PMID- 32486883
OWN - NLM
STAT- MEDLINE
DCOM- 20201116
LR  - 20220418
IS  - 1943-572X (Electronic)
IS  - 0003-4894 (Linking)
VI  - 129
IP  - 11
DP  - 2020 Nov
TI  - Pediatric Quality-of-Life Scores Following a Multidisciplinary Aerodigestive Team 
      Approach to Manage Chronic Cough.
PG  - 1088-1094
LID - 10.1177/0003489420931558 [doi]
AB  - OBJECTIVES: Chronic recalcitrant cough is present in 2/3 of pediatric patients 
      evaluated in our tertiary-care multidisciplinary aerodigestive clinic (ADC). This 
      study aimed to determine the impact of chronic cough and efficacy of ADC 
      treatment using the validated Pediatric-Cough Quality-of-Life-27 tool 
      (PC-QOL-27). METHODS: The PC-QOL-27 survey was administered to ADC patients with 
      chronic cough at initial clinic visit and 6 to 12 weeks after cough management. 
      Pre and post survey scores, demographic data, treatment and evaluation season 
      were collected over 16 months. RESULTS: Twenty parents completed pre and post 
      PC-QOL-27 surveys (mean 12.1 weeks later). Patient median age was 6.04 years 
      (IQR: 2.2-10.44 years). A total of 65% were males and 65% were African American. 
      Management was tailored based on clinical assessment and diagnostic studies, 
      including direct laryngoscopy/bronchoscopy (4), pulmonary function tests (PFT's 
      9), esophagogastroduodenoscopy (9), and flexible bronchoscopy/lavage 
      (9).Following ADC management, changes in physical, social and psychological 
      domain scores of the PC-QOL-27 each met the threshold for minimal clinical 
      important difference (MCID) indicating a clinically meaningful improvement. 
      Improvements were most notable in the physical domain where post survey scores 
      significantly improved from pre-survey scores (P = .009) regardless of age, 
      gender, ethnicity, history of endoscopy and season. CONCLUSIONS: The physical 
      impact of chronic cough in pediatric patients who failed prior management by a 
      single specialist was lessened by an ADC team approach to management.
FAU - Yibrehu, Betel A
AU  - Yibrehu BA
AUID- ORCID: 0000-0003-2035-6701
AD  - George Washington University School of Medicine, Washington, DC, USA.
FAU - Krakovsky, Gina M
AU  - Krakovsky GM
AD  - Children's National Health System, Washington, DC, USA.
FAU - Rana, Md Sohel
AU  - Rana MS
AUID- ORCID: 0000-0002-5202-5053
AD  - Children's National Health System, Washington, DC, USA.
FAU - Pillai, Dinesh K
AU  - Pillai DK
AD  - George Washington University School of Medicine, Washington, DC, USA.
AD  - Children's National Health System, Washington, DC, USA.
FAU - Sehgal, Sona
AU  - Sehgal S
AD  - George Washington University School of Medicine, Washington, DC, USA.
AD  - Children's National Health System, Washington, DC, USA.
FAU - Collins, Maura E
AU  - Collins ME
AD  - Children's National Health System, Washington, DC, USA.
FAU - Gatti, Meagan L
AU  - Gatti ML
AD  - Children's National Health System, Washington, DC, USA.
FAU - Bauman, Nancy M
AU  - Bauman NM
AUID- ORCID: 0000-0002-9010-8511
AD  - George Washington University School of Medicine, Washington, DC, USA.
AD  - Children's National Health System, Washington, DC, USA.
LA  - eng
PT  - Journal Article
DEP - 20200602
PL  - United States
TA  - Ann Otol Rhinol Laryngol
JT  - The Annals of otology, rhinology, and laryngology
JID - 0407300
SB  - IM
MH  - Airway Management/*methods
MH  - Child
MH  - Child, Preschool
MH  - Chronic Disease
MH  - Cough/diagnosis/psychology/*therapy
MH  - Female
MH  - Humans
MH  - Laryngoscopy
MH  - Male
MH  - Quality of Life/*psychology
MH  - Surveys and Questionnaires
OTO - NOTNLM
OT  - cough
OT  - patient reported outcomes
OT  - pediatric airway
EDAT- 2020/06/04 06:00
MHDA- 2020/11/18 06:00
CRDT- 2020/06/04 06:00
PHST- 2020/06/04 06:00 [pubmed]
PHST- 2020/11/18 06:00 [medline]
PHST- 2020/06/04 06:00 [entrez]
AID - 10.1177/0003489420931558 [doi]
PST - ppublish
SO  - Ann Otol Rhinol Laryngol. 2020 Nov;129(11):1088-1094. doi: 
      10.1177/0003489420931558. Epub 2020 Jun 2.