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The Association of Chronic Cough and Gastroesophageal Reflux Disease in The Pediatric Population
Pages 7 (1757 words)
Michelle McGuire FNP III Evidence Based Practice Paper Topic: The Association of Chronic Cough and Gastroesophageal Reflux Disease in Pediatric Population. Is there a causal link between chronic cough and GERD in pediatric patients? I. Primary research question: 1…
Description of the issue to be explored: Cough is the most common symptom for which patients seek medical attention. In adults, cough variant asthma, postnasal drip or rhinosinusitis, and gastroesophageal reflux disease (GERD) are the most common causes of chronic cough in Western countries. A positive association between cough and weakly acidic reflux was found in a significant subgroup of patients with unexplained chronic cough (Blondeau et al., 2007, p. 723) thus, the evidence in adults leads us to suspect that GERD might be increasing as a cause of chronic cough in adult patients and the causal relationship can also be established in children (Irwin, 2006, p. 81S). The relationship between chronic cough and GERD is established in several studies that have revealed that GERD, singly or in combination with other conditions, is one of the most common causes of chronic cough in adults in the world. The prevalence in these studies ranged from 5 to 41% (Irwin, 2006, p. 81S). On the contrary, another study in adults showed a positive association between cough and GERD in significant subgroup with chronic cough but was not able to identify controlled studies that evaluated association of GERD and cough in children (Tolia, 2008, p. 258. ...
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