Cough in Children and Adults: Diagnosis, Assessment and Management (CICADA). Summary of an updated position statement on chronic cough in Australia.

Autor: Marchant JM; Australian Centre for Health Services Innovation, Queensland University of Technology, Brisbane, QLD.; Queensland Children's Hospital, Brisbane, QLD., Chang AB; Australian Centre for Health Services Innovation, Queensland University of Technology, Brisbane, QLD.; Queensland Children's Hospital, Brisbane, QLD.; Menzies School of Health Research, Darwin, NT., Kennedy E; Rural and Remote Health, Flinders University, Darwin, NT., King D; University of Queensland, Brisbane, QLD., Perret JL; Melbourne School of Population and Global Health, University of Melbourne, Melbourne, VIC., Schultz A; Wal-yan Respiratory Research Centre, Perth, WA.; Perth Children's Hospital, Perth, WA., Toombs MR; University of Sydney, Sydney, NSW., Versteegh L; Menzies School of Health Research, Darwin, NT., Dharmage SC; Melbourne School of Population and Global Health, University of Melbourne, Melbourne, VIC., Dingle R; Lung Foundation Australia, Brisbane, QLD., Fitzerlakey N; Lung Foundation Australia, Brisbane, QLD., George J; Centre for Medicine Use and Safety, Monash University, Melbourne, VIC., Holland A; Alfred Health, Melbourne, VIC.; Monash University, Melbourne, VIC.; Institute for Breathing and Sleep, University of Melbourne, Melbourne, VIC., Rigby D; University of Queensland, Brisbane, QLD.; Queensland University of Technology, Brisbane, QLD., Mann J; Institute for Breathing and Sleep, University of Melbourne, Melbourne, VIC.; Austin Health, Melbourne, VIC., Mazzone S; University of Melbourne, Melbourne, VIC., O'Brien M; Lung Foundation Australia, Brisbane, QLD., O'Grady KA; Australian Centre for Health Services Innovation, Queensland University of Technology, Brisbane, QLD., Petsky HL; Griffith University, Brisbane, QLD., Pham J; Alfred Health, Melbourne, VIC., Smith SM; Western Sydney University, Sydney, NSW., Wurzel DF; Royal Children's Hospital, Melbourne, VIC., Vertigan AE; Hunter Medical Research Institute, University of Newcastle, Newcastle, NSW.; John Hunter Hospital, Newcastle, NSW., Wark P; Hunter Medical Research Institute, University of Newcastle, Newcastle, NSW.; John Hunter Hospital, Newcastle, NSW.
Jazyk: angličtina
Zdroj: The Medical journal of Australia [Med J Aust] 2024 Jan 15; Vol. 220 (1), pp. 35-45. Date of Electronic Publication: 2023 Nov 19.
DOI: 10.5694/mja2.52157
Abstrakt: Introduction: Cough is the most common symptom leading to medical consultation. Chronic cough results in significant health care costs, impairs quality of life, and may indicate the presence of a serious underlying condition. Here, we present a summary of an updated position statement on cough management in the clinical consultation.
Main Recommendations: Assessment of children and adults requires a focused history of chronic cough to identify any red flag cough pointers that may indicate an underlying disease. Further assessment with examination should include a chest x-ray and spirometry (when age > 6 years). Separate paediatric and adult diagnostic management algorithms should be followed. Management of the underlying condition(s) should follow specific disease guidelines, as well as address adverse environmental exposures and patient/carer concerns. First Nations adults and children should be considered a high risk group. The full statement from the Thoracic Society of Australia and New Zealand and Lung Foundation Australia for managing chronic cough is available at https://lungfoundation.com.au/resources/cicada-full-position-statement.
Changes in Management as a Result of This Statement: Algorithms for assessment and diagnosis of adult and paediatric chronic cough are recommended. High quality evidence supports the use of child-specific chronic cough management algorithms to improve clinical outcomes, but none exist in adults. Red flags that indicate serious underlying conditions requiring investigation or referral should be identified. Early and effective treatment of chronic wet/productive cough in children is critical. Culturally specific strategies for facilitating the management of chronic cough in First Nations populations should be adopted. If the chronic cough does not resolve or is unexplained, the patient should be referred to a respiratory specialist or cough clinic.
(© 2023 The Authors. Medical Journal of Australia published by John Wiley & Sons Australia, Ltd on behalf of AMPCo Pty Ltd.)
Databáze: MEDLINE
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