Evidence map›Paper›PMID 28707107›Full record

ArticleLung2017

The Objective Assessment of Cough Frequency in Bronchiectasis.

Arietta Spinou, Kai K Lee, Aish Sinha, Caroline Elston, Michael R Loebinger, Robert Wilson, Kian Fan Chung, Nadia Yousaf, Ian D Pavord, Sergio Matos and 2 more

Open access · hybridAbstract read
In one paragraph

Article in Lung, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 1 pooled it
3.3field-weighted citation impact, top 7% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

14 citing papers in PubMed, 1 synthesis or guideline pooled it, 30 citations in OpenAlex.

  1. Cough monitoring systems in adults with chronic respiratory diseases: a systematic review.European respiratory review : an official journal of the European Respiratory Society · 2025
    Pooled it
  2. Trial
  3. Article
  4. Review
  5. Article
  6. Patient-managed interventions for adults with bronchiectasis: evidence, challenges and prospects.European respiratory review : an official journal of the European Respiratory Society · 2024
    Review
  7. Review
  8. Review
  9. The present and future of cough counting tools.Journal of thoracic disease · 2020
    Review
  10. Measuring airway clearance outcomes in bronchiectasis: a review.European respiratory review : an official journal of the European Respiratory Society · 2020
    Review
  11. Review
  12. Review
  13. Review
  14. [Highlights 57th SEPAR Congress].Open respiratory archives
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors at 6 institutions in 2 countries.

Arietta SpinouDivision of Asthma, Allergy and Lung Biology, King's College London, Denmark Hill, London, SE5 9RS, UK.
Kai K LeeDepartment of Respiratory Medicine, King's College Hospital, Denmark Hill, London, UK.
Aish SinhaDivision of Asthma, Allergy and Lung Biology, King's College London, Denmark Hill, London, SE5 9RS, UK.
Caroline ElstonDepartment of Respiratory Medicine, King's College Hospital, Denmark Hill, London, UK.
Michael R LoebingerHost Defence Unit, Royal Brompton Hospital, London, UK.
Robert WilsonHost Defence Unit, Royal Brompton Hospital, London, UK.
Kian Fan ChungNIHR Respiratory Biomedical Research Unit, Royal Brompton NHS Foundation Trust and Imperial College London, London, UK.
Nadia YousafDepartment of Medicine, The Royal Marsden Foundation Trust, London, UK.
Ian D PavordDepartment of Respiratory Medicine, Nuffield Department of Medicine, University of Oxford, Oxford, UK.
Sergio MatosInstitute of Electronics and Telematics Engineering (IEETA), University of Aveiro, Aveiro, Portugal.
Rachel GarrodKing's College London, Therapies, Denmark Hill Campus, London, UK.
Surinder S BirringDivision of Asthma, Allergy and Lung Biology, King's College London, Denmark Hill, London, SE5 9RS, UK. surinder.birring@nhs.net.ORCID 0000-0003-2525-6291
King's College London · GBRoyal Brompton & Harefield NHS Foundation Trust · GBKing's College Hospital · GBRoyal Marsden NHS Foundation Trust · GBUniversity of Aveiro · PTUniversity of Oxford · GB

Funding

Medical Research Council G1000758Wellcome Trust
6 · The paper itself

Abstract

introductionCough in bronchiectasis is associated with significant impairment in health status. This study aimed to quantify cough frequency objectively with a cough monitor and investigate its relationship with health status. A secondary aim was to identify clinical predictors of cough frequency.

methodsFifty-four patients with bronchiectasis were compared with thirty-five healthy controls. Objective 24-h cough, health status (cough-specific: Leicester Cough Questionnaire LCQ and bronchiectasis specific: Bronchiectasis Health Questionnaire BHQ), cough severity and lung function were measured. The clinical predictors of cough frequency in bronchiectasis were determined in a multivariate analysis.

resultsObjective cough frequency was significantly raised in patients with bronchiectasis compared to healthy controls [geometric mean (standard deviation)] 184.5 (4.0) vs. 20.6 (3.2) coughs/24-h; mean fold-difference (95% confidence interval) 8.9 (5.2, 15.2); p < 0.001 and they had impaired health status. There was a significant correlation between objective cough frequency and subjective measures; LCQ r = -0.52 and BHQ r = -0.62, both p < 0.001. Sputum production, exacerbations (between past 2 weeks to 12 months) and age were significantly associated with objective cough frequency in multivariate analysis, explaining 52% of the variance (p < 0.001). There was no statistically significant association between cough frequency and lung function.

conclusionsCough is a common and significant symptom in patients with bronchiectasis. Sputum production, exacerbations and age, but not lung function, were independent predictors of cough frequency. Ambulatory objective cough monitoring provides novel insights and should be further investigated as an outcome measure in bronchiectasis.

Indexed as

Health StatusQuality of LifeAdultAgedBronchiectasisCarrier StateCase-Control StudiesCoughDisease ProgressionFemaleForced Expiratory VolumeHumansMaleMiddle AgedPseudomonas aeruginosaPseudomonas InfectionsBronchiectasisBronchiectasis Health QuestionnaireCough frequencyLeicester cough monitorVisual analogue scale

Identifiers

PMID28707107
PMCPMC5599483
OpenAlexW2735242060

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.