RT Journal Article
SR Electronic
T1 Characteristics of cough reported by adolescents with different ENT disorders
JF European Respiratory Journal
JO Eur Respir J
FD European Respiratory Society
SP P4232
VO 44
IS Suppl 58
A1 Maja Jurca
A1 Cristian Dogaru
A1 Aniña Pescatore
A1 Ben Spycher
A1 Philipp Latzin
A1 Erol Gaillard
A1 Claudia Kuehni
YR 2014
UL http://erj.ersjournals.com/content/44/Suppl_58/P4232.abstract
AB IntroductionCough is a frequent symptom in children with upper respiratory tract problems. We do not know whether cough characteristics vary between different ENT (Ear,Nose and Throat) disorders, such as allergic rhinitis, habitual snoring and otitis. This study compares the association of different cough characteristics with these disorders.MethodsIn a population-based cohort in Leicestershire, UK, we analysed self-reported respiratory outcomes in adolescents aged 13-17 years in 2010. We computed symptom scores for allergic rhinitis (0-4), chronic snoring (0-3) and otitis (0-2). We estimated odds ratios (ORs) for cough characteristics (coughing more than peers, night cough, cough of long duration (>3 weeks), cough triggered by aeroallergens and exercise) comparing children with high and low ENT symptom scores using logistic regression.ResultsAmong 2,805 children who replied to the questionnaire, 530 reported a high allergic rhinitis score, 217 had severe snoring and 370 had otitis at least once in the last 12 months. Adjusting for age, sex and ethnicity, all ENT disorders showed significant associations with cough, but the results varied between disorders. Severe allergic rhinitis was most strongly associated with cough triggered by aeroallergens (OR 6.4; 95%CI 5.1-7.9), children with a high snoring score reported mainly coughing more than peers (4.1; 3.0-5.7) and cough of long duration (3.6; 2.6-5.1). Otitis was associated with all cough questions with ORs from 1.6 to 2.1.ConclusionCharacteristics of cough in children vary between different ENT disorders. These results help to distinguish underlying aetiologies of cough in children.Funding: SNF PDFMP3 137033; SNF 32003B-144068; Asthma UK 07/048.