Talk:Croup

Rarely?
"Hospitalization is rarely required." Really? Hospitalization is frequently required for the croup cases I see in the ED. What is meant by "rarely," and based upon what data? —Preceding unsigned comment added by 67.163.139.11 (talk) 00:30, 27 August 2010 (UTC)

Your observation is biased, and does not take into account cases of croup seen at doctor's offices, who don't go to the ED. Obviously, some people use the ED as a primary care source, but many more go because it is an emergency situation. —Preceding unsigned comment added by 67.246.37.251 (talk) 03:50, 14 January 2011 (UTC)

Steam treatment
Try sitting with your child in a bathroom with the door closed. Run the shower or bath with HOT water to build up steam. It takes about 10 minutes, but the steam improves the croup tremendously, particularly if the child is having a croup "attack." 67.170.210.23 15:29, 17 December 2006 (UTC)


 * According to the NEJM review which Jfdwolff cited, this procedure has no effect on croup. It cited a Cochrane review, among others.


 * In any case, Wikipedia does not prescribe medicine. Nbauman (talk) 21:15, 12 February 2008 (UTC)
 * According to many thousands of parents, it works wonders, and quickly. My reasons for posting this are that, when a cited study is flawed, as is plainly the case with so much anecdotal evidence contradicting its findings, editors need to be on the lookout for reports that challenge the earlier, flawed study. (Much like the vanity study which concluded mercury-based vaccine preservatives cause autism was directly contradicted by many dozens of other more recent studies.) In particular, it needs to be established who provided the funding for the study. On your second point, yes Wikipedia isn't WebMD.com, but it should be driving right to the heart of accuracy; and the article as it stands misleads readers by repeating wholly false information.--Rfsmit (talk) 19:27, 26 August 2009 (UTC)


 * That part of the article contradicts itself. See the in-line comments I've added. microchip08 (talk) 17:42, 7 March 2008 (UTC)

I would like somebody to cite that osteopathy is a useful treatment for Croup. I see nothing in the literature that would back this up and it is potentially dangerous advice. —Preceding unsigned comment added by Sdbaral (talk • contribs) 22:22, 20 October 2008 (UTC)

Steam treatment is not considered dangerous and is commonly recommended by standard handouts from AAP, standard phone protocols and used in hospitals. Highest evidence is certainly RCT that meets Cochrane review standards. Failing that, prevailing standards of care should be considered. Oregonkc (talk) 00:50, 11 August 2010 (UTC)


 * We have two excellent references that state it has not been found to be useful and currently say "Inhalation of hot steam or humidified air is a traditional self-care treatment, but clinical studies have failed to show effectiveness.[3][6" Doc James (talk · contribs · email) 04:42, 11 August 2010 (UTC)


 * Doc James is absolutely right that there is good evidence that steam treatment does not work. The idea that we throw out large randomized controlled trials when "anecdotal evidence contradict[s] its findings" misunderstands the role of evidence in medicine, to put it politely. That said, it seems reasonable to not that steam treatment continues to be recommended by many professionals despite the studies. For example, one might say: ""Inhalation of hot steam or humidified air is a traditional self-care treatment, which is still recommended by mzny physicians and the american Academy of Pediatrics, but clinical studies have failed to show effectiveness." I think that gives a more complete picture of where we are. —Preceding unsigned comment added by 67.163.139.11 (talk) 00:22, 27 August 2010 (UTC)

NEJM review
Clinical practice JFW | T@lk  06:52, 24 January 2008 (UTC)

'''

Vaccines
The article says that "Croup can be prevented by immunization for influenza and diphtheria." However, it also says that "75% of cases are caused by parainfluenza virus", and the Human parainfluenza viruses page says that no vaccines currently exist. —Preceding unsigned comment added by Ljosa (talk • contribs) 11:45, 1 June 2009 (UTC)


 * 75% of cases are now due to parainflenza as we now immunize and do not have cases due to diphtheria. Doc James  (talk · contribs · email) 19:22, 21 April 2010 (UTC)

Why does "pseudocroup" redirect here?
Not mentioned in article. 86.179.191.90 (talk) 01:50, 8 February 2015 (UTC)
 * It is a history term. Will explain in the history section. Doc James  (talk · contribs · email) 10:00, 8 February 2015 (UTC)

External links modified
Hello fellow Wikipedians,

I have just modified one external link on Croup. Please take a moment to review my edit. If you have any questions, or need the bot to ignore the links, or the page altogether, please visit this simple FaQ for additional information. I made the following changes:
 * Added archive https://web.archive.org/web/20140416174601/http://www.americannursetoday.com/article.aspx?id=9752&fid=9722 to http://www.americannursetoday.com/article.aspx?id=9752&fid=9722

When you have finished reviewing my changes, you may follow the instructions on the template below to fix any issues with the URLs.

Cheers.— InternetArchiveBot  (Report bug) 22:33, 14 August 2017 (UTC)

Prevention
I think it would be worthwhile to mention the research which indicates that emotional, physical, and mental well-being contribute greatly to health. I recall a college course that mentioned a study where they injected the participants with some sickness but not all got sick because some had good relationships, ate well, slept well, etc. Lifestyle health is the long-term solution to these diseases and sicknesses. Derekbr1gham (talk) 13:22, 16 November 2017 (UTC)
 * Please read WP:MEDRS Doc James  (talk · contribs · email) 16:55, 19 November 2017 (UTC)

Terminology
We generally use the modern meaning of words. The current meaning of croup is for a viral infection. Yes many years ago the terms were used in a slightly different way and this article addresses that in Croup. Doc James (talk · contribs · email) 11:26, 14 May 2019 (UTC)

Cold shock treatment
A folk treatment is known, when the child is briefly immersed in very cold water then, without delay, intensely rubbed (with a towel or like that), dressed in comfortably warm clothes and placed in a comfortably warm room. I don't know, whether it is a sham treatment or an effective one (but, probably, a dangerous), but it should be covered anyway. Эйхер (talk) 11:40, 13 December 2019 (UTC)

Why does this article sound like only children can be affected by croup?
Am I missing something or does the article strongly imply that this is a "children's illness" that only concerns pediatrics? 74.196.235.209 (talk) 13:00, 4 May 2021 (UTC)


 * It is not common in adults. It is most common in young children (babies and toddlers). WhatamIdoing (talk) 03:02, 6 May 2021 (UTC)
 * Is the reason for that known? Surely adults are able to be infected with the viruses and bacteria that cause croup. Do adults simply present with different symptoms than the hoarse cough associated with croup? —Mahāgaja · talk 13:59, 1 March 2022 (UTC)
 * @Mahagaja, I understand that the characteristic cough depends on the size of the airway (when it's swollen). The smaller your airway, the less swelling it takes to become really narrow.  The bigger your airway (e.g., a typical adult) the less likely you are to reach that point. WhatamIdoing (talk) 16:52, 1 March 2022 (UTC)