The burden and impact of chronic cough in severe disease.

Autor: Emilsson ÖI; Department of Medical Sciences, Respiratory, Allergy and Sleep Research, Uppsala University.; Department of Respiratory Medicine, Akademiska sjukhuset, Uppsala, Sweden.
Jazyk: angličtina
Zdroj: Current opinion in supportive and palliative care [Curr Opin Support Palliat Care] 2022 Dec 01; Vol. 16 (4), pp. 183-187. Date of Electronic Publication: 2022 Oct 27.
DOI: 10.1097/SPC.0000000000000623
Abstrakt: Purpose of Review: Chronic cough is common in severe diseases, such as COPD, interstitial lung disease, lung cancer and heart failure, and has a negative effect on quality of life. In spite of this, patients with cough sometimes feel their cough is neglected by healthcare workers. This review aims to briefly describe cough mechanisms, highlight the burden chronic cough can be for the individual, and the clinical impact of chronic cough.
Recent Findings: Chronic cough is likely caused by different mechanisms in different diseases, which may have therapeutic implications. Chronic cough, in general, has a significant negative effect on quality of life, both with and without a severe comorbid disease. It can lead to social isolation, recurrent depressive episodes, lower work ability, and even conditions such as urinary incontinence. Cough may also be predictive of more frequent exacerbations among patients with COPD, and more rapid lung function decline in idiopathic pulmonary fibrosis. Cough is sometimes reported by patients to be underappreciated by healthcare.
Summary: Chronic cough has a significant negative impact on quality of life, irrespective of diagnosis. Some differences are seen between patients with and without severe disease. Healthcare workers need to pay specific attention to cough, especially patients with severe disease.
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Databáze: MEDLINE