Chronic persistent cough in the community: a questionnaire survey.
Chronic persistent cough in the community: a questionnaire survey.
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DOI：
10.1186/1745-9974-3-5
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发表时间：
2007-03-23
期刊：
影响因子：
--
通讯作者：
Morice AH
中科院分区：
文献类型：
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作者：
Everett CF;Kastelik JA;Thompson RH;Morice AH
慢性咳嗽是一种常见的症状，可导致严重的发病率。它正变得越来越好的特点是研究发生在专科咳嗽诊所，其中成功的治疗率很高。然而，有一个关于社区慢性咳嗽的症状复杂的数据缺乏。本报告详细介绍了一项邮寄问卷调查的结果，该调查是向个人发送的，要求提供有关慢性咳嗽的进一步信息。856份慢性咳嗽问卷被发送给公众，他们在英国全国广播电台广播后要求提供信息表。收集了有关人口统计学、咳嗽史、既往治疗以及咳嗽对身体、心理和社会影响的信息。共收回373份完整问卷。平均年龄为65.3岁（SD 12.0，范围9-88岁）。73%为女性，2%为当前吸烟者。咳嗽的中位持续时间为6.5年。66%没有其他并存的呼吸系统诊断，而24%报告哮喘。在回答的人中，91%的人曾就咳嗽问题咨询过全科医生，其中85%的人曾接受过某种治疗。61%的人至少看过一位医院专家。常见的相关躯体症状包括呼吸困难（55%）、喘息（37%）、疲劳（72%）和睡眠障碍（70%）。55%的女性发生了性功能障碍。同样，大多数人报告了心理影响，如愤怒或沮丧（83%），焦虑（69%）和抑郁（55%）。64%的人认为咳嗽干扰了他们的社交生活。慢性咳嗽在社区中引起高发病率，这导致相应的高医疗利用率。人口统计学和口腔病学似乎与专家中心报告的情况相似，但成功治疗咳嗽的情况并不常见，尽管在初级和二级保健中进行了大量的医疗咨询。如果对这种使人衰弱但明显可治疗的疾病的理解得到加强，慢性咳嗽的管理将得到改善，许多患者将得到帮助。
Chronic cough is a common symptom which causes significant levels of morbidity. It is becoming increasingly well characterised by research taking place in specialist cough clinics, where successful treatment rates are high. However, there is a paucity of data regarding the symptom complex of chronic cough in the community. This report details the results of a postal questionnaire survey sent to individuals requesting further information on chronic cough. 856 chronic cough questionnaires were sent out to members of the public who requested an information sheet following a national UK radio broadcast. Information regarding demography, history of cough, previous treatment and physical, psychological and social effects of the cough was elicited. 373 completed questionnaires were returned. Mean age was 65.3 years (SD 12.0, range 9–88 years). 73% were female and 2% current smokers. Median duration of cough was 6.5 years. 66% had no other coexisting respiratory diagnosis, whilst 24% reported asthma. Of those who responded, 91% had consulted a general practitioner regarding the cough and of them, 85% had been prescribed some sort of treatment. 61% had seen at least one hospital specialist. Commonly reported associated physical symptoms included breathlessness (55%), wheeze (37%), fatigue (72%) and disturbed sleep (70%). Incontinence occurred in 55% of women. Similarly, the majority reported psychological effects such as anger or frustration (83%), anxiety (69%) and depression (55%). 64% felt that the cough interfered with their social life. Chronic cough causes a high level of morbidity in the community, which results in a correspondingly high rate of healthcare utilisation. Demography and symptomatology seems to be similar to that reported from specialist centres, but successful treatment of the cough was uncommon, despite a high number of medical consultations in both primary and secondary care. If understanding of this debilitating but eminently treatable condition is enhanced, management of chronic cough will improve and many patients will be helped.