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Process of diagnosis and treatment of chronic cough in children at primary hospitals

OBJECTIVE: This study aimed to establish a process for the diagnosis and treatment of chronic cough in children suitable at primary hospitals and improve the treatment efficacy rate and improve health economic indicators. METHODS: Children who visited the Department of Pediatrics, Affiliated Zhou Pu...

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Autores principales: Shen, Hua-Qin, Zhang, Yan-Han, Zhang, Jing, Sheng, Qiu-Ming
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9795405/
https://www.ncbi.nlm.nih.gov/pubmed/36589155
http://dx.doi.org/10.3389/fped.2022.1018924
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author Shen, Hua-Qin
Zhang, Yan-Han
Zhang, Jing
Sheng, Qiu-Ming
author_facet Shen, Hua-Qin
Zhang, Yan-Han
Zhang, Jing
Sheng, Qiu-Ming
author_sort Shen, Hua-Qin
collection PubMed
description OBJECTIVE: This study aimed to establish a process for the diagnosis and treatment of chronic cough in children suitable at primary hospitals and improve the treatment efficacy rate and improve health economic indicators. METHODS: Children who visited the Department of Pediatrics, Affiliated Zhou Pu Hospital of the Shanghai Health Medical College from January to December 2021 were randomly assigned to the intervention group (n = 206), in which the diagnosis and treatment process proposed here was applied, and a control group (n = 211) that did not follow the intervention pathway and followed a pathway with the doctors usual practice based on his/her previous experience. Patients were followed up and data were collected at weeks 0 (time of enrollment), 2, 4, 8, and 12 to evaluate the efficacy rate and clinical value. RESULTS: (1) No significant differences were detected between the two groups in baseline characteristics, including gender, age, duration of cough (weeks), history of allergy in children and parents, and smoking of family members living in the same household (p > 0.05); (2) During the follow-up, all cough symptom scores of the intervention group were lower than the control group. Additionally, at week 12, the treatment efficacy rate of the intervention group (91.70%) was significantly higher than the control group (69.20%) (p < 0.05); (3) The quality of life of children in both groups at week 12 was improved compared to the first visit. However, the total score of the intervention group was significantly higher than the control group (p < 0.05); (4) At week 12, the referral rate was significantly lower in the intervention group (11.17%) than in the control group (21.33%); (5) The intervention group was better than the control group for the mean monthly medication costs, number of days on errors in childhood, and number of days mistakenly worked by family members at week 12 (p < 0.05). CONCLUSION: The current process of diagnosis and treatment of chronic cough in children at primary hospitals can improve the effective diagnosis and treatment rate, the quality of life, and other parameters, with good effectiveness and feasibility.
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spelling pubmed-97954052022-12-29 Process of diagnosis and treatment of chronic cough in children at primary hospitals Shen, Hua-Qin Zhang, Yan-Han Zhang, Jing Sheng, Qiu-Ming Front Pediatr Pediatrics OBJECTIVE: This study aimed to establish a process for the diagnosis and treatment of chronic cough in children suitable at primary hospitals and improve the treatment efficacy rate and improve health economic indicators. METHODS: Children who visited the Department of Pediatrics, Affiliated Zhou Pu Hospital of the Shanghai Health Medical College from January to December 2021 were randomly assigned to the intervention group (n = 206), in which the diagnosis and treatment process proposed here was applied, and a control group (n = 211) that did not follow the intervention pathway and followed a pathway with the doctors usual practice based on his/her previous experience. Patients were followed up and data were collected at weeks 0 (time of enrollment), 2, 4, 8, and 12 to evaluate the efficacy rate and clinical value. RESULTS: (1) No significant differences were detected between the two groups in baseline characteristics, including gender, age, duration of cough (weeks), history of allergy in children and parents, and smoking of family members living in the same household (p > 0.05); (2) During the follow-up, all cough symptom scores of the intervention group were lower than the control group. Additionally, at week 12, the treatment efficacy rate of the intervention group (91.70%) was significantly higher than the control group (69.20%) (p < 0.05); (3) The quality of life of children in both groups at week 12 was improved compared to the first visit. However, the total score of the intervention group was significantly higher than the control group (p < 0.05); (4) At week 12, the referral rate was significantly lower in the intervention group (11.17%) than in the control group (21.33%); (5) The intervention group was better than the control group for the mean monthly medication costs, number of days on errors in childhood, and number of days mistakenly worked by family members at week 12 (p < 0.05). CONCLUSION: The current process of diagnosis and treatment of chronic cough in children at primary hospitals can improve the effective diagnosis and treatment rate, the quality of life, and other parameters, with good effectiveness and feasibility. Frontiers Media S.A. 2022-12-14 /pmc/articles/PMC9795405/ /pubmed/36589155 http://dx.doi.org/10.3389/fped.2022.1018924 Text en © 2022 Shen, Zhang, Zhang and Sheng. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY) (https://creativecommons.org/licenses/by/4.0/) . The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Pediatrics
Shen, Hua-Qin
Zhang, Yan-Han
Zhang, Jing
Sheng, Qiu-Ming
Process of diagnosis and treatment of chronic cough in children at primary hospitals
title Process of diagnosis and treatment of chronic cough in children at primary hospitals
title_full Process of diagnosis and treatment of chronic cough in children at primary hospitals
title_fullStr Process of diagnosis and treatment of chronic cough in children at primary hospitals
title_full_unstemmed Process of diagnosis and treatment of chronic cough in children at primary hospitals
title_short Process of diagnosis and treatment of chronic cough in children at primary hospitals
title_sort process of diagnosis and treatment of chronic cough in children at primary hospitals
topic Pediatrics
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9795405/
https://www.ncbi.nlm.nih.gov/pubmed/36589155
http://dx.doi.org/10.3389/fped.2022.1018924
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