Use of Management Pathways or Algorithms in Children With Chronic Cough

Chang, Anne B.; Oppenheimer, John; Weinberger, Miles; Rubin, Bruce K.; Weir, Kelly A.; Grant, Cameron C.; Irwin, Richard S.

doi:10.1016/j.chest.2016.12.025

Cited by 63 publications

(75 citation statements)

References 40 publications

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“…Besides asthma and CVA in adult patients with chronic cough in the differential diagnosis, smoking and ACE-I induced a cough should always be considered [30]. Less common conditions include heart failure, interstitial lung disease, tuberculosis and primary lung cancer [26,29,31].…”

Section: Evaluation Of Chronic Cough In Childrenmentioning

confidence: 99%

“…Initial diagnostic evaluation should include the chest radiograph and pulmonary function testing in patients with chronic cough [25,[29][30][31]. It is not recommended to routinely performing additional tests (skin prick test, bronchoscopy, chest CT) for all children with chronic cough.…”

Section: Evaluation Of Chronic Cough In Childrenmentioning

confidence: 99%

“…Chronic cough is defined as lasting more than 4 weeks in children and more than 8 weeks for adults [26,[28][29][30]. Diagnosis and management of patients with chronic cough are challenging for clinicians.…”

Section: Evaluation Of Chronic Cough In Childrenmentioning

confidence: 99%

“…Chronic cough can be a primary symptom of a variety of underlying conditions [25,31]. The most common conditions that cause chronic cough in children under 14 are CVA, atopic cough, gastroesophageal reflux disease (GERD) and upper airway cough syndrome (formerly postnasal drip cough) [28][29][30]. CVA should be considered when chronic cough is exacerbated by cold or exercise [30].…”

Section: Evaluation Of Chronic Cough In Childrenmentioning

confidence: 99%

“…It is not recommended to routinely performing additional tests (skin prick test, bronchoscopy, chest CT) for all children with chronic cough. Additional tests should be individualized and undertaken in accordance with the clinical symptoms and signs [29]. Chronic cough suggestive of serious underlying lung disease includes neonatal onset of cough [30].…”

Section: Evaluation Of Chronic Cough In Childrenmentioning

confidence: 99%

See 4 more Smart Citations

Cough Variant Asthma as a Phenotype of Classic Asthma

Vujnović¹,

Domuz²,

Petrovic³

2018

Asthma Diagnosis and Management - Approach Based on Phenotype and Endotype

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Cough variant asthma (CVA) was first described by Glauser. CVA was described as the isolated chronic cough as the only presenting symptom responsive to bronchodilator therapy. The authors now suggest that CVA is present with airway hyperresponsiveness, eosinophilic inflammation of central and peripheral airways and bronchodilator responsive coughing without typical manifestation of asthma such as wheezing or dyspnea. Pathologically, CVA shares common features such as eosinophilic inflammation and remodeling changes with classic asthma. Because of that, CVA is clinically considered as a variant type of asthma, a phase at the beginning of asthma pathogenesis or as a precursor of classic asthma. Nearly 30% of patients with CVA eventually develop intermittent wheezing, an average of 3-5 years. It is clinically very important to recognize CVA because long-term inhaled corticosteroids can significantly decrease the development of classic asthma in these patients.

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Section: Evaluation Of Chronic Cough In Childrenmentioning

confidence: 99%

Section: Evaluation Of Chronic Cough In Childrenmentioning

confidence: 99%

Section: Evaluation Of Chronic Cough In Childrenmentioning

confidence: 99%

Section: Evaluation Of Chronic Cough In Childrenmentioning

confidence: 99%

Section: Evaluation Of Chronic Cough In Childrenmentioning

confidence: 99%

See 3 more Smart Citations

Cough Variant Asthma as a Phenotype of Classic Asthma

Vujnović¹,

Domuz²,

Petrovic³

2018

Asthma Diagnosis and Management - Approach Based on Phenotype and Endotype

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Otolaryngologic Management of Chronic Cough in School-aged Children

Kennedy

Anne

Hart

2020

JAMA Otolaryngol Head Neck Surg

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IMPORTANCEThe causes of pediatric chronic cough are numerous and span across several medical subspecialties. In addition to the vast array of underlying causes, there are also several different ways to approach and evaluate chronic cough. Given the frequency with which children present to otolaryngology clinics with this problem, a review of common otolaryngologic causes and an algorithm for evaluation and treatment can be beneficial.OBSERVATIONS The primary 3 causes of pediatric chronic cough presenting to an otolaryngologist include infectious causes, reflux, and airway hyperreactivity. In these cases and other instances of specific cough, treatment should be directed at the underlying cause-which may include supportive care, antibiotics, antireflux medication, bronchodilators, inhaled steroids, or other intervention. Patients with nonspecific cough should be treated according to pediatric-specific cough algorithms.CONCLUSIONS AND RELEVANCE Appropriate workup and treatment of chronic cough can lead to higher cure rates, shorter cough duration, and improved quality of life for both patients and caregivers. A systematic approach using cough algorithms can help otolaryngologists effectively manage this common yet complex problem.

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A multi‐disciplinary approach to chronic cough in children

Mukerji

Yenduri

Chiou

et al. 2022

Laryngoscope Investig Oto

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Objectives (1) To highlight the important causes of chronic and recurrent cough in children. (2) To discuss multidisciplinary approach to management of chronic/recurrent pediatric cough. Methods Review of scholarly articles, guidelines, expert panels via PubMed and Google Scholar. Conclusion Chronic cough (CC) in children is mainly attributed to persistent bacterial bronchitis, asthma, nonspecific cough, and gastroesophageal reflux disease (GERD) symptoms. A multi‐disciplinary approach is cost‐effective and aids with earlier diagnosis and appropriate treatment. Congenital or acquired narrowing of the subglottis is the leading ENT cause for recurrent croup (RC) in children. Laryngeal cleft‐type 1 is commonly seen in children with recurrent aspiration and CC. Children are usually referred to pulmonologists for wet cough not responding to treatment. Eosinophilic esophagitis (EoE) and GERD should be considered in the differential diagnosis of CC in children with both respiratory symptoms and failure to thrive. Level of Evidence: 2a

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Use of Management Pathways or Algorithms in Children With Chronic Cough

Cited by 63 publications

References 40 publications

Cough Variant Asthma as a Phenotype of Classic Asthma

Cough Variant Asthma as a Phenotype of Classic Asthma

Otolaryngologic Management of Chronic Cough in School-aged Children

A multi‐disciplinary approach to chronic cough in children

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