Paediatric Problems of Cough

Bush, Andrew

doi:10.1006/pupt.2002.0340

Cited by 36 publications

(24 citation statements)

References 43 publications

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“…20 Non-specific cough is defined as a dry cough with no other underlying identifiable respiratory disease. 4 9 Although exceptions have been reported in the literature, 22 generally these children do not have a serious cause for their cough 2 and in many the cough will resolve naturally. 14 In this study the majority (70.6%) with non-specific cough resolved without medical intervention.…”

Section: Discussionmentioning

confidence: 97%

“…1 All children will cough at some time and most will be normal, yet it is the clinician's role to decide which children warrant further review and investigation. 2 In adults it has been shown that cough descriptors are largely unhelpful, 3 but paediatricians rely on specific clinical clues such as recurrent pneumonia or daily moist cough to direct them to the level of investigations needed and to make a provisional diagnosis. 4 5 Indeed, it is generally suggested that the decision to subject a child with cough to further investigations is largely reliant on the history, 4 6 yet there are no published data to support this.…”

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confidence: 99%

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Utility of signs and symptoms of chronic cough in predicting specific cause in children

Marchant

2006

Thorax

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Background: Paediatricians rely on cough descriptors to direct them to the level of investigations needed for a child presenting with chronic cough, yet there is a lack of published data to support this approach. A study was undertaken to evaluate (1) whether historical cough pointers can predict which children have a specific cause for their cough and (2) the usefulness of chest radiography and spirometry as standard investigations in children with chronic cough. Methods: This was a prospective cohort study of children referred to a tertiary hospital with a cough lasting .3 weeks between June 2002 and July 2004. All included children completed a detailed history and examination using a standardised data collection sheet and followed a pathway of investigation until a diagnosis was made. Results: In 100 consecutively recruited children of median age 2.8 years, the best predictor of specific cough observed was a moist cough at the time of consultation with an odds ratio (OR) of 9.34 (95% CI 3.49 to 25.03). Chest examination or chest radiographic abnormalities were also predictive with OR 3.60 (95% CI 1.31 to 9.90) and 3.16 (95% CI 1.32 to 7.62), respectively. The most significant historical pointer for predicting a specific cause of the cough was a parental history of moist cough (sensitivity 96%, specificity 26%, positive predictive value 74%). Conclusions: The most useful clinical marker in predicting specific cough is the presence of a daily moist cough. Both chest examination and chest radiographic abnormalities are also useful in predicting whether children have a specific cause of their cough.

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Section: Discussionmentioning

confidence: 97%

mentioning

confidence: 99%

Utility of signs and symptoms of chronic cough in predicting specific cause in children

Marchant

2006

Thorax

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“…4,9 Çalışmamızda kronik öksürüğün en sık nedeni olguların yarısında astım, beşte birinde ise hışıltı fenotipidir. Çocuklarda kronik öksürüğün en sık nedenini astım ya da PBB olarak belirten çalışma-lar vardır.…”

Section: Discussionunclassified

“…2 Ailelerin endişesi birden fazla doktor baş-vurusuna, reçeteli veya reçetesiz ilaç kullanımına ve etkililiği kanıtlanmamış ilaç dışı maddelerin denenmesine yol açabilir. 3,4 Aileleri rahatsız eden bir semptom olmasına rağmen öksürüğü olan çocukların büyük çoğunlu-ğunda altta yatan ciddi bir neden bulunmaz. Öksü-rük, genellikle üst solunum yolu enfeksiyonu sıra-sında görülür.…”

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Chronic Specific Cough in Children

Yilmaz¹,

Bakırtaş²,

Karagöl³

et al. 2015

Turkiye Klinikleri J Pediatr

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Ö ÖZ ZE ET T A Am ma aç ç: : Kliniğimize kronik öksürük yakınması ile getirilen çocuklar için hazırlanmış öksürük rehberlerine göre incelenen ve tanı almış olan olguları, öyküleri, fizik inceleme bulguları, tanı ve tedavi yaklaşımlarıyla geriye dönük olarak değerlendirmektir. G Ge er re eç ç v ve e Y Yö ön nt te em ml le er r: : Mart 2011-Eylül 2013 tarihleri arasında kliniğimize kronik öksürük nedeni ile başvuran ve tanı alan olguların dosyaları geriye dönük incelenerek değerlendirildi. Kronik nonspesifik öksürük düşünülen olgular çalışmaya dâhil edilmedi. B Bu ul lg gu ul la ar r: : Çalışmaya alınan 223 çocuğun ortanca yaşları 6 (4-9) yıl idi. Olguların 106 (%47,5)'sı kız, ortanca öksürük süresi 2 (4-9) ay olarak bulundu. Başvurudaki akciğer grafisi ve solunum fonksiyon testi (SFT) ile her dört olgunun biri için kronik öksürük nedeni bulundu (51/223; %23). En sık kronik öksürük nedeni olarak birinci sırada astım (n=111, %50)/hı-şıltı fenotipi (n=45, %20), ikinci ve üçüncü sırada sırasıyla persistan bakteriyel bronşit (n=23; %10,3) ve üst hava yolu öksürük sendromu (n=22; %9,8) saptandı. Üç olgu psikojenik öksürük, iki olgu gastroözofageal reflü hastalığı, bir olgu parapertusis tanısı aldı. S So on nu uç ç: : Öksürük rehberleri, yönlen-dirici, sistematik ve kolay uygulanır bir yaklaşım sunmaktadır. Rehberlerde önerilen ilk basamak tetkikleri olan akciğer grafisi ve SFT, her dört olgudan birinde primer tanının konulmasını sağla-mıştır. Kliniğimizde kronik öksürüğün en sık nedeni astım ve çok tetikleyenli hışıltı olarak saptanmıştır. Bu tanılar dışındaki nedenleri saptamak için öyküdeki özellikleri değerlendirmek ve tanısal yaklaşımı bunlara göre yönlendirmek önemlidir.A An na ah h t ta ar r K Ke e l li i m me e l le er r: : Erişkin çocuklar; öksürük A AB BS S T TR RA AC CT T O Ob bj je ec ct ti iv ve e: : In this study, children who presented with chronic cough were examined according to cough guidelines for children. The history, physical examination findings, diagnosis and treatment modalities of children with a specific diagnosis of chronic cough were evaluated retrospectively. M Ma at te er ri ia al l a an nd d M Me et th ho od ds s: : Between March 2011 and September 2013, the medical files of children who were admitted to our clinic with chronic cough and diagnosed with a specific disease were evaluated. Children with chronic non-specific cough were not included in the study. R Re es su ul lt ts s: : Two hundred and twenty three children with a median age of 6 (4-9) years were included in the study. One hundred and six children were female (47.5%). The median cough duration was 2 (4-9) months. A primary diagnosis of chronic cough have been found in one of every four patients with the initial diagnostic modalities (chest X-ray and pulmonary function testing -PFT) (51/223; 23%). The most common cause of chronic cough was asthma (n=111, 50%)/wheezing phenotypes (n=45, 20%), respectively. Persistent bacterial bronchitis (PBB) (n=23, 10.3%) and upper airway cough syndrome (n=22, 9.8%) took place the second and ...

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