Hostname: page-component-586b7cd67f-gb8f7 Total loading time: 0 Render date: 2024-11-28T06:06:31.520Z Has data issue: false hasContentIssue false
  • English
  • Français

Chronic cough: a multidisciplinary approach

Published online by Cambridge University Press:  31 January 2012

R S Natt ,
J E Earis  and
A C Swift
R S Natt*
Affiliation:
Department of ENT and Head and Neck Surgery, Aintree University Hospitals NHS Foundation Trust, Liverpool, UK
J E Earis
Affiliation:
Department of Respiratory Medicine, Aintree University Hospitals NHS Foundation Trust, Liverpool, UK
A C Swift
Affiliation:
Department of ENT and Head and Neck Surgery, Aintree University Hospitals NHS Foundation Trust, Liverpool, UK
*
Address for correspondence: Mr R S Natt, Department of ENT and Head and Neck Surgery, Aintree University Hospitals NHS Foundation Trust, Longmoor Lane, Liverpool L9 7AL, UK E-mail: [email protected]
Get access Rights & Permissions [Opens in a new window]

Abstract

Background and methods:

Chronic cough is defined as a cough persisting for more than eight weeks. This condition generates significant healthcare and economic costs. It is associated with a spectrum of disorders across multiple medical specialties and can provide significant challenges for effective evaluation and management. The current literature was reviewed to gain further insight into chronic cough, including its relationship with sinonasal disease.

Results:

Within the reviewed literature, there was strong emphasis on post-nasal drip syndrome as a major causative factor.

Conclusion:

Cough is the most common complaint for which adult patients seek medical consultation in primary care settings. Chronic cough is associated with a deterioration in the quality of patients' lives. Thorough assessment of a patient with a chronic cough relies on a multidisciplinary approach.

Keywords

coughsino-nasalasthmagastric acid refluxmultidisciplinary
Type
Review Article
Information
The Journal of Laryngology & Otology , Volume 126 , Issue 5 , May 2012 , pp. 441 - 444
Copyright
Copyright © JLO (1984) Limited 2012

