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Healthcare-Seeking Behaviour Due to Cough in Finnish Elderly: Too Much and Too Little
INTRODUCTION: Cough-related healthcare-seeking has not been studied specifically in the elderly, although chronic cough is most prevalent among them. We studied the frequencies and predictors of any (≥ 1) and repeated (≥ 3) doctor’s visits due to any cough episode during the past year, and due to th...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Springer US
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9879231/ https://www.ncbi.nlm.nih.gov/pubmed/36700959 http://dx.doi.org/10.1007/s00408-023-00595-w |
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author | Kaulamo, Johanna Tuulikki Lätti, Anne Marika Koskela, Heikki Olavi |
author_facet | Kaulamo, Johanna Tuulikki Lätti, Anne Marika Koskela, Heikki Olavi |
author_sort | Kaulamo, Johanna Tuulikki |
collection | PubMed |
description | INTRODUCTION: Cough-related healthcare-seeking has not been studied specifically in the elderly, although chronic cough is most prevalent among them. We studied the frequencies and predictors of any (≥ 1) and repeated (≥ 3) doctor’s visits due to any cough episode during the past year, and due to the current cough episode. METHODS: This was a cross-sectional email survey among a Finnish community-based elderly population. Participants with current cough and age ≥ 64 years were included in the analyses (n = 1109). RESULTS: The proportions of participants with ≥ 1 and ≥ 3 cough-related doctor’s visits during the past year were 25.9% and 7.1%, respectively. Repeated visitors accounted for 55.9% of the visits during the past year. These visits first increased with cough duration but decreased after 5 years. In the multivariate analysis, bronchiectasis [aOR 3.22 (CI95% 1.08–9.58)], asthma [2.62 (1.56–4.40)], chronic sputum production [1.61 (0.94–2.76)], low self-assessed health status [1.40 (1.04–1.88)] and Leicester Cough Questionnaire total score [1.34 per tertile (1.10–1.62)] predicted repeated cough-related doctor’s visits during the past year. The proportions of ≥ 1 and ≥ 3 doctor’s visits due to current cough were 31.8% and 15.5%, respectively. Among participants with current chronic cough, 60.1% had not visited a doctor. CONCLUSION: A minority of participants accounted for most of the cough-related doctor’s visits during the past year, whereas most participants with chronic cough had never sought medical help for it. The heavy healthcare users were not those with the longest cough episodes. Repeated visitors due to cough were characterised by chronic phlegmy respiratory conditions, and quality-of-life impairment. |
format | Online Article Text |
id | pubmed-9879231 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Springer US |
record_format | MEDLINE/PubMed |
spelling | pubmed-98792312023-01-26 Healthcare-Seeking Behaviour Due to Cough in Finnish Elderly: Too Much and Too Little Kaulamo, Johanna Tuulikki Lätti, Anne Marika Koskela, Heikki Olavi Lung Cough INTRODUCTION: Cough-related healthcare-seeking has not been studied specifically in the elderly, although chronic cough is most prevalent among them. We studied the frequencies and predictors of any (≥ 1) and repeated (≥ 3) doctor’s visits due to any cough episode during the past year, and due to the current cough episode. METHODS: This was a cross-sectional email survey among a Finnish community-based elderly population. Participants with current cough and age ≥ 64 years were included in the analyses (n = 1109). RESULTS: The proportions of participants with ≥ 1 and ≥ 3 cough-related doctor’s visits during the past year were 25.9% and 7.1%, respectively. Repeated visitors accounted for 55.9% of the visits during the past year. These visits first increased with cough duration but decreased after 5 years. In the multivariate analysis, bronchiectasis [aOR 3.22 (CI95% 1.08–9.58)], asthma [2.62 (1.56–4.40)], chronic sputum production [1.61 (0.94–2.76)], low self-assessed health status [1.40 (1.04–1.88)] and Leicester Cough Questionnaire total score [1.34 per tertile (1.10–1.62)] predicted repeated cough-related doctor’s visits during the past year. The proportions of ≥ 1 and ≥ 3 doctor’s visits due to current cough were 31.8% and 15.5%, respectively. Among participants with current chronic cough, 60.1% had not visited a doctor. CONCLUSION: A minority of participants accounted for most of the cough-related doctor’s visits during the past year, whereas most participants with chronic cough had never sought medical help for it. The heavy healthcare users were not those with the longest cough episodes. Repeated visitors due to cough were characterised by chronic phlegmy respiratory conditions, and quality-of-life impairment. Springer US 2023-01-26 2023 /pmc/articles/PMC9879231/ /pubmed/36700959 http://dx.doi.org/10.1007/s00408-023-00595-w Text en © The Author(s) 2023 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . |
spellingShingle | Cough Kaulamo, Johanna Tuulikki Lätti, Anne Marika Koskela, Heikki Olavi Healthcare-Seeking Behaviour Due to Cough in Finnish Elderly: Too Much and Too Little |
title | Healthcare-Seeking Behaviour Due to Cough in Finnish Elderly: Too Much and Too Little |
title_full | Healthcare-Seeking Behaviour Due to Cough in Finnish Elderly: Too Much and Too Little |
title_fullStr | Healthcare-Seeking Behaviour Due to Cough in Finnish Elderly: Too Much and Too Little |
title_full_unstemmed | Healthcare-Seeking Behaviour Due to Cough in Finnish Elderly: Too Much and Too Little |
title_short | Healthcare-Seeking Behaviour Due to Cough in Finnish Elderly: Too Much and Too Little |
title_sort | healthcare-seeking behaviour due to cough in finnish elderly: too much and too little |
topic | Cough |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9879231/ https://www.ncbi.nlm.nih.gov/pubmed/36700959 http://dx.doi.org/10.1007/s00408-023-00595-w |
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