Chronic Cough Related to Acute Viral Bronchiolitis in Children. CHEST Expert Panel Report

CHEST Expert Cough Panel

doi:10.1016/j.chest.2018.04.019

Chronic Cough Related to Acute Viral Bronchiolitis in Children. CHEST Expert Panel Report

CHEST Expert Cough Panel

School of Medicine, Dentistry and Biomedical Sciences

Research output: Contribution to journal › Article › peer-review

7 Citations (Scopus)

Abstract

Background: Acute bronchiolitis is common in young children, and some children develop chronic cough after their bronchiolitis. We thus undertook systematic reviews based on key questions (KQs) using the PICO (Population, Intervention, Comparison, Outcome) format. The KQs were: Among children with chronic cough (> 4 weeks) after acute viral bronchiolitis, how effective are the following interventions in improving the resolution of cough?: (1) Antibiotics. If so what type and for how long? (2) Asthma medications (inhaled steroids, beta₂ agonist, montelukast); and (3) Inhaled osmotic agents like hypertonic saline?

Methods: We used the CHEST expert cough panel's protocol and the American College of Chest Physicians (CHEST) methodological guidelines and GRADE framework. Data from the systematic reviews in conjunction with patients’ values and preferences and the clinical context were used to form these suggestions. Delphi methodology was used to obtain consensus.

Results: Several studies and systematic reviews on the efficacy of the three types of interventions listed in the introduction were found but no data were relevant to our KQs. Thus, no recommendations on using the interventions above could be formulated.

Conclusions: The panel made several consensus-based suggestions and identified directions for future studies to advance the field of managing chronic cough post-acute bronchiolitis in children.

Original language	English
Pages (from-to)	378-382
Number of pages	5
Journal	Chest
Volume	154
Issue number	2
Early online date	25 Apr 2018
DOIs	https://doi.org/10.1016/j.chest.2018.04.019
Publication status	Published - 01 Aug 2018

Bibliographical note

Funding Information:
FUNDING/SUPPORT: A. B. C. is supported by an NHMRC practitioner fellowship [Grant 1058213] and holds multiple grants awarded from the NHMRC related to diseases associated with pediatric cough and acute bronchiolitis. The views expressed in this publication are those of the authors and do not reflect the views of the NHMRC.

Publisher Copyright:
© 2018 American College of Chest Physicians

Keywords

cough
evidence-based medicine
guidelines

ASJC Scopus subject areas

Pulmonary and Respiratory Medicine
Critical Care and Intensive Care Medicine
Cardiology and Cardiovascular Medicine

Access to Document

10.1016/j.chest.2018.04.019Licence: Unspecified

Cite this

@article{0768854315784dcdb6b67a94429399bb,

title = "Chronic Cough Related to Acute Viral Bronchiolitis in Children. CHEST Expert Panel Report",

abstract = "Background: Acute bronchiolitis is common in young children, and some children develop chronic cough after their bronchiolitis. We thus undertook systematic reviews based on key questions (KQs) using the PICO (Population, Intervention, Comparison, Outcome) format. The KQs were: Among children with chronic cough (> 4 weeks) after acute viral bronchiolitis, how effective are the following interventions in improving the resolution of cough?: (1) Antibiotics. If so what type and for how long? (2) Asthma medications (inhaled steroids, beta2 agonist, montelukast); and (3) Inhaled osmotic agents like hypertonic saline? Methods: We used the CHEST expert cough panel's protocol and the American College of Chest Physicians (CHEST) methodological guidelines and GRADE framework. Data from the systematic reviews in conjunction with patients{\textquoteright} values and preferences and the clinical context were used to form these suggestions. Delphi methodology was used to obtain consensus. Results: Several studies and systematic reviews on the efficacy of the three types of interventions listed in the introduction were found but no data were relevant to our KQs. Thus, no recommendations on using the interventions above could be formulated. Conclusions: The panel made several consensus-based suggestions and identified directions for future studies to advance the field of managing chronic cough post-acute bronchiolitis in children.",

keywords = "cough, evidence-based medicine, guidelines",

author = "Chang, {Anne B.} and John Oppenheimer and Rubin, {Bruce K.} and Miles Weinberger and Irwin, {Richard S.} and Adams, {Todd M.} and Altman, {Kenneth W.} and Elie Azoulay and Barker, {Alan F.} and Birring, {Surinder S.} and Fiona Blackhall and Bolser, {Donald C.} and Boulet, {Louis Philippe} and Braman, {Sidney S.} and Christopher Brightling and Priscilla Callahan-Lyon and Terrie Cowley and Paul Davenport and Satoru Ebihara and {El Solh}, {Ali A.} and Patricio Escalante and Field, {Stephen K.} and Dina Fisher and French, {Cynthia T.} and Peter Gibson and Philip Gold and Harding, {Susan M.} and Anthony Harnden and Hill, {Adam T.} and Kahrilas, {Peter J.} and Joanne Kavanagh and Keogh, {Karina A.} and Kefang Lai and Lane, {Andrew P.} and Kaiser Lim and Madison, {J. Mark} and Malesker, {Mark A.} and Stuart Mazzone and Lorcan McGarvey and Metlay, {Joshua P.} and Alex Molasoitis and Abigail Moore and Murad, {M. Hassan} and Mangala Narasimhan and Nguyen, {Huong Q.} and Peter Newcombe and John Oppenheimer and Restrepo, {Marcos I.} and Mark Rosen and Ryu, {Jay H.} and {CHEST Expert Cough Panel}",

note = "Funding Information: FUNDING/SUPPORT: A. B. C. is supported by an NHMRC practitioner fellowship [Grant 1058213] and holds multiple grants awarded from the NHMRC related to diseases associated with pediatric cough and acute bronchiolitis. The views expressed in this publication are those of the authors and do not reflect the views of the NHMRC. Publisher Copyright: {\textcopyright} 2018 American College of Chest Physicians",

year = "2018",

month = aug,

day = "1",

doi = "10.1016/j.chest.2018.04.019",

language = "English",

volume = "154",

pages = "378--382",

journal = "Chest",

issn = "0012-3692",

publisher = "Elsevier Inc.",

number = "2",

}

TY - JOUR

T1 - Chronic Cough Related to Acute Viral Bronchiolitis in Children. CHEST Expert Panel Report

AU - Chang, Anne B.

