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Chronic cough in children had various aetiologies and common causes of adult cough were found in <10% of children

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 Q In children who were referred with chronic cough of >3 weeks’ duration, what is the aetiology of the cough? Can an algorithm based on an adult pathway help diagnose the cause of the cough?

Clinical impact ratings GP/FP/Primary care ★★★★★☆☆ Paediatrics ★★★★★★☆ Respirology ★★★★★☆☆


Embedded ImageDesign:

cohort study with up to 12 months of follow up.

Embedded ImageSetting:

paediatric respiratory practice at a university hospital.

Embedded ImagePatients:

108 children (median age 2.6 y, 53% girls) who had chronic cough (ie, cough of >3 weeks’ duration) of unknown aetiology. Exclusion criteria: premature birth (<37 wk gestation), known lung disease, or other underlying disorders (eg, gross neurodevelopmental delay or cardiac abnormalities).

Embedded ImageDiagnostic strategy:

an algorithm based on an adult algorithm for chronic cough was used; children followed …

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  • For correspondence: Dr J M Marchant, Royal Children’s Hospital, Herston, Queensland, Australia. Julie_Marchant{at}

  • Source of funding: not stated.