Erin Fleischer, source=Web Response, value=Grant/Research Support No relevant relationships by Murad Husein No relevant relationships by Raj Lalli Speaker/Speaker's Bureau relationship with Vertex Please note: Jan-May 2022 Added 04/09/2023 by Tara Mullowney, source=Web Response, value=Honoraria Research Trial relationship with Vertex Please note: 2022-current Added 04/09/2023 by Tara Mullowney, source=Web Response, value=Grant/Research Support Advisory Committee Member relationship with Vertex Please note: summer 2022 Added 03/30/2023 by April Price, source=Web Response, value=Consulting fee Advisory Committee Member relationship with Vertex Please note: summer 2022 Added 03/30/2023 by April Price, source=Web Response, value=Consulting fee Removed 03/31/2023 by April Price, source=Web Response Researcher relationship with Vertex Please note: Jan 2023-present Added 03/30/2023 by April Price, source=Web Response, value=Grant/Research Support" @default.
• W4387247946 created "2023-10-03" @default.
• W4387247946 creator A5005862408 @default.
• W4387247946 creator A5033772943 @default.
• W4387247946 creator A5034385524 @default.
• W4387247946 creator A5045324545 @default.
• W4387247946 creator A5055036235 @default.
• W4387247946 creator A5038563698 @default.
• W4387247946 date "2023-10-01" @default.
• W4387247946 modified "2023-10-03" @default.
• W4387247946 title "RECURRENT CROUP AND ITS MANAGEMENT ACROSS CANADA: A NATIONWIDE SURVEY OF CLINICAL DECISION-MAKING AND DIAGNOSTICS" @default.
• W4387247946 doi "https://doi.org/10.1016/j.chest.2023.07.3354" @default.
• W4387247946 hasPublicationYear "2023" @default.
• W4387247946 type Work @default.
• W4387247946 citedByCount "0" @default.
• W4387247946 crossrefType "journal-article" @default.
• W4387247946 hasAuthorship W4387247946A5005862408 @default.
• W4387247946 hasAuthorship W4387247946A5033772943 @default.
• W4387247946 hasAuthorship W4387247946A5034385524 @default.
• W4387247946 hasAuthorship W4387247946A5038563698 @default.
• W4387247946 hasAuthorship W4387247946A5045324545 @default.
• W4387247946 hasAuthorship W4387247946A5055036235 @default.
• W4387247946 hasBestOaLocation W43872479461 @default.
• W4387247946 hasConcept C108516343 @default.
• W4387247946 hasConcept C126322002 @default.
• W4387247946 hasConcept C141071460 @default.
• W4387247946 hasConcept C187212893 @default.
• W4387247946 hasConcept C2776042228 @default.
• W4387247946 hasConcept C2776135927 @default.
• W4387247946 hasConcept C2779651244 @default.
• W4387247946 hasConcept C512399662 @default.
• W4387247946 hasConcept C71924100 @default.
• W4387247946 hasConceptScore W4387247946C108516343 @default.
• W4387247946 hasConceptScore W4387247946C126322002 @default.
• W4387247946 hasConceptScore W4387247946C141071460 @default.
• W4387247946 hasConceptScore W4387247946C187212893 @default.
• W4387247946 hasConceptScore W4387247946C2776042228 @default.
• W4387247946 hasConceptScore W4387247946C2776135927 @default.
• W4387247946 hasConceptScore W4387247946C2779651244 @default.
• W4387247946 hasConceptScore W4387247946C512399662 @default.
• W4387247946 hasConceptScore W4387247946C71924100 @default.
• W4387247946 hasIssue "4" @default.
• W4387247946 hasLocation W43872479461 @default.
• W4387247946 hasOpenAccess W4387247946 @default.
• W4387247946 hasPrimaryLocation W43872479461 @default.
• W4387247946 hasRelatedWork W1539950860 @default.
• W4387247946 hasRelatedWork W2007007486 @default.
• W4387247946 hasRelatedWork W2042489430 @default.
• W4387247946 hasRelatedWork W2053221007 @default.
• W4387247946 hasRelatedWork W2112028508 @default.
• W4387247946 hasRelatedWork W2208680446 @default.
• W4387247946 hasRelatedWork W2443126739 @default.
• W4387247946 hasRelatedWork W2885634953 @default.
• W4387247946 hasRelatedWork W4235981187 @default.
• W4387247946 hasRelatedWork W4322724676 @default.
• W4387247946 hasVolume "164" @default.
• W4387247946 isParatext "false" @default.
• W4387247946 isRetracted "false" @default.
• W4387247946 workType "article" @default.