Chronic cough related to acute viral bronchiolitis in children

CHEST Expert Panel Report

CHEST Expert Cough Panel

    Research output: Contribution to journalArticleResearchpeer-review

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    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 languageEnglish
    Pages (from-to)378-382
    Number of pages5
    JournalChest
    Volume154
    Issue number2
    DOIs
    Publication statusPublished - 1 Aug 2018

    Fingerprint

    Viral Bronchiolitis
    Cough
    Bronchiolitis
    montelukast
    Patient Preference
    Asthma
    Steroids
    Guidelines
    Anti-Bacterial Agents
    Population

    Cite this

    CHEST Expert Cough Panel. / Chronic cough related to acute viral bronchiolitis in children : CHEST Expert Panel Report. In: Chest. 2018 ; Vol. 154, No. 2. pp. 378-382.
    @article{30f3fec50ff04b318bbc4816eeee6051,
    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’ 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 = "{CHEST Expert Cough Panel} and 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 Chang, {Anne B.} 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 Irwin, {Richard S.} 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 Bruce Rubin and Ryu, {Jay H.} and Sonal Singh and Smith, {Maeve P.} and Tarlo, {Susan M.} and Julie Turmel and Vertigan, {Anne E.} and Gang Wang and Miles Weinberger",
    year = "2018",
    month = "8",
    day = "1",
    doi = "10.1016/j.chest.2018.04.019",
    language = "English",
    volume = "154",
    pages = "378--382",
    journal = "Chest",
    issn = "0012-3692",
    publisher = "American College of Chest Physicians",
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    }

    Chronic cough related to acute viral bronchiolitis in children : CHEST Expert Panel Report. / CHEST Expert Cough Panel.

    In: Chest, Vol. 154, No. 2, 01.08.2018, p. 378-382.

    Research output: Contribution to journalArticleResearchpeer-review

    TY - JOUR

    T1 - Chronic cough related to acute viral bronchiolitis in children

    T2 - CHEST Expert Panel Report

    AU - CHEST Expert Cough Panel

    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 - Chang, Anne B.

    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 - Irwin, Richard S.

    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 - Rubin, Bruce

    AU - Ryu, Jay H.

    AU - Singh, Sonal

    AU - Smith, Maeve P.

    AU - Tarlo, Susan M.

    AU - Turmel, Julie

    AU - Vertigan, Anne E.

    AU - Wang, Gang

    AU - Weinberger, Miles

    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

    UR - http://www.scopus.com/inward/record.url?scp=85049298787&partnerID=8YFLogxK

    U2 - 10.1016/j.chest.2018.04.019

    DO - 10.1016/j.chest.2018.04.019

    M3 - Article

    VL - 154

    SP - 378

    EP - 382

    JO - Chest

    JF - Chest

    SN - 0012-3692

    IS - 2

    ER -