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1Woodcock, A, Young, EC, Smith, JA. New insights in cough. Br Med Bull 2010;96:61–73CrossRefGoogle ScholarPubMed
2Morice, AH, Kastelik, JA. Cough 1: chronic cough in adults. Thorax 2003;58:901–7CrossRefGoogle ScholarPubMed
3O'Hara, J, Jones, NS. The aetiology of chronic cough: a review of current theories for the otolaryngologist. J Laryngol Otol 2005;119:507–14CrossRefGoogle Scholar
4Macedo, P, Saleh, H, Torrego, A, Arbery, J, MacKay, I, Durham, SR et al. Postnasal drip and chronic cough: an open interventional study. Respir Med 2009;103:1700–5CrossRefGoogle ScholarPubMed
5Morice, AH, McGarvey, L, Pavord, I. BTS Guidelines: recommendations for the management of cough in adults. Thorax 2006;61(suppl 1):1–24CrossRefGoogle Scholar
6Morice, AH, Fontana, GA, Belvisi, MG, Birring, SS, Chung, KF, Dicpinigaitis, PV et al. ERS guidelines on the assessment of cough. Eur Respir J 2007;29:1256–76CrossRefGoogle ScholarPubMed
7Irwin, RS. Unexplained cough in the adult. Otolaryngol Clin North Am 2010;43:167–80CrossRefGoogle ScholarPubMed
8Pratter, MR. Overview of common causes of chronic cough: ACCP evidence-based clinical practice guidelines. Chest 2006;129(suppl 1):59–62CrossRefGoogle ScholarPubMed
9Chung, KF. Chronic cough: future directions in chronic cough: mechanisms and antitussives. Chron Respir Dis 2007;4:159–65CrossRefGoogle ScholarPubMed
10Banglore, S, Kumar, S, Messerli, FH. Angiotensin-converting enzyme inhibitor associated cough: deceptive information from the Physicians' Desk Reference. Am J Med 2010;123:1016–30CrossRefGoogle Scholar
11Groneberg, DA, Nowak, D, Wussow, A, Fischer, A. Chronic cough due to occupational factors. J Occup Med Toxicol 2006;2:1–3CrossRefGoogle Scholar
12Carney, IK, Gibson, PG, Murree-Allen, K, Saltos, N, Olson, LG, Hensley, MJ. A systematic evaluation of mechanisms in chronic cough. Am J Respir Crit Care Med 1997;156:211–16CrossRefGoogle ScholarPubMed
13Grossman, J. One airway, one disease. Chest 1997;111(Suppl 2):11S–16SCrossRefGoogle ScholarPubMed
14Madison, JM, Irwin, RS. Cough: a worldwide problem. Otolaryngol Clin North Am 2010;43:1–13CrossRefGoogle ScholarPubMed
15Morice, AH. Post-nasal drip syndrome – a symptom to be sniffed at? Pulm Pharmacol Ther 2004:17;343–5CrossRefGoogle Scholar
16Brozek, JL, Bousquet, J, Baena-Cagnani, CE, Bonini, S, Canonica, GW, Casale, TB. Allergic Rhinitis and its Impact on Asthma (ARIA) guidelines: 2010 revision. J Occup Med Toxicol 2010;126:466–76Google ScholarPubMed
17Fokkens, W, Lund, V, Mullol, J. European position paper on rhinosinusitis and nasal polyps. 2007. Rhinol 2007;20(suppl 1):1–136Google ScholarPubMed
18Gawchik, S, Goldstein, S, Prenner, B, John, A. Relief of cough and nasal symptoms associated with allergic rhinitis by mometasone furoate nasal spray. Ann Allergy Asthma Immunol 2003;90:416–21CrossRefGoogle ScholarPubMed
19McGarvey, LP, Morice, AH. Clinical cough and its mechanisms. Respir Physiol Neurobiol 2006;152:363–71CrossRefGoogle ScholarPubMed
20Irwin, RS, Madison, JM. The diagnosis and treatment of cough. N Engl J Med 2000;343:1715–21CrossRefGoogle ScholarPubMed
21Pauwels, RA, Buist, AS, Ma, P, Jenkins, CR, Hurd, SS. Global strategy for the diagnosis, management, and prevention of chronic obstructive pulmonary disease: National Heart, Lung, and Blood Institute and World Health Organization Global Initiative for Chronic Obstructive Lung Disease (GOLD): executive summary. Respir Care 2001;46:798–825Google Scholar
22Laskin, JJ, Erridge, SC, Coldman, AJ, D'yachkova, Y, Speers, C, Westeel, V et al. Population-based outcomes for small cell lung cancer: impact of standard management policies in British Columbia. Lung Cancer 2004;43:7–16CrossRefGoogle ScholarPubMed
23Adjei, AA, Marks, RS, Bonner, JA. Current guidelines for the management of small cell lung cancer. Mayo Clin Proc 1999;74:809–16CrossRefGoogle ScholarPubMed
24Baughman, RP. Pulmonary sarcoidosis. Clin Chest Med 2004;25:521–30CrossRefGoogle ScholarPubMed
25Simpson, CB, Amin, MR. Chronic cough: state of the art review. Otolaryngol Head Neck Surg 2006;134:693–700CrossRefGoogle ScholarPubMed
26Desai, D, Brightling, CE. Cough due to asthma, cough-variant asthma and non-asthmatic eosinophilic bronchitis. Otolaryngol Clin North Am 2010;43:123–30CrossRefGoogle ScholarPubMed
27Dicpinigaitis, PV, Dobkin, JB, Reichel, J. Antitussive effect of leukotriene receptor antagonist zafirlukast in subjects with cough-variant asthma. J Asthma 2002;39:291–7CrossRefGoogle ScholarPubMed
28Brightling, CE, Ward, R, Goh, KL, Wardlaw, AJ, Pavord, ID. Eosinophilic bronchitis is an important cause of chronic cough. Am J Respir Crit Care Med 1999;160:406–10CrossRefGoogle ScholarPubMed
29Brightling, CE, Ward, R, Wardlaw, AJ, Pavord, ID. Airway inflammation, airway responsiveness and cough before and after inhaled budesonide in patients with eosinophilic bronchitis. Eur Respir J 2000;15:682–6CrossRefGoogle ScholarPubMed
30Kastelik, JA, Aziz, I, Ojoo, JC, Thompson, RH, Redington, AE, Morice, AH. Investigation and management of chronic cough using a probability-based algorithm. Eur Respir J 2005;25:235–43CrossRefGoogle ScholarPubMed
31Ing, AJ, Ngu, MC, Breslin, AB. Pathogenesis of chronic persistent cough associated with gastroesophageal reflux. Am J Respir Crit Care Med 1994;149:160–7CrossRefGoogle ScholarPubMed
32Crausaz, FM, Favez, G. Aspiration of solid food particles into lungs of patients with gastroesophageal reflux and chronic bronchial disease. Chest 1988;93:376–8CrossRefGoogle ScholarPubMed
33Schnatz, PF, Castell, JA, Castell, DO. Pulmonary symptoms associated with gastroesophageal reflux: use of ambulatory pH monitoring to diagnose and to direct therapy. Am J Gastroenerol 1996;91:1715–18Google ScholarPubMed
34Belafsky, PC, Postma, GN, Koufman, JA. The validity and reliability of the Reflux Finding Score (RFS). Laryngoscope 2001;111:1313–17CrossRefGoogle ScholarPubMed
35Richter, JE, Hicks, DM. Unresolved issues in gastroeosophageal reflux related ear, nose and throat problems. Am J Gastroenterol 1997;92:2143–4Google Scholar
36Novitsky, YW, Zawacki, JK, Irwin, RS, French, CT, Hussey, VM, Callery, MP. Chronic cough due to gastroesophageal reflux disease: efficacy of antireflux surgery. Surg Endosc 2002;16:567–71CrossRefGoogle ScholarPubMed
37Hiss, SG, Postma, GN. Fibreoptic endoscopic evaluation of swallowing (FEES). Laryngoscope 2003;113:1386–93CrossRefGoogle Scholar
38Irwin, RS, Baumann, MH, Bolser, DC, Boulet, LP, Braman, SS, Brightling, CE. Diagnosis and management of cough executive summary: ACCP evidence-based clinical practice guidelines. Chest 2006;129(suppl 1):1–23CrossRefGoogle ScholarPubMed
39Haque, RA, Usmani, OS, Barnes, PJ. Chronic idiopathic cough: a discrete clinical entity? Chest 2005;127:1710–13CrossRefGoogle ScholarPubMed