Global physiology and pathophysiology of cough: Part 2. Demographic and clinical considerations: CHEST Expert Panel report

CHEST Expert Cough Panel

doi:10.1016/j.chest.2021.04.039

Global physiology and pathophysiology of cough: Part 2. Demographic and clinical considerations: CHEST Expert Panel report

CHEST Expert Cough Panel

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Abstract

BACKGROUND: Cough characteristics vary between patients and this can impact clinical diagnosis and care. The purpose of Part 2 of this state-of-the-art review is to update the American College of Chest Physicians (CHEST) 2006 guideline on global physiology and pathophysiology of cough.

METHODS: A review of the literature was conducted using PubMed and Medline databases from 1951 to 2019 using pre-specified search terms.

RESULTS: We describe the demographics of typical cough patients in the clinical setting, including how cough characteristics changes across age. We summarize the effect of common clinical conditions impacting cough mechanics and the physical properties of mucus on airway clearance.

CONCLUSIONS: This is the second of a two-part update to the 2006 CHEST Cough Guideline; it complements part one on basic phenomenology of cough by providing an extended clinical picture of cough along with the factors that alter cough mechanics and efficiency in patients. A greater understanding of the physiology and pathophysiology of cough will improve clinical management.

Original language	English
Journal	Chest
Early online date	24 Apr 2021
DOIs	https://doi.org/10.1016/j.chest.2021.04.039
Publication status	Early online date - 24 Apr 2021

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Global physiology and pathophysiology of cough: Part 2. Demographic and clinical considerations: CHEST Expert Panel report
Copyright 2021 Elsevier. This manuscript is distributed under a Creative Commons Attribution-NonCommercial-NoDerivs License (https://creativecommons.org/licenses/by-nc-nd/4.0/), which permits distribution and reproduction for non-commercial purposes, provided the author and source are cited.
Accepted author manuscript, 792 KBLicence: CC BY-NC-ND

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title = "Global physiology and pathophysiology of cough: Part 2. Demographic and clinical considerations: CHEST Expert Panel report",

abstract = "BACKGROUND: Cough characteristics vary between patients and this can impact clinical diagnosis and care. The purpose of Part 2 of this state-of-the-art review is to update the American College of Chest Physicians (CHEST) 2006 guideline on global physiology and pathophysiology of cough.METHODS: A review of the literature was conducted using PubMed and Medline databases from 1951 to 2019 using pre-specified search terms.RESULTS: We describe the demographics of typical cough patients in the clinical setting, including how cough characteristics changes across age. We summarize the effect of common clinical conditions impacting cough mechanics and the physical properties of mucus on airway clearance.CONCLUSIONS: This is the second of a two-part update to the 2006 CHEST Cough Guideline; it complements part one on basic phenomenology of cough by providing an extended clinical picture of cough along with the factors that alter cough mechanics and efficiency in patients. A greater understanding of the physiology and pathophysiology of cough will improve clinical management.",

author = "Lorcan McGarvey and Rubin, {Bruce K} and Satoru Ebihara and Karen Hegland and Alycia Rivet and Irwin, {Richard S} and Bolser, {Donald C} and Chang, {Anne B} and Gibson, {Peter G} and Mazzone, {Stuart B} and {CHEST Expert Cough Panel}",

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day = "24",

doi = "10.1016/j.chest.2021.04.039",

language = "English",

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T1 - Global physiology and pathophysiology of cough: Part 2. Demographic and clinical considerations: CHEST Expert Panel report

AU - McGarvey, Lorcan

AU - Rubin, Bruce K

AU - Ebihara, Satoru

AU - Hegland, Karen

AU - Rivet, Alycia

AU - Irwin, Richard S

AU - Bolser, Donald C

AU - Chang, Anne B

AU - Gibson, Peter G

AU - Mazzone, Stuart B

AU - CHEST Expert Cough Panel

PY - 2021/4/24

Y1 - 2021/4/24

N2 - BACKGROUND: Cough characteristics vary between patients and this can impact clinical diagnosis and care. The purpose of Part 2 of this state-of-the-art review is to update the American College of Chest Physicians (CHEST) 2006 guideline on global physiology and pathophysiology of cough.METHODS: A review of the literature was conducted using PubMed and Medline databases from 1951 to 2019 using pre-specified search terms.RESULTS: We describe the demographics of typical cough patients in the clinical setting, including how cough characteristics changes across age. We summarize the effect of common clinical conditions impacting cough mechanics and the physical properties of mucus on airway clearance.CONCLUSIONS: This is the second of a two-part update to the 2006 CHEST Cough Guideline; it complements part one on basic phenomenology of cough by providing an extended clinical picture of cough along with the factors that alter cough mechanics and efficiency in patients. A greater understanding of the physiology and pathophysiology of cough will improve clinical management.

AB - BACKGROUND: Cough characteristics vary between patients and this can impact clinical diagnosis and care. The purpose of Part 2 of this state-of-the-art review is to update the American College of Chest Physicians (CHEST) 2006 guideline on global physiology and pathophysiology of cough.METHODS: A review of the literature was conducted using PubMed and Medline databases from 1951 to 2019 using pre-specified search terms.RESULTS: We describe the demographics of typical cough patients in the clinical setting, including how cough characteristics changes across age. We summarize the effect of common clinical conditions impacting cough mechanics and the physical properties of mucus on airway clearance.CONCLUSIONS: This is the second of a two-part update to the 2006 CHEST Cough Guideline; it complements part one on basic phenomenology of cough by providing an extended clinical picture of cough along with the factors that alter cough mechanics and efficiency in patients. A greater understanding of the physiology and pathophysiology of cough will improve clinical management.

U2 - 10.1016/j.chest.2021.04.039

DO - 10.1016/j.chest.2021.04.039

M3 - Article

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SN - 0012-3692

JO - Chest

JF - Chest

ER -

Global physiology and pathophysiology of cough: Part 2. Demographic and clinical considerations: CHEST Expert Panel report

Abstract

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