老年人反复咳嗽:一个被遗忘的实体。

IF 4.6 2区 医学 Q1 RESPIRATORY SYSTEM
Lung Pub Date : 2023-12-01 Epub Date: 2023-11-14 DOI:10.1007/s00408-023-00654-2
Johanna Tuulikki Kaulamo, Anne Marika Lätti, Heikki Olavi Koskela
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引用次数: 0

摘要

成人复发性咳嗽的研究很少。我们调查了复发性咳嗽的患病率、危险因素和后果,并将结果与孤立的慢性咳嗽进行了比较。方法:对社区老年人群进行横断面电子邮件调查。复发性咳嗽定义为一年内咳嗽发作≥3次(每次持续≥1周),目前无慢性咳嗽。孤立性慢性咳嗽定义为持续咳嗽≥8周且无复发性咳嗽。结果:所有调查对象咳嗽复发率为3.8% (n = 5983)。反复咳嗽与哮喘(aOR 3.32 (95% CI 2.13-5.18)、慢性鼻窦炎(2.91(1.89-4.46))、慢性咳嗽家族史(2.59(1.88-3.56))、镇痛不耐受(2.13(1.27-3.57))、男性(1.92(1.39-2.66))、胃食管反流病(1.73(1.21-2.47))、阻塞性睡眠呼吸暂停(1.69(1.23-2.32))、症状总和(每症状1.12(1.03-1.22))、年龄较小(每年0.96(0.93-1.00))相关。孤立性慢性咳嗽与慢性鼻窦炎(3.45(2.39 ~ 4.97))、哮喘(2.17(1.38 ~ 3.41)、胃食管反流病(1.80(1.32 ~ 2.47))、慢性咳嗽家族史(1.80(1.35 ~ 2.41))、阻塞性睡眠呼吸暂停(1.49(1.12 ~ 2.00))、症状总和(1.18 /症状(1.10 ~ 1.27))、体重指数(0.96 /单位(0.93 ~ 1.00))相关。复发性和孤立性慢性咳嗽患者中,抑郁症状的患病率分别为7.7%和4.2%,p = 0.11,莱斯特咳嗽问卷总分分别为15.2(14.6 ~ 15.8)和16.3 (16.0 ~ 16.6),p = 0.001,与咳嗽相关的年平均就诊次数分别为0.58(0.45 ~ 0.71)和0.36 (0.19 ~ 0.53),p = 0.007。结论:复发性和孤立性慢性咳嗽的危险因素和后果具有可比性。反复咳嗽在咳嗽评估中似乎是有益的。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Recurrent Cough in the Elderly: A Forgotten Entity.

Recurrent Cough in the Elderly: A Forgotten Entity.

Introduction: Recurrent cough is little researched in adults. We investigated the prevalence, risk factors, and consequences of recurrent cough, and compared the results to those of isolated chronic cough.

Methods: Cross-sectional email survey in an elderly community-based population. Recurrent cough was defined as ≥ 3 cough episodes within one year (each lasting ≥ 1 week) and no current chronic cough. Isolated chronic cough was defined as current cough lasting ≥ 8 weeks and no recurrent cough.

Results: The prevalence of recurrent cough was 3.8% among all respondents (n = 5983). Recurrent cough was associated with asthma (aOR 3.32 (95% CI 2.13-5.18)), chronic rhinosinusitis (2.91 (1.89-4.46)), family history of chronic cough (2.59 (1.88-3.56)), analgesic intolerance (2.13 (1.27-3.57)), male gender (1.92 (1.39-2.66)), gastro-esophageal reflux disease (1.73 (1.21-2.47)), obstructive sleep apnoea (1.69 (1.23-2.32)), symptom sum (1.12 per symptom (1.03-1.22)), and younger age (0.96 per year (0.93-1.00)). Isolated chronic cough was associated with chronic rhinosinusitis (3.45 (2.39-4.97)), asthma (2.17 (1.38-3.41), gastro-esophageal reflux disease (1.80 (1.32-2.47)), family history of chronic cough (1.80 (1.35-2.41)), obstructive sleep apnoea (1.49 (1.12-2.00)), symptom sum (1.18 per symptom (1.10-1.27)), and body mass index (0.96 per unit (0.93-1.00)). Among subjects with recurrent and isolated chronic cough, the prevalence of depressive symptoms were 7.7% and 4.2%, p = 0.11, the Leicester Cough Questionnaire total scores 15.2 (14.6-15.8) and 16.3 (16.0-16.6), P = 0.001, and the mean number of yearly cough-related doctor`s visits 0.58 (0.45-0.71) and 0.36 (0.19-0.53), P = 0.007, respectively.

Conclusion: The risk factors and consequences of recurrent and isolated chronic cough were comparable. Recurrent cough seems beneficial to address in cough evaluation.

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来源期刊
Lung
Lung 医学-呼吸系统
CiteScore
9.10
自引率
10.00%
发文量
95
审稿时长
6-12 weeks
期刊介绍: Lung publishes original articles, reviews and editorials on all aspects of the healthy and diseased lungs, of the airways, and of breathing. Epidemiological, clinical, pathophysiological, biochemical, and pharmacological studies fall within the scope of the journal. Case reports, short communications and technical notes can be accepted if they are of particular interest.
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