フルテキストファイル
著者
Mikami, Masaaki Hosshoji Internal Clinic
Tomita, Katsuyuki Department of Respirology Medicine, National Hospital Organization Yonago Medical Center
Yamasaki, Akira Division of Medical Oncology and Molecular Respirology, School of Medicine, Faculty of Medicine, Tottori University 研究者総覧 KAKEN
キーワード
cough variant asthma
post-infectious cough
prolonged cough
recurrent episodes
抄録
Background: Many patients visit primary care clinics with a complaint of cough. General practitioners (GPs) developed a list of the causative diseases of cough that can produce a patient’s symptoms and signs. Then, the patients’ medical histories were evaluated to determine whether the diagnosis of cough variant asthma (CVA) or post-infectious cough (PIC) could have been predicted. Methods: We retrospectively investigated 195 outpatients with a complaint of cough. Medical histories of “recurrent episodes of prolonged cough” and “upper respiratory infection” were obtained during the initial visit. The accuracy of medical histories in predicting CVA and PIC was calculated on the area under the curve (AUC). Results: Among eligible patients with cough, PIC was diagnosed in 99 patients (50.8%), CVA in 40 patients (20.5%), upper airway cough syndrome in 28 patients (14.4%), and chronic obstructive pulmonary disease in 11 patients (5.6%). Among the patients with CVA and those with PIC, 93% and 12%, respectively, had a history of recurrent episodes of prolonged cough. For the diagnosis of CVA, having a history of recurrent episodes of prolonged cough showed a moderately accurate AUC (0.76, 95% CI: 0.71–0.82). On the other hand, for the diagnosis of PIC, having no history of recurrent episodes of prolonged cough also showed a moderately accurate AUC (0.87, 95% CI: 0.82–0.92). Conclusion: The medical history of recurrent episodes of prolonged cough is useful for the prediction of CVA as well as PIC.
出版者
Tottori University Medical Press
資料タイプ
学術雑誌論文
外部リンク
ISSN
05135710
EISSN
13468049
書誌ID
AA00892882
掲載誌名
Yonago Acta Medica
最新掲載誌名
Yonago Acta Medica
64
4
開始ページ
353
終了ページ
359
発行日
2021-11-29
出版者DOI
著者版フラグ
出版社版
著作権表記
(C) 2021 Tottori University Medical Press.
掲載情報
Mikami M, Tomita K, Yamasaki A. A History of Recurrent Episodes of Prolonged Cough as a Predictive Value for Determining Cough Variant Asthma in a Primary Care Setting. Yonago Acta Medica. 2021, 64(4), 353-359. doi:10.33160/yam.2021.11.005
部局名
医学部・医学系研究科・医学部附属病院
言語
英語