Burden of chronic cough on social participation, healthcare resource utilisation and activities of daily living in the Canadian Longitudinal Study on Aging (CLSA)

• Published in: Respiratory medicine 2023-11, Vol.219, p.107431-107431, Article 107431
• Main Authors: Satia, Imran, Mayhew, Alexandra J., Sohel, Nazmul, Kurmi, Om, Killian, Kieran J., O'Byrne, Paul M., Raina, Parminder
• Format: Article
• Language: English
• Subjects: Activities of Daily Living; Aging; Canada - epidemiology; Chronic cough; CLSA; Cough - epidemiology; Cough - therapy; Epidemiology; Female; Humans; Longitudinal Studies; Male; Patient Acceptance of Health Care; Quality of life; Social Participation
• ISSN: 0954-6111; 1532-3064
• DOI: 10.1016/j.rmed.2023.107431

Chronic cough is a common troublesome condition, but it is unclear whether dry or productive chronic cough and sex, impacts the burden of cough differently. The Canadian Longitudinal Study on Aging is a nationally generalizable, stratified random sample of adults aged 45–85 years. Chronic cough was identified based on a self-reported daily cough in the last 12 months assessed at baseline (2011–2015) and follow-up (2015–2018). Odds ratios (95 % CI) for cough status and change in social participation activities (SPA), healthcare resource utilisation (HCRU), basic activities of daily living (ADLs) and instrumental activities of daily living (IADLs) were estimated using a weighted generalised estimating equation (WGEE). Results were stratified by sex, and adjusted for age, sex, smoking, body mass index, education, respiratory diseases and retirement status. Chronic cough was associated with less SPA, greater HCRU and impaired ADL/IADLs. Productive chronic cough in males was associated with SPA limited by health, ED visits and hospitalisation. Females with productive chronic cough was associated with reduced frequency of SPA and ED visit. Dry chronic cough in females was associated with SPA limited by health and ED visits. Both types of cough was associated with at least 1 impaired basic ADL, but only in females with productive chronic cough was there an association with any impairment in IADLs. Chronic cough is associated with a greater burden on social participation, healthcare use and personal care. •Chronic cough was independently associated with greater burden on social life, healthcare use and personal care.•Productive and dry chronic cough was independently associated with reduced social participation limited by health and impairment in IADLs.•Females with a history of both dry and productive chronic cough were more likely to visit the ED.•Males with a history of productive chronic cough was associated with visiting the ED or being hospitalised overnight.