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Related Experiment Video

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Persistent cough after pulmonary resection: Minor issue, major hurdle.

Xuefeng Sun1,2,3, Zihua Lan2,4, Qiuling Shi5

  • 1The Second School of Clinical Medicine, Southern Medical University, Guangzhou, China.

Heliyon
|June 3, 2024
PubMed
Summary

Persistent cough after pulmonary resection (CAP) affects over half of patients, significantly hindering recovery. This review defines CAP, identifies risk factors, and suggests multidisciplinary prevention and treatment strategies.

Keywords:
CoughLung cancerPulmonary resectionQuality of lifeRisk factor

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Area of Science:

  • Pulmonology
  • Thoracic Surgery
  • Anesthesiology

Background:

  • Persistent cough after pulmonary resection (CAP) is a common complication.
  • It significantly impairs patient quality of life and prolongs recovery.
  • A comprehensive review on CAP has been lacking.

Purpose of the Study:

  • To systematically review and synthesize existing evidence on persistent cough after pulmonary resection (CAP).
  • To propose a definition, identify risk factors, and outline prevention and treatment strategies for CAP.

Main Methods:

  • A systematic literature search was conducted in PubMed/MEDLINE, Web of Science, and Embase up to June 2023.
  • A qualitative systematic review focused on the definition, risk factors, prevention, and treatment of persistent-CAP.

Main Results:

  • Persistent-CAP affects 24.4-55.0% of patients post-pulmonary resection, posing a major recovery hurdle.
  • Key risk factors include surgical approach, resection extent, lymph node dissection, gastroesophageal reflux, anesthesia, comorbidities, and sex.
  • A multidisciplinary approach is effective for managing persistent-CAP.

Conclusions:

  • Persistent-CAP is linked to surgical and anesthesia factors, though mechanisms remain unclear.
  • Future prevention and treatment should target identified risk factors to mitigate CAP.