Risk Factors of Chronic Cough and Wheezing in Outpatient and Hospitalized Children

E. Ghoreishi, P. Yousefichaijan, M. Rafiei, A. Arjmand, M. Rezagholizamenjany
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Abstract

Background: Wheezing and chronic cough are the most common respiratory disorders in children. They, as a multifactorial disorder, have different respiratory-associated illnesses and occur due to different etiologies. Objectives: In this study, we investigated the correlation between wheezing and cough conditions and different probable risk factors. Methods: This is a cross-sectional and hospital-based study conducted on 485 children with wheezing and chronic cough in hospitalized and outpatients. The pediatrician confirmed these disorders after evaluating children’s respiratory systems. Interns filled out the related standardized questionnaires for evaluating the risk factors. Results: In total, 485 children were evaluated, 268 children (55.3%) were male, and 217 children (44.7%) were female. Smoke and steam were recorded as the most common etiologies and risk factors of chronic cough and wheezing. Other factors evaluated in this study included 14% dust, 9% flowers, and plants, 10.9% cold air, 5.8% sporting, 4.5% spicy, and 35.7% other stimulants foods, and out of these factors had other stimulating factors (P = 0.0001). Conclusions: Based on these findings, lifestyle, diet, location, contact with triggers, treatment, and control of underlying disease, environmental hygiene, and type of fuel consumption may be effective in reducing the symptoms.
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门诊和住院儿童慢性咳嗽和喘息的危险因素
背景:喘息和慢性咳嗽是儿童最常见的呼吸系统疾病。它们作为一种多因素疾病,具有不同的呼吸相关疾病,并因不同的病因而发生。目的:在本研究中,我们探讨了喘息和咳嗽的情况与不同可能的危险因素的相关性。方法:本研究是一项以医院为基础的横断面研究,对住院和门诊的485例患有喘息和慢性咳嗽的儿童进行研究。儿科医生在评估了儿童的呼吸系统后确认了这些疾病。实习生填写相关的标准化问卷以评估风险因素。结果:共评估485例患儿,其中男性268例(55.3%),女性217例(44.7%)。烟雾和蒸汽被记录为慢性咳嗽和喘息最常见的病因和危险因素。本研究评估的其他因素包括14%的灰尘、9%的花卉和植物、10.9%的冷空气、5.8%的运动、4.5%的辛辣和35.7%的其他刺激性食物,这些因素中有其他刺激因素(P = 0.0001)。结论:基于这些发现,生活方式、饮食、地点、接触诱因、治疗和控制潜在疾病、环境卫生和燃料消耗类型可能有效减轻症状。
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