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How best to measure cough clinically
Surinder S Birring1, Arietta Spinou1
1King's College London, Division of Asthma, Allergy and Lung Biology, Denmark Hill Campus, London, UK.
Measuring cough involves assessing its severity, frequency, and impact on quality of life using both subjective and objective tools. This comprehensive approach provides a clearer understanding of the patient
Area of Science:
- Pulmonology
- Clinical Measurement
- Patient-Reported Outcomes
Background:
- Cough is a common symptom with significant impact on quality of life.
- Objective and subjective methods are needed for comprehensive cough assessment.
Purpose of the Study:
- To outline methods for measuring cough severity, frequency, and impact on quality of life.
- To discuss the utility of various assessment tools for cough.
Main Methods:
- Cough severity assessed using Visual Analogue Scale.
- Cough frequency measured objectively with validated monitors (e.g., Leicester Cough Monitor, VitaloJAK).
- Health-Related Quality of Life evaluated with questionnaires (e.g., Leicester Cough Questionnaire).
Main Results:
- Subjective tools like Visual Analogue Scale can assess cough severity.
- Objective cough monitors provide quantifiable frequency data.
- Validated questionnaires effectively measure the impact of cough on quality of life.
Conclusions:
- A combination of subjective and objective tools is optimal for comprehensive cough assessment.
- Validated tools exist for measuring cough severity, frequency, and quality of life impact.
- Cough reflex sensitivity is more for mechanism investigation than efficacy assessment.
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