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논문 기본 정보

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학술저널
저자정보
Kang Yu Ri (Department of Allergy and Clinical Immunology Asan Medical Center University of Ulsan College of Medicine Seoul Korea.) Huh Jin-Young (Division of Pulmonary Allergy and Critical Care medicine Chung-Ang University Gwangmyeong Hospital Gwangmyeong Korea.Department of Internal Medicine Chung-Ang University College of Medicine Seoul Kore) Oh Ji-Yoon (Department of Allergy and Clinical Immunology Asan Medical Center University of Ulsan College of Medicine Seoul Korea.) Lee Ji-Hyang (Department of Allergy and Clinical Immunology Asan Medical Center University of Ulsan College of Medicine Seoul Korea.) Lee Daegeun (Division of Pulmonary Allergy and Critical Care medicine Chung-Ang University Gwangmyeong Hospital Gwangmyeong Korea.) Kwon Hyouk-Soo (Department of Allergy and Clinical Immunology Asan Medical Center University of Ulsan College of Medicine Seoul Korea.) Kim Tae-Bum (Department of Allergy and Clinical Immunology Asan Medical Center University of Ulsan College of Medicine Seoul Korea.) Choi Jae Chol (Division of Pulmonary Allergy and Critical Care medicine Chung-Ang University Gwangmyeong Hospital Gwangmyeong Korea.Department of Internal Medicine Chung-Ang University College of Medicine Seoul Kore) Cho You Sook (Department of Allergy and Clinical Immunology Asan Medical Center University of Ulsan College of Medicine Seoul Korea.) Chung Kian Fan (National Heart and Lung Institute Imperial College London London UK.) Park So-Young (Division of Pulmonary Allergy and Critical Care medicine Chung-Ang University Gwangmyeong Hospital Gwangmyeong Korea.Department of Internal Medicine Chung-Ang University College of Medicine Seoul Kore) Song Woo-Jung (Department of Allergy and Clinical Immunology Asan Medical Center University of Ulsan College of Medicine Seoul Korea.)
저널정보
대한천식알레르기학회(구 대한알레르기학회) Allergy, Asthma & Immunology Research Allergy, Asthma & Immunology Research Vol.15 No.3
발행연도
2023.5
수록면
395 - 405 (11page)
DOI
10.4168/aair.2023.15.3.395

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초록· 키워드

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Cough is one of the most common symptoms of acute coronavirus disease 2019, but cough may persist for weeks or months. This study aimed to examine the clinical characteristics of patients with post-coronavirus disease (COVID) persistent cough in the Omicron era. We conducted a pooled analysis comparing 3 different groups: 1) a prospective cohort of post-COVID cough (> 3 weeks; n = 55), 2) a retrospective cohort of post-COVID cough (> 3 weeks; n = 66), and 3) a prospective cohort of non-COVID chronic cough (CC) (> 8 weeks; n = 100). Cough and health status was assessed using patient-reported outcomes (PROs). Outcomes, including PROs and systemic symptoms, were longitudinally evaluated in the prospective post-COVID cough registry participants receiving usual care. A total of 121 patients with post-COVID cough and 100 with non-COVID CC were studied. Baseline cough-specific PRO scores did not significantly differ between post-COVID cough and non-COVID CC groups. There were no significant differences in chest imaging abnormality or lung function between groups. However, the proportions of patients with fractional exhaled nitric oxide (FeNO) ≥ 25 ppb were 44.7% in those with post-COVID cough and 22.7% in those with non-COVID CC, which were significantly different. In longitudinal assessment of the post-COVID registry (n = 43), cough-specific PROs, such as cough severity or Leicester Cough Questionnaire (LCQ) scores, significantly improved between visits 1 and 2 (visit interval: median 35 [interquartile range, IQR: 23–58] days). In the LCQ score, 83.3% of the patients showed improvement (change ≥ +1.3), but 7.1% had worsened (≤ −1.3). The number of systemic symptoms was median 4 (IQR: 2–7) at visit 1 but decreased to median 2 (IQR: 0–4) at visit 2. In summary, post-COVID persistent cough was similar in overall clinical characteristics to CC. Current cough guideline-based approaches may be effective in most patients with post-COVID cough. Measurement of FeNO levels may also be useful for cough management.
#Cough #COVID-19 #asthma #Omicron era #cohort #longitudinal assessment #nitric oxide #post-COVID syndrome

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