Evidence map›Paper›PMID 38315527›Full record

ArticleJMIR public health and surveillance2024

Profiles of Cough and Associated Risk Factors in Nonhospitalized Individuals With SARS-CoV-2 Omicron Variant Infection: Cross-Sectional Online Survey in China.

Tingting Xu, Yuehan Chen, Wenzhi Zhan, Kian Fan Chung, Zhongmin Qiu, Kewu Huang, Ruchong Chen, Jiaxing Xie, Gang Wang, Min Zhang and 28 more

Open access · goldAbstract read
In one paragraph

Article in JMIR public health and surveillance, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
5.9field-weighted citation impact, top 3% 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

10 citing papers in PubMed, 14 citations in OpenAlex.

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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

38 authors at 20 institutions in 2 countries.

Tingting Xu *State Key Laboratory of Respiratory Disease, National Clinical Research Center for Respiratory Disease, Guangzhou Institute of Respiratory Health, The First Affiliated Hospital of Guangzhou Medical University, Guangzhou, China.ORCID 0000-0003-0256-1234
Yuehan Chen *State Key Laboratory of Respiratory Disease, National Clinical Research Center for Respiratory Disease, Guangzhou Institute of Respiratory Health, The First Affiliated Hospital of Guangzhou Medical University, Guangzhou, China.ORCID 0000-0002-9780-6531
Wenzhi Zhan *State Key Laboratory of Respiratory Disease, National Clinical Research Center for Respiratory Disease, Guangzhou Institute of Respiratory Health, The First Affiliated Hospital of Guangzhou Medical University, Guangzhou, China.ORCID 0000-0002-2093-4332
Kian Fan Chung *Department of Respiratory Medicine, Royal Brompton and Harefield Hospital, London, United Kingdom.ORCID 0000-0001-7101-1426
Zhongmin Qiu *Department of Pulmonary and Critical Care Medicine, School of Medicine, Tongji Hospital, Tongji University, Shanghai, China.ORCID 0000-0002-6612-7413
Kewu Huang *Department of Pulmonary and Critical Care Medicine, Beijing Chao-Yang Hospital, Capital Medical University, Beijing, China.ORCID 0000-0001-5882-9178
Ruchong Chen *State Key Laboratory of Respiratory Disease, National Clinical Research Center for Respiratory Disease, Guangzhou Institute of Respiratory Health, The First Affiliated Hospital of Guangzhou Medical University, Guangzhou, China.ORCID 0000-0001-5376-8230
Jiaxing Xie *State Key Laboratory of Respiratory Disease, National Clinical Research Center for Respiratory Disease, Guangzhou Institute of Respiratory Health, The First Affiliated Hospital of Guangzhou Medical University, Guangzhou, China.ORCID 0000-0001-6462-6676
Gang WangWest China School of Medicine, West China Hospital of Sichuan University, Chengdu, China.ORCID 0000-0002-5048-6606
Min ZhangDepartment of Respiratory and Critical Care Medicine, Shanghai General Hospital, Shanghai JiaoTong University School of Medicine, Shanghai, China.ORCID 0000-0002-9591-9524
Xuefen WangDepartment of Respiratory Medicine, The First Affliated Hospital, Zhejiang University School of Medicine, Hangzhou, China.ORCID 0009-0003-4752-4995
Hongmei YaoDepartment of Respiratory Medicine, Guizhou Provincial People's Hospital, Guiyang, Guizhou, China.ORCID 0000-0003-0643-4603
Xiuqing LiaoDepartment of Respiratory Medicine, Fuling Center Hospital of Chongqing, Chongqing, China.ORCID 0009-0008-7274-075X
Yunhui ZhangThe First People's Hospital of Yunnan Province, Kunming, China.ORCID 0000-0002-1188-7933
Guojun ZhangDepartment of Respiratory and Critical Care Medicine, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, China.ORCID 0000-0003-1756-0082
Wei ZhangDepartment of Respiratory and Critical Care Medicine, The First Affiliated Hospital of Nanchang University, Nanchang, China.ORCID 0000-0002-3716-1831
Dejun SunDepartment of Pulmonary and Critical Care Medicine, the Inner Mongolia Autonomous Region People's Hospital, Hohhot, China.ORCID 0000-0002-2331-6767
Jia ZhuDepartment of Respiratory Medicine, Jiangsu Province Hospital of Chinese Medicine, Affiliated Hospital of Nanjing University of Chinese Medicine, Nanjing, China.ORCID 0000-0001-5430-6644
Shujuan JiangDepartment of Pulmonary Medicine, Shandong Provincial Hospital Affiliated to Shandong University, Jinan, China.ORCID 0000-0003-3073-1931
Juntao FengDepartment of Respiratory Medicine, Xiangya Hospital, Central South University, Changsha, China.ORCID 0000-0002-2674-9744
