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Clinical pathways for chronic cough in children

Bailey, Emily J, Morris, Peter S., Kruske, Sue and Chang, Anne B. (2008). Clinical pathways for chronic cough in children. Cochrane Database of Systematic Reviews,2008(2):1-12.

Document type: Journal Article

IRMA ID 10559xPUB22
Title Clinical pathways for chronic cough in children
Author Bailey, Emily J
Morris, Peter S.
Kruske, Sue
Chang, Anne B.
Journal Name Cochrane Database of Systematic Reviews
Publication Date 2008
Volume Number 2008
Issue Number 2
ISSN 1469-493X   (check CDU catalogue open catalogue search in new window)
Scopus ID 2-s2.0-77950271981
Start Page 1
End Page 12
Total Pages 12
Place of Publication UK
Publisher Update Software Ltd.
Field of Research 1103 - Clinical Sciences
1114 - Paediatrics and Reproductive Medicine
HERDC Category C1 - Journal Article (DEST)
Abstract Background
Chronic cough (a cough lasting longer than 4 weeks) is a common symptom presenting to primary care in Australia and internationally. Chronic cough costs the community, is distressing to parents, and ignoring cough may lead to delayed diagnosis and illness progression of serious underlying respiratory disease. Clinical guidelines have been shown to provide more efficient and effective patient care and can clarify clinical decision making. Cough guidelines have been designed to facilitate management of chronic cough, however treatment recommendations vary and specific clinical pathways for the treatment of chronic cough in children are important, as the cause and treatments for cough in a child vary significantly adults. Therefore, it would be beneficial to clinical practice to systematically evaluate the use of clinical pathways for the treatment of chronic cough in children.

To evaluate the effectiveness of using a clinical pathway in the management of children with chronic cough.

Search strategy
The Cochrane Register of controlled Trials (CENTRAL), the Cochrane Airways Group Specialised Register, MEDLINE, EMBASE, review articles and reference lists of relevant articles were searched. The search was carried out in May 2007.

Selection criteria
All randomised controlled trials with parallel group design comparing use vs non-use of a clinical pathway for treatment of chronic cough in children.

Data collection and analysis
Results of searches were reviewed against the pre-determined criteria for inclusion. Two reviewers independently selected the studies and it was planned that data extraction would have been done in duplicate.

Main results

The search identified 471 potentially relevant titles but no studies met criteria for inclusion in the review.

Authors' conclusions
Without further available evidence, recommendations for the use of clinical pathways for the treatment of chronic cough in children cannot be made. Until further evidence is available, the decision for further investigation and treatment for the child presenting with chronic cough should be made on an individual basis (i.e. dependent on symptoms and signs) with consideration for existing data from other Cochrane reviews on specific treatments for cough. Trials are required to provide evidence on the effectiveness of clinical pathways for the treatment of chronic cough in children.
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Created: Tue, 12 May 2009, 16:10:06 CST by Sarena Wegener