Please use this identifier to cite or link to this item: https://ahro.austin.org.au/austinjspui/handle/1/34280
Title: Cough in Children and Adults: Diagnosis, Assessment and Management (CICADA). Summary of an updated position statement on chronic cough in Australia.
Austin Authors: Marchant, Julie M;Chang, Anne B;Kennedy, Emma;King, David;Perret, Jennifer L ;Schultz, Andre;Toombs, Maree R;Versteegh, Lesley;Dharmage, Shyamali C;Dingle, Rebecca;Fitzerlakey, Naomi;George, Johnson;Holland, Anne E ;Rigby, Debbie;Mann, Jennifer;Mazzone, Stuart;OBrien, Mearon;O'Grady, Kerry-Ann;Petsky, Helen L;Pham, Jonathan;Smith, Sheree Ms;Wurzel, Danielle F;Vertigan, Anne E;Wark, Peter
Affiliation: Australian Centre for Health Services Innovation, Queensland University of Technology, Brisbane, QLD.;Queensland Children's Hospital, Brisbane, QLD.
Australian Centre for Health Services Innovation, Queensland University of Technology, Brisbane, QLD.;Queensland Children's Hospital, Brisbane, QLD.;Menzies School of Health Research, Darwin, NT.
Rural and Remote Health, Flinders University, Darwin, NT.
University of Queensland, Brisbane, QLD.
Melbourne School of Population and Global Health, University of Melbourne, Melbourne, VIC.
Wal-yan Respiratory Research Centre, Perth, WA.;Perth Children's Hospital, Perth, WA.
University of Sydney, Sydney, NSW.
Menzies School of Health Research, Darwin, NT.
Melbourne School of Population and Global Health, University of Melbourne, Melbourne, VIC.
Lung Foundation Australia, Brisbane, QLD.
Centre for Medicine Use and Safety, Monash University, Melbourne, VIC.
Alfred Health, Melbourne, VIC.;Monash University, Melbourne, VIC.;Institute for Breathing and Sleep, University of Melbourne, Melbourne, VIC.
University of Queensland, Brisbane, QLD.;Queensland University of Technology, Brisbane, QLD.
Institute for Breathing and Sleep
University of Melbourne, Melbourne, VIC.
Lung Foundation Australia, Brisbane, QLD.
Australian Centre for Health Services Innovation, Queensland University of Technology, Brisbane, QLD.
Griffith University, Brisbane, QLD.
Alfred Health, Melbourne, VIC.
Western Sydney University, Sydney, NSW.
Royal Children's Hospital, Melbourne, VIC.
Hunter Medical Research Institute, University of Newcastle, Newcastle, NSW.;John Hunter Hospital, Newcastle, NSW.
Issue Date: 15-Jan-2024
Date: 2023
Publication information: The Medical Journal of Australia 2024-01-15; 220(1)
Abstract: Cough is the most common symptom leading to medical consultation. Chronic cough results in significant health care costs, impairs quality of life, and may indicate the presence of a serious underlying condition. Here, we present a summary of an updated position statement on cough management in the clinical consultation. Assessment of children and adults requires a focused history of chronic cough to identify any red flag cough pointers that may indicate an underlying disease. Further assessment with examination should include a chest x-ray and spirometry (when age > 6 years). Separate paediatric and adult diagnostic management algorithms should be followed. Management of the underlying condition(s) should follow specific disease guidelines, as well as address adverse environmental exposures and patient/carer concerns. First Nations adults and children should be considered a high risk group. The full statement from the Thoracic Society of Australia and New Zealand and Lung Foundation Australia for managing chronic cough is available at https://lungfoundation.com.au/resources/cicada-full-position-statement. Algorithms for assessment and diagnosis of adult and paediatric chronic cough are recommended. High quality evidence supports the use of child-specific chronic cough management algorithms to improve clinical outcomes, but none exist in adults. Red flags that indicate serious underlying conditions requiring investigation or referral should be identified. Early and effective treatment of chronic wet/productive cough in children is critical. Culturally specific strategies for facilitating the management of chronic cough in First Nations populations should be adopted. If the chronic cough does not resolve or is unexplained, the patient should be referred to a respiratory specialist or cough clinic.
URI: https://ahro.austin.org.au/austinjspui/handle/1/34280
DOI: 10.5694/mja2.52157
ORCID: 0000-0002-8614-1829
0000-0002-1331-3706
0000-0002-7469-1022
0000-0001-5676-6126
Journal: The Medical Journal of Australia
PubMed URL: 37982357
ISSN: 1326-5377
Type: Journal Article
Subjects: Evidence-based medicine
General practice
Guidelines as topic
Pediatrics
Appears in Collections:Journal articles

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