Chronic Cough Due to Stable Chronic Bronchitis
| Autor: | Mark A. Malesker, Priscilla Callahan-Lyon, J. Mark Madison, Belinda Ireland, Richard S. Irwin, Todd M. Adams, Kenneth W. Altman, Elie Azoulay, Alan F. Barker, Surinder S. Birring, Fiona Blackhall, Donald C. Bolser, Louis-Philippe Boulet, Sidney S. Braman, Christopher Brightling, Anne B. Chang, Paul Davenport, Ali A. El Solh, Patricio Escalante, Stephen K. Field, Dina Fisher, Cynthia T. French, Peter Gibson, Cameron Grant, Susan M. Harding, Anthony Harnden, Adam T. Hill, Peter J. Kahrilas, Joanne Kavanagh, Karina A. Keogh, Kefang Lai, Andrew P. Lane, Craig Lilly, Kaiser Lim, Mark Lown, Stuart Mazzone, Lorcan McGarvey, Alex Molassoitis, M. Hassan Murad, Mangala Narasimhan, John Oppenheimer, Mark Rosen, Bruce Rubin, Richard J. Russell, Jay H. Ryu, Sonal Singh, Maeve P. Smith, Susan M. Tarlo, Anne E. Vertigan |
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| Rok vydání: | 2020 |
| Předmět: |
Pulmonary and Respiratory Medicine
medicine.medical_specialty Chronic bronchitis Adult patients business.industry Guideline Critical Care and Intensive Care Medicine medicine.disease 03 medical and health sciences Panel report Chronic cough 0302 clinical medicine 030228 respiratory system Quality of life Medicine Effective treatment Bronchitis 030212 general & internal medicine medicine.symptom Cardiology and Cardiovascular Medicine business Intensive care medicine |
| Zdroj: | Chest. 158:705-718 |
| ISSN: | 0012-3692 |
| DOI: | 10.1016/j.chest.2020.02.015 |
| Popis: | Background Chronic cough due to chronic bronchitis (CB) causes significant impairment in quality of life, and effective treatment strategies are needed. We conducted a systematic review on the management of chronic cough due to CB to update the recommendations and suggestions of the American College of Chest Physicians (CHEST) 2006 guideline on this topic. Methods This systematic review asked three questions: (1) What are the clinical features of the history that suggest a patient's cough-phlegm syndrome is due to CB? (2) Can treatment of stable CB improve or eliminate chronic cough? (3) Can therapy that targets chronic cough due to CB prevent or reduce the occurrence of acute CB exacerbations? Studies of adult patients with CB were included and assessed for relevance and quality. Based on the systematic review, guideline suggestions were developed and voted on by using the CHEST organization methodology. Results The search strategy used an assortment of descriptors and assessments to identify studies of chronic cough due to CB. Conclusions The evidence supporting the management of chronic cough due to CB is limited overall and of low quality. This article provides guidance on treatment by presenting suggestions based on the best currently available evidence and identifies gaps in our knowledge and areas for future research. |
| Databáze: | OpenAIRE |
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