Jianping ZhaoDepartment of Respiratory Medicine, Tongji Hospital, Tongji Medical College of Hua Zhong University of Science and Technology, Wuhan, China.ORCID 0000-0001-9159-4235
Gengyun SunDepartment of Respiratory Medicine, The First Affiliated Hospital of Medical University of Anhui, Hefei, China.ORCID 0000-0001-9099-5731
Huaqiong HuangKey Laboratory of Respiratory Disease of Zhejiang Province, Department of Respiratory and Critical Care Medicine, Second Affiliated Hospital of Zhejiang University School of Medicine, Hangzhou, China.ORCID 0000-0001-9017-7835
Jianyong ZhangThe Second Department of Pulmonary and Critical Care Medicine, Affiliated Hospital of Zunyi Medical University, Zunyi, China.ORCID 0000-0001-9929-2768
Lingwei WangShenzhen People's Hospital, Shenzhen Institute of Respiratory Diseases, Shenzhen, China.ORCID 0000-0003-3567-0613
Feng WuDepartment of Pulmonary and Critical Care Medicine, Huizhou Third People's Hospital, Guangzhou Medical University, Huizhou, China.ORCID 0000-0002-6911-4896
Suyun LiThe First Affiliated Hospital of Henan University of Chinese Medicine, Zhengzhou, China.ORCID 0000-0003-1634-7992
Pusheng XuThe Second Affiliated Hospital of Guangzhou Medical University, Guangzhou, China.ORCID 0000-0002-0551-3900
Chunhua ChiDepartment of Respiratory and Critical Care Medicine, Peking University First Hospital, Beijing, China.ORCID 0000-0003-3566-5582
Ping ChenGeneral Hospital of Northern Theater Command, Shenyang, China.ORCID 0000-0002-8217-4498
Mei JiangState Key Laboratory of Respiratory Disease, National Clinical Research Center for Respiratory Disease, Guangzhou Institute of Respiratory Health, The First Affiliated Hospital of Guangzhou Medical University, Guangzhou, China.ORCID 0000-0002-7393-2664
Wen HeState Key Laboratory of Respiratory Disease, National Clinical Research Center for Respiratory Disease, Guangzhou Institute of Respiratory Health, The First Affiliated Hospital of Guangzhou Medical University, Guangzhou, China.ORCID 0009-0005-4612-2518
Lianrong HuangState Key Laboratory of Respiratory Disease, National Clinical Research Center for Respiratory Disease, Guangzhou Institute of Respiratory Health, The First Affiliated Hospital of Guangzhou Medical University, Guangzhou, China.ORCID 0000-0001-5515-5614
Wei LuoState Key Laboratory of Respiratory Disease, National Clinical Research Center for Respiratory Disease, Guangzhou Institute of Respiratory Health, The First Affiliated Hospital of Guangzhou Medical University, Guangzhou, China.ORCID 0000-0002-4317-636X
Shiyue LiState Key Laboratory of Respiratory Disease, National Clinical Research Center for Respiratory Disease, Guangzhou Institute of Respiratory Health, The First Affiliated Hospital of Guangzhou Medical University, Guangzhou, China.ORCID 0000-0001-9622-5623
Nanshan ZhongState Key Laboratory of Respiratory Disease, National Clinical Research Center for Respiratory Disease, Guangzhou Institute of Respiratory Health, The First Affiliated Hospital of Guangzhou Medical University, Guangzhou, China.ORCID 0000-0003-2274-1427
Kefang LaiState Key Laboratory of Respiratory Disease, National Clinical Research Center for Respiratory Disease, Guangzhou Institute of Respiratory Health, The First Affiliated Hospital of Guangzhou Medical University, Guangzhou, China.ORCID 0000-0001-7994-7296
China Cough Coalition *See Acknowledgments, .
First Affiliated Hospital of Guangzhou Medical University · CNAnhui Medical University · CNCapital Medical University · CNCentral South University · CNFirst Affiliated Hospital of Zhengzhou University · CNFirst People's Hospital of Yunnan Province · CNFuling Center Hospital of Chongqing · CNGeneral Hospital of Shenyang Military Region · CNGuizhou Provincial People's Hospital · CNHarefield Hospital · GBInner Mongolia People's Hospital · CNNanchang University · CNNanjing University of Chinese Medicine · CNPeking University · CNSecond Affiliated Hospital of Guangzhou Medical University · CNSecond Affiliated Hospital of Zhejiang University · CNShandong University · CNShanghai Jiao Tong University · CNShenZhen People’s Hospital · CNSichuan University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCough is a common symptom during and after COVID-19 infection; however, few studies have described the cough profiles of COVID-19.

