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dc.contributor.authorChang, Anne B
dc.contributor.authorOppenheimer, John J
dc.contributor.authorWeinberger, Miles
dc.contributor.authorWeir, Kelly
dc.contributor.authorRubin, Bruce K
dc.contributor.authorIrwin, Richard S
dc.date.accessioned2017-12-15T01:45:48Z
dc.date.available2017-12-15T01:45:48Z
dc.date.issued2016
dc.identifier.issn0012-3692
dc.identifier.doi10.1378/chest.15-1403
dc.identifier.urihttp://hdl.handle.net/10072/173487
dc.description.abstractBACKGROUND: Use of appropriate cough pathways or algorithms may reduce the morbidity of chronic cough, lead to earlier diagnosis of chronic underlying illness, and reduce unnecessary costs and medications. We undertook three systematic reviews to examine three related key questions (KQ): In children aged #14 years with chronic cough (> 4 weeks’ duration), KQ1, do cough management protocols (or algorithms) improve clinical outcomes? KQ2, should the cough management or testing algorithm differ depending on the duration and/or severity? KQ3, should the cough management or testing algorithm differ depending on the associated characteristics of the cough and clinical history? METHODS: We used the CHEST expert cough panel’s protocol. Two authors screened searches and selected and extracted data. Only systematic reviews, randomized controlled trials (RCTs), and cohort studies published in English were included. RESULTS: Data were presented in Preferred Reporting Items for Systematic Reviews and Meta-analyses flowcharts and summary tabulated. Nine studies were included in KQ1 (RCT ¼ 1; cohort studies ¼ 7) and eight in KQ3 (RCT ¼ 2; cohort ¼ 6), but none in KQ2. CONCLUSIONS: There is high-quality evidence that in children aged #14 years with chronic cough (> 4 weeks’ duration), the use of cough management protocols (or algorithms) improves clinical outcomes and cough management or the testing algorithm should differ depending on the associated characteristics of the cough and clinical history. It remains uncertain whether the management or testing algorithm should depend on the duration or severity of chronic cough. Pending new data, chronic cough in children should be defined as > 4 weeks’ duration and children should be systematically evaluated with treatment targeted to the underlying cause irrespective of the cough severity.
dc.description.peerreviewedYes
dc.languageEnglish
dc.language.isoeng
dc.publisherElsevier
dc.relation.ispartofpagefrom106
dc.relation.ispartofpageto119
dc.relation.ispartofissue1
dc.relation.ispartofjournalChest
dc.relation.ispartofvolume149
dc.subject.fieldofresearchClinical Sciences not elsewhere classified
dc.subject.fieldofresearchClinical Sciences
dc.subject.fieldofresearchcode110399
dc.subject.fieldofresearchcode1103
dc.titleUse of management pathways or algorithms in children with chronic cough: Systematic Reviews
dc.typeJournal article
dc.type.descriptionC1 - Articles
dc.type.codeC - Journal Articles
gro.rights.copyrightSelf-archiving of the author-manuscript version is not yet supported by this journal. Please refer to the journal link for access to the definitive, published version or contact the author[s] for more information.
gro.hasfulltextNo Full Text
gro.griffith.authorWeir, Kelly A.


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