AU - Oppenheimer, John

AU - Rubin, Bruce K.

AU - Weinberger, Miles

AU - Irwin, Richard S.

AU - Adams, Todd M.

AU - Altman, Kenneth W.

AU - Azoulay, Elie

AU - Barker, Alan F.

AU - Birring, Surinder S.

AU - Blackhall, Fiona

AU - Bolser, Donald C.

AU - Boulet, Louis Philippe

AU - Braman, Sidney S.

AU - Brightling, Christopher

AU - Callahan-Lyon, Priscilla

AU - Cowley, Terrie

AU - Davenport, Paul

AU - Ebihara, Satoru

AU - El Solh, Ali A.

AU - Escalante, Patricio

AU - Field, Stephen K.

AU - Fisher, Dina

AU - French, Cynthia T.

AU - Gibson, Peter

AU - Gold, Philip

AU - Harding, Susan M.

AU - Harnden, Anthony

AU - Hill, Adam T.

AU - Kahrilas, Peter J.

AU - Kavanagh, Joanne

AU - Keogh, Karina A.

AU - Lai, Kefang

AU - Lane, Andrew P.

AU - Lim, Kaiser

AU - Madison, J. Mark

AU - Malesker, Mark A.

AU - Mazzone, Stuart

AU - McGarvey, Lorcan

AU - Metlay, Joshua P.

AU - Molasoitis, Alex

AU - Moore, Abigail

AU - Murad, M. Hassan

AU - Narasimhan, Mangala

AU - Nguyen, Huong Q.

AU - Newcombe, Peter

AU - Oppenheimer, John

AU - Restrepo, Marcos I.

AU - Rosen, Mark

AU - Ryu, Jay H.

AU - CHEST Expert Cough Panel

N1 - Funding Information: FUNDING/SUPPORT: A. B. C. is supported by an NHMRC practitioner fellowship [Grant 1058213] and holds multiple grants awarded from the NHMRC related to diseases associated with pediatric cough and acute bronchiolitis. The views expressed in this publication are those of the authors and do not reflect the views of the NHMRC. Publisher Copyright: © 2018 American College of Chest Physicians

PY - 2018/8/1

Y1 - 2018/8/1

N2 - Background: Acute bronchiolitis is common in young children, and some children develop chronic cough after their bronchiolitis. We thus undertook systematic reviews based on key questions (KQs) using the PICO (Population, Intervention, Comparison, Outcome) format. The KQs were: Among children with chronic cough (> 4 weeks) after acute viral bronchiolitis, how effective are the following interventions in improving the resolution of cough?: (1) Antibiotics. If so what type and for how long? (2) Asthma medications (inhaled steroids, beta2 agonist, montelukast); and (3) Inhaled osmotic agents like hypertonic saline? Methods: We used the CHEST expert cough panel's protocol and the American College of Chest Physicians (CHEST) methodological guidelines and GRADE framework. Data from the systematic reviews in conjunction with patients’ values and preferences and the clinical context were used to form these suggestions. Delphi methodology was used to obtain consensus. Results: Several studies and systematic reviews on the efficacy of the three types of interventions listed in the introduction were found but no data were relevant to our KQs. Thus, no recommendations on using the interventions above could be formulated. Conclusions: The panel made several consensus-based suggestions and identified directions for future studies to advance the field of managing chronic cough post-acute bronchiolitis in children.

AB - Background: Acute bronchiolitis is common in young children, and some children develop chronic cough after their bronchiolitis. We thus undertook systematic reviews based on key questions (KQs) using the PICO (Population, Intervention, Comparison, Outcome) format. The KQs were: Among children with chronic cough (> 4 weeks) after acute viral bronchiolitis, how effective are the following interventions in improving the resolution of cough?: (1) Antibiotics. If so what type and for how long? (2) Asthma medications (inhaled steroids, beta2 agonist, montelukast); and (3) Inhaled osmotic agents like hypertonic saline? Methods: We used the CHEST expert cough panel's protocol and the American College of Chest Physicians (CHEST) methodological guidelines and GRADE framework. Data from the systematic reviews in conjunction with patients’ values and preferences and the clinical context were used to form these suggestions. Delphi methodology was used to obtain consensus. Results: Several studies and systematic reviews on the efficacy of the three types of interventions listed in the introduction were found but no data were relevant to our KQs. Thus, no recommendations on using the interventions above could be formulated. Conclusions: The panel made several consensus-based suggestions and identified directions for future studies to advance the field of managing chronic cough post-acute bronchiolitis in children.

KW - cough

KW - evidence-based medicine

KW - guidelines

U2 - 10.1016/j.chest.2018.04.019

DO - 10.1016/j.chest.2018.04.019

M3 - Article

C2 - 29704475

AN - SCOPUS:85049298787

SN - 0012-3692

VL - 154

SP - 378

EP - 382

JO - Chest

JF - Chest

IS - 2

ER -

Chronic Cough Related to Acute Viral Bronchiolitis in Children. CHEST Expert Panel Report

Abstract

Bibliographical note

Keywords

ASJC Scopus subject areas

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