Clinical impact of gastroesophageal reflux disease in patients with subacute/chronic cough

DOI Web Site Web Site 被引用文献10件 参考文献41件
  • Kanemitsu Yoshihiro
    Department of Respiratory Medicine, Allergy and Clinical Immunology, Nagoya City University School of Medical Sciences
  • Kurokawa Ryota
    Department of Respiratory Medicine, Allergy and Clinical Immunology, Nagoya City University School of Medical Sciences
  • Takeda Norihisa
    Department of Respiratory Medicine, Allergy and Clinical Immunology, Nagoya City University School of Medical Sciences
  • Takemura Masaya
    Department of Respiratory Medicine, Allergy and Clinical Immunology, Nagoya City University School of Medical Sciences
  • Fukumitsu Kensuke
    Department of Respiratory Medicine, Allergy and Clinical Immunology, Nagoya City University School of Medical Sciences
  • Asano Takamitsu
    Department of Respiratory Medicine, Allergy and Clinical Immunology, Nagoya City University School of Medical Sciences
  • Yap Jennifer
    Department of Respiratory Medicine, Allergy and Clinical Immunology, Nagoya City University School of Medical Sciences
  • Suzuki Motohiko
    Department of Neuro-otolaryngology, Nagoya City University Graduate School of Medical Sciences
  • Fukuda Satoshi
    Department of Respiratory Medicine, Allergy and Clinical Immunology, Nagoya City University School of Medical Sciences
  • Ohkubo Hirotsugu
    Department of Respiratory Medicine, Allergy and Clinical Immunology, Nagoya City University School of Medical Sciences
  • Maeno Ken
    Department of Respiratory Medicine, Allergy and Clinical Immunology, Nagoya City University School of Medical Sciences
  • Ito Yutaka
    Department of Respiratory Medicine, Allergy and Clinical Immunology, Nagoya City University School of Medical Sciences
  • Oguri Tetsuya
    Department of Respiratory Medicine, Allergy and Clinical Immunology, Nagoya City University School of Medical Sciences
  • Niimi Akio
    Department of Respiratory Medicine, Allergy and Clinical Immunology, Nagoya City University School of Medical Sciences

この論文をさがす

抄録

<p>Background: While gastroesophageal reflux disease (GERD) is one of the commonest causes of subacute/chronic cough along with cough-variant asthma (CVA) and rhinosinusitis, its clinical impact remains unknown. Therefore, we sought to investigate the impact of GERD in patients with subacute/chronic cough.</p><p>Methods: Between April 2012 and March 2018, a total of 312 patients presenting subacute or chronic cough lasting for ≥3 weeks [median cough duration, 4.9 (0.7-434) months] underwent diagnostic tests. GERD symptoms and cough-specific QoL were evaluated through the Frequency Scale for Symptoms of Gastroesophageal reflux (FSSG) and the Japanese version of the Leicester Cough Questionnaire (J-LCQ). According to the FSSG domains, patients with GERD were arbitrarily categorized into 3 groups; acid-reflux predominant, dysmotility predominant, and pauci-symptoms groups, respectively.</p><p>Results: The average scores of J-LCQ was 12.5 (SD3.7). One hundred-forty three were diagnosed as having GERD-related cough based on classical reflux symptoms including heartburn and characteristic triggers of cough such as phonation, rinsing, lying, and eating. Most of them (89.8%) had other causative diseases including CVA. Cough lasted longer (p = 0.019) and required a longer time until alleviation (p = 0.003) in patients with GERD than in those without GERD. They also scored lower J-LCQ than counterpart group (p < 0.0001). In terms of symptom stratification, dysmotility predominant group showed significant more response to specific GERD treatments than the remnants (p = 0.002).</p><p>Conclusions: These results indicate that GERD is associated with the aggravation of other causes including CVA. Particularly, dysmotility symptoms may be potential therapeutic target for GERD-related cough.</p>

収録刊行物

被引用文献 (10)*注記

もっと見る

参考文献 (41)*注記

もっと見る

関連プロジェクト

もっと見る

キーワード

詳細情報 詳細情報について

問題の指摘

ページトップへ