Croup and tracheotomy in the City of Brooklyn, State of New York : a study of local conditions and local experience, with map showing location of croup areas in that city : a report made to the Medical Society of the County of Kings, N.Y., April 17th, 1877 / by Lewis S. Pilcher.

  • Pilcher, Lewis Stephen, 1845-1934.
Date:
1877
Catalogue details

Licence: Public Domain Mark

Credit: Croup and tracheotomy in the City of Brooklyn, State of New York : a study of local conditions and local experience, with map showing location of croup areas in that city : a report made to the Medical Society of the County of Kings, N.Y., April 17th, 1877 / by Lewis S. Pilcher. Source: Wellcome Collection.

Provider: This material has been provided by The Royal College of Surgeons of England. The original may be consulted at The Royal College of Surgeons of England.

    19/34 (page 16)
    Analysis of Cases. v The sex was stated in 91 instances. These were—males, 52: of whom 13 recovered; 39 died. Females, 39: of whom 10 recovered; 29 died. Age.—In recoveries, stated in 23 instances: One case occurred at the age of 52. Of the remaining 22, the youngest was 2^ years; the oldest, 11 years; the average being 5.3 years. In fatal cases, stated in 67 instances: The youngest, 11 months; be- tween 1 and 2 years in 12 instances; the oldest, 12 years. Average, 4.3. Character of Attack.—This is stated to have been catarrhal in 6 in- stances, of whom 3 recovered, 3 died; membranous in 31 instances, of whom 12 recovered, 19 died; diphtheritic in 58 instances, of whom 8 recovered, 50 died. Duration of Attack Prior to Operation.—Stated in 19 instances of the cases which recovered. The shortest time was 4 hours; the longest, 6 days; the average, 3 days. Stated in 45 instances of the cases which proved fatal. The shortest time was 45 hours; the longest, 8 days; the average, 3.5 days. Condition of Patient at Time of Operation.—Stated in 20 instances of the cases which recovered. Apparently dead, 1; moribund, 6; nearly asphyxiated, 2; cyanotic, 3; dyspnoea intense, 3; dyspnoea increasing, prostrated, 3; dyspnoea increasing, strength still good, 2. Stated in 78 instances of the cases which proved fatal. Comatose, 1 ; moribund, 18; nearly in articulo mortis, 24; almost asphyxiated, 8; cyanotic, 7; cyanotic, with great dyspnoea, 9; feeble, intense blood poi- soning, 7; strength good, dyspnoea great, 4. Duration of Life after the Operation in Fatal Cases.—Stated in 66 instances. But a few minutes, 3; less than 24 hours, 19; died on 2d day, 13; died on 3d day, 19; died on 4th day, 1; died on 5th day, 3; died on 6th day, 4; died on 8th day, 2; died on 14th day, 1; died on 18th day, 1. Immediate Cause of Death after Operation.—Stated in 62 in- stances. 1. Asthenia in 24 cases: catarrhal, 2; membranous, 6; diphthe- ritic, 16. One case lived 8 days; one case lived 18 days. The average of the remaining 19 was 32 hours. 2. Asphyxia, from accumulation of exudation below canula, in 16 cases: membranous, 4; diphtheritic, 12. Average duration, 2| days. •The duration of the disease, from its inception till death, was given in 1,760 cases of children less than five years of age. Of these 22 died within 12 hours: 159 within 24 hours, and 57 per cent, of the whole number within three days. Of those between five and ten years of age, 43 per cent, died within three days.