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Evaluation of Chronic Cough in Children Using Management Algorithm: A Prospective Cohort Study
Nikhil Rajvanshi1, Prawin Kumar1, Jagdish Prasad Goyal2
1Department of Pediatrics, All India Institute of Medical Sciences, Jodhpur, Rajasthan, India.
Indian Journal of Pediatrics
|June 8, 2023
Summary
The American College of Chest Physician (ACCP) 2006 algorithm effectively diagnosed and managed chronic cough in children. This standardized approach led to a high resolution rate, identifying common causes like asthma.
Area of Science:
- Pediatric Pulmonology
- Clinical Diagnostics
- Evidence-Based Medicine
Background:
- Chronic cough in children presents a diagnostic challenge.
- Standardized evaluation protocols are crucial for efficient diagnosis and management.
- The American College of Chest Physician (ACCP) 2006 algorithm offers a structured approach.
Purpose of the Study:
- To evaluate the efficacy of the ACCP 2006 diagnostic algorithm in pediatric chronic cough cases.
- To determine the diagnostic yield and management outcomes using the standardized algorithm.
- To identify the common etiologies of chronic cough in children.
Main Methods:
- Prospective cohort study involving 87 children with chronic cough.
- Evaluation followed the ACCP 2006 diagnostic algorithm.
- Children were monitored every 2-4 weeks until cough resolution for four consecutive weeks.
Main Results:
- The ACCP 2006 algorithm established specific diagnoses in 91.9% of children.
- Asthma and asthma-like illnesses were the most frequent causes (59.8%).
- A high resolution rate of 96.5% was achieved, with a mean resolution time of 33.6 days.
Conclusions:
- The ACCP 2006 algorithm is a valuable tool for diagnosing and managing chronic cough in children.
- The algorithm facilitates the identification of underlying etiologies, leading to effective treatment.
- This standardized approach improves patient outcomes and reduces diagnostic uncertainty.
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