Pediatric Quality-of-Life Scores Following a Multidisciplinary Aerodigestive Team Approach to Manage Chronic Cough.

Autor: Yibrehu BA; George Washington University School of Medicine, Washington, DC, USA., Krakovsky GM; Children's National Health System, Washington, DC, USA., Rana MS; Children's National Health System, Washington, DC, USA., Pillai DK; George Washington University School of Medicine, Washington, DC, USA.; Children's National Health System, Washington, DC, USA., Sehgal S; George Washington University School of Medicine, Washington, DC, USA.; Children's National Health System, Washington, DC, USA., Collins ME; Children's National Health System, Washington, DC, USA., Gatti ML; Children's National Health System, Washington, DC, USA., Bauman NM; George Washington University School of Medicine, Washington, DC, USA.; Children's National Health System, Washington, DC, USA.
Jazyk: angličtina
Zdroj: The Annals of otology, rhinology, and laryngology [Ann Otol Rhinol Laryngol] 2020 Nov; Vol. 129 (11), pp. 1088-1094. Date of Electronic Publication: 2020 Jun 02.
DOI: 10.1177/0003489420931558
Abstrakt: Objectives: Chronic recalcitrant cough is present in 2/3 of pediatric patients evaluated in our tertiary-care multidisciplinary aerodigestive clinic (ADC). This study aimed to determine the impact of chronic cough and efficacy of ADC treatment using the validated Pediatric-Cough Quality-of-Life-27 tool (PC-QOL-27).
Methods: The PC-QOL-27 survey was administered to ADC patients with chronic cough at initial clinic visit and 6 to 12 weeks after cough management. Pre and post survey scores, demographic data, treatment and evaluation season were collected over 16 months.
Results: Twenty parents completed pre and post PC-QOL-27 surveys (mean 12.1 weeks later). Patient median age was 6.04 years (IQR: 2.2-10.44 years). A total of 65% were males and 65% were African American. Management was tailored based on clinical assessment and diagnostic studies, including direct laryngoscopy/bronchoscopy (4), pulmonary function tests (PFT's 9), esophagogastroduodenoscopy (9), and flexible bronchoscopy/lavage (9).Following ADC management, changes in physical, social and psychological domain scores of the PC-QOL-27 each met the threshold for minimal clinical important difference (MCID) indicating a clinically meaningful improvement. Improvements were most notable in the physical domain where post survey scores significantly improved from pre-survey scores ( P  = .009) regardless of age, gender, ethnicity, history of endoscopy and season.
Conclusions: The physical impact of chronic cough in pediatric patients who failed prior management by a single specialist was lessened by an ADC team approach to management.
Databáze: MEDLINE
Externí odkaz: