Speech-Language Pathology Department, Universidade Federal do Rio de Janeiro, Rio de Janeiro, Brazil; Centro de Estudos da Voz - CEV, São Paulo, Brazil.
Postgraduate Program in Medicine (Otorhinolaryngology), Universidade Federal de São Paulo, São Paulo, Brazil; Centro de Estudos da Voz - CEV, São Paulo, Brazil.
J Voice. 2024 May;38(3):703-710. doi: 10.1016/j.jvoice.2021.12.012. Epub 2022 Jan 8.
to map the clinical parameters used in the speech-language pathology assessment of the chronic cough.
a scoping review was performed to answer the clinical question: "What are the clinical parameters included in the speech-language pathology assessment of patients with chronic cough?" Evidence was searched by electronic and manual search. The electronic search included: MEDLINE, Cochrane Library, EMBASE, Web of Science, SCOPUS, and LILACS. Each database had a specific search strategy. The manual search included Journal of Voice, Chest, and Thorax, Brazilian Library of Theses and Dissertations, Open Grey, and Clinical Trials, in addition to scanning the references of the included studies. The extracted data considered information regarding the publication, sample, assessment, and measures used when assessing chronic cough.
the electronic search found 289 studies; the manual search found 1036 studies; 12 were selected for the present study. The most used assessments were: self-assessment (75%), aerodynamic analysis (66.67%), the perceptual auditory judgment of the voice quality (58.33%), acoustic analysis of the voice (41.67%), cough frequency, and cough threshold (41.67%) and electroglottography (25%).
the subjective instruments were used more frequently, while specific objective instruments, which are recent, were used less frequently. Complementary assessments such as vocal assessment, have been frequently used, also, with no other parameter. A lack of homogeneity was identified in the speech-language pathology assessment and measures of patients with chronic cough, thus, the comparison among studies and clinical analysis is difficult.
绘制慢性咳嗽语音病理学评估中使用的临床参数图。
为回答临床问题“慢性咳嗽患者的语音病理学评估中包含哪些临床参数？”进行了范围综述。通过电子和手动搜索搜索证据。电子搜索包括：MEDLINE、Cochrane 图书馆、EMBASE、Web of Science、SCOPUS 和 LILACS。每个数据库都有特定的搜索策略。手动搜索包括《嗓音杂志》、《胸部》和《胸》、巴西论文和学位图书馆、Open Grey 和临床试验，此外还扫描了纳入研究的参考文献。提取的数据考虑了有关出版物、样本、评估以及评估慢性咳嗽时使用的措施的信息。
电子搜索发现了 289 项研究；手动搜索发现了 1036 项研究；其中 12 项被选为本研究。最常用的评估方法是：自我评估（75%）、空气动力学分析（66.67%）、声音质量的听觉知觉判断（58.33%）、声音的声学分析（41.67%）、咳嗽频率和咳嗽阈值（41.67%）和电声图（25%）。
主观仪器更频繁地使用，而最近使用的特定客观仪器则使用较少。补充评估，如嗓音评估，也经常被使用，而且没有其他参数。慢性咳嗽患者的语音病理学评估和措施缺乏一致性，因此，研究之间的比较和临床分析很困难。
