Evidence map›Paper›PMID 32092323›Full record

GuidelineChest2020

Acute Cough Due to Acute Bronchitis in Immunocompetent Adult Outpatients: CHEST Expert Panel Report.

Maeve P Smith, Mark Lown, Sonal Singh, Belinda Ireland, Adam T Hill, Jeffrey A Linder, Richard S Irwin, CHEST Expert Cough Panel

Open access · bronzeAbstract readPractice Guideline
In one paragraph

Guideline in Chest, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 1 pooled it
2.2field-weighted citation impact, top 10% 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

15 citing papers in PubMed, 1 synthesis or guideline pooled it, 26 citations in OpenAlex.

  1. Guideline
  2. Trial
  3. Trial
  4. Review
  5. Article
  6. Article
  7. Article
  8. Effect ofCaspian journal of internal medicine · 2024
    Article
  9. Article
  10. How and when to manage respiratory infections out of hospital.European respiratory review : an official journal of the European Respiratory Society · 2022
    Review
  11. Article
  12. Article
  13. Review
  14. Article
  15. Article
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

8 authors at 8 institutions in 3 countries.

Maeve P SmithDivision of Pulmonary Medicine, University of Alberta, Edmonton, AB, Canada. Electronic address: maeve1@ualberta.ca.
Mark LownPrimary Care and Population Science, University of Southampton, Southampton, England.
Sonal SinghUMass Medical School, Family Medicine & Community Health & Meyers Primary Care Institute, Worcester, MA.
Belinda IrelandTheEvidenceDoc, Pacific, MO.
Adam T HillDepartment of Respiratory Medicine, Royal Infirmary of Edinburgh and University of Edinburgh, Edinburgh, Scotland.
Jeffrey A LinderDivision of General Internal Medicine and Geriatrics, Northwestern University Feinberg School of Medicine, Chicago, IL.
Richard S IrwinUMass Memorial Medical Center, Worcester, MA.
CHEST Expert Cough Panel
University of Southampton · GBUniversity of Alberta · CAUniversity of Massachusetts Chan Medical School · USEdinburgh Royal Infirmary · GBNorthwestern University · USUMass Memorial Health Care · USUMass Memorial Medical Center · USUniversity of Edinburgh · GB

Funding

Use of Behavioral Economics in Repeat SARS-CoV-2 Antibody Testing in Disadvantaged CommunitiesR33AG057395 · NIA · UNIVERSITY OF SOUTHERN CALIFORNIA · PI DOCTOR, JASON N., SULLIVAN, MARK D · 2019 to 2021
$3.3M
Improving Safe Antibiotic Prescribing in Telehealth: A Randomized TrialR01HS026506 · AHRQ · YALE UNIVERSITY · PI MEEKER, DANIELLA · 2018 to 2022
$2.1M
Behavioral Economics Applications to Geriatrics Leveraging EHRs (BEAGLE)R33AG057383 · NIA · NORTHWESTERN UNIVERSITY AT CHICAGO · PI PERSELL, STEPHEN · 2019 to 2021
$2.1M
Examining Non-Visit-Based Antibiotic Use to Improve Safety and Limit ResistanceR01HS024930 · AHRQ · NORTHWESTERN UNIVERSITY AT CHICAGO · PI LINDER, JEFFREY A. · 2016 to 2018
$1.2M
Improving Quality & Equity of Emergency Care Decisions (IQED)R21AG057400 · NIA · UNIVERSITY OF SOUTHERN CALIFORNIA · PI MEEKER, DANIELLA · 2017 to 2018
$461k
Reducing High-Risk Geriatric Polypharmacy via EHR NudgesR21AG057396 · NIA · RAND CORPORATION · PI FRIEDBERG, MARK WILLIAM · 2017 to 2018
$455k
AHRQ HHS HHSP233201500020IAHRQ HHS R01 HS024930AHRQ HHS R01 HS026506NIA NIH HHS R21 AG057396NIA NIH HHS R21 AG057400NIA NIH HHS R33 AG057383NIA NIH HHS R33 AG057395Wellcome Trust 207504/B/17/Z
6 · The paper itself

Abstract

backgroundEvidence for the diagnosis and management of cough due to acute bronchitis in immunocompetent adult outpatients was reviewed as an update to the 2006 "Chronic Cough Due to Acute Bronchitis: American College of Chest Physicians (ACCP) Evidence-Based Clinical Practice Guidelines."

methodsAcute bronchitis was defined as an acute lower respiratory tract infection manifested predominantly by cough with or without sputum production, lasting no more than 3 weeks with no clinical or any recent radiographic evidence to suggest an alternative explanation. Two clinical population, intervention, comparison, outcome questions were addressed by systematic review in July 2017: (1) the role of investigations beyond the clinical assessment of patients presenting with suspected acute bronchitis, and (2) the efficacy and safety of prescribing medication for cough in acute bronchitis. An updated search was undertaken in May 2018.

resultsNo eligible studies relevant to the first question were identified. For the second question, only one relevant study met eligibility criteria. This study found no difference in number of days with cough between patients treated with an antibiotic or an oral nonsteroidal antiinflammatory agent compared with placebo. Clinical suggestions and research recommendations were made based on the consensus opinion of the CHEST Expert Cough Panel.

conclusionsThe panelists suggested that no routine investigations be ordered and no routine medications be prescribed in immunocompetent adult outpatients first presenting with cough due to suspected acute bronchitis, until such investigations and treatments have been shown to be safe and effective at making cough less severe or resolve sooner. If the cough due to suspected acute bronchitis persists or worsens, a reassessment and consideration of targeted investigations should be considered.

Indexed as

Acute DiseaseBronchitisCoughHumansOutpatientsbronchitiscoughguidelinesinfection

Identifiers

PMID32092323
PMCPMC8173775
OpenAlexW3008055948

What OpenQuestion holds

Textmetadata
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.