Lee Ji-Hyang, Kang Sung-Yoon, Yoo Youngsang, An Jin, Park So-Young, Lee Ji-Ho, Lee Seung-Eun, Kim Min-Hye, Kanemitsu Yoshihiro, Chang Yoon-Seok, Song Woo-Jung
Department of Allergy and Clinical Immunology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.
Department of Internal Medicine, Gachon University Gil Medical Center, Incheon, Korea.
Asia Pac Allergy. 2021 Oct 18;11(4):e38. doi: 10.5415/apallergy.2021.11.e38. eCollection 2021 Oct.
Chronic cough is a common medical condition that has a significant impact on patients' quality of life. Although it was previously considered a symptom of other disorders, it is now regarded as a pathologic state that is characterized by a deviation from the intrinsic protective functions of the cough reflex, especially in adults. There are several factors that may underlie the cough reflex hypersensitivity and its persistence, such as age, sex, comorbidities, viral infection, exposure to irritants or environmental pollutants, and their interactions may determine the epidemiology of chronic cough in different countries. With a deeper understanding of disease pathophysiology and advanced research methodology, there are more attempts to investigate cough epidemiology using a large cohort of healthcare population data. This is a narrative overview of recent findings on the disease burden, risk factors, Asia-Pacific issues, and longitudinal outcomes in adults with chronic cough. This paper also discusses the approaches utilizing routinely collected data in cough research.
慢性咳嗽是一种常见的病症,对患者的生活质量有重大影响。尽管它以前被认为是其他疾病的症状,但现在被视为一种病理状态,其特征是偏离了咳嗽反射的内在保护功能,尤其是在成年人中。咳嗽反射超敏反应及其持续存在可能有多种因素,如年龄、性别、合并症、病毒感染、接触刺激物或环境污染物,它们之间的相互作用可能决定不同国家慢性咳嗽的流行病学情况。随着对疾病病理生理学的深入理解和先进研究方法的出现,人们更多地尝试利用大量医疗人群数据来研究咳嗽流行病学。这是一篇关于慢性咳嗽成人患者的疾病负担、危险因素、亚太地区问题和纵向结局的近期研究结果的叙述性综述。本文还讨论了在咳嗽研究中利用常规收集数据的方法。