Effectiveness of a cough management algorithm at the transitional phase from acute to chronic cough in Australian children aged <15 years: protocol for a randomised controlled trial

• Published in: BMJ open 2017-03, Vol.7 (3), p.e013796
• Main Authors: O'Grady, Kerry-Ann F, Grimwood, Keith, Toombs, Maree, Sloots, Theo P, Otim, Michael, Whiley, David, Anderson, Jennie, Rablin, Sheree, Torzillo, Paul J, Buntain, Helen, Connor, Anne, Adsett, Don, Meng kar, Oon, Chang, Anne B
• Format: Article
• Language: English
• Subjects: Acute Disease; Adolescent; Aging; Algorithms; Asthma; Bronchitis; Child; Children & youth; Chronic Disease; Chronic illnesses; Clinical outcomes; Cohort Studies; Cough - physiopathology; Cough - therapy; Early intervention; Evidence-based medicine; Female; Health care; Health insurance; Hospitalization; Humans; Infections; Informed consent; Male; Native peoples; Pediatrics; Prospective Studies; Queensland; Research Design; Respiratory diseases; Respiratory Medicine
• ISSN: 2044-6055; 2044-6055
• DOI: 10.1136/bmjopen-2016-013796

IntroductionAcute respiratory infections (ARIs) are leading causes of hospitalisation in Australian children and, if recurrent, are associated with increased risk of chronic pulmonary disorders later in life. Chronic (>4 weeks) cough in children following ARI is associated with decreased quality-of-life scores and increased health and societal economic costs. We will determine whether a validated evidence-based cough algorithm, initiated when chronic cough is first diagnosed after presentation with ARI, improves clinical outcomes in children compared with usual care.Methods and analysisA multicentre, parallel group, open-label, randomised controlled trial, nested within a prospective cohort study in Southeast Queensland, Australia, is