objectiveThe aim of this study was to investigate the prevalence, severity, and associated risk factors of severe and persistent cough in individuals with COVID-19 during the latest wave of the Omicron variant in China.

methodsIn this nationwide cross-sectional study, we collected information of the characteristics of cough from individuals with infection of the SARS-CoV-2 Omicron variant using an online questionnaire sent between December 31, 2022, and January 11, 2023.

resultsThere were 11,718 (n=7978, 68.1% female) nonhospitalized responders, with a median age of 37 (IQR 30-47) years who responded at a median of 16 (IQR 12-20) days from infection onset to the time of the survey. Cough was the most common symptom, occurring in 91.7% of participants, followed by fever, fatigue, and nasal congestion (68.8%-87.4%). The median cough visual analog scale (VAS) score was 70 (IQR 50-80) mm. Being female (odds ratio [OR] 1.31, 95% CI 1.20-1.43), having a COVID-19 vaccination history (OR 1.71, 95% CI 1.37-2.12), current smoking (OR 0.48, 95% CI 0.41-0.58), chronic cough (OR 2.04, 95% CI 1.69-2.45), coronary heart disease (OR 1.71, 95% CI 1.17-2.52), asthma (OR 1.22, 95% CI 1.02-1.46), and gastroesophageal reflux disease (GERD) (OR 1.21, 95% CI 1.01-1.45) were independent factors for severe cough (VAS>70, 37.4%). Among all respondents, 35.0% indicated having a productive cough, which was associated with risk factors of being female (OR 1.44, 95% CI 1.31-1.57), having asthma (OR 1.84, 95% CI 1.52-2.22), chronic cough (OR 1.44, 95% CI 1.19-1.74), and GERD (OR 1.22, 95% CI 1.01-1.47). Persistent cough (>3 weeks) occurred in 13.0% of individuals, which was associated with the risk factors of having diabetes (OR 2.24, 95% CI 1.30-3.85), asthma (OR 1.70, 95% CI 1.11-2.62), and chronic cough (OR 1.97, 95% CI 1.32-2.94).

conclusionsCough is the most common symptom in nonhospitalized individuals with Omicron SARS-CoV-2 variant infection. Being female, having asthma, chronic cough, GERD, coronary heart disease, diabetes, and a COVID-19 vaccination history emerged as independent factors associated with severe cough, productive cough, and persistent cough.

Indexed as

AsthmaCoronary DiseaseCOVID-19Diabetes MellitusGastroesophageal RefluxChinaChronic CoughCoughCOVID-19 VaccinesCross-Sectional StudiesFemaleHumansInfantMaleRisk FactorsSARS-CoV-2COVID-19 VaccinescoughCOVID-19nonhospitalizedOmicron variant

Identifiers

PMID38315527
PMCPMC10877488
OpenAlexW4391542136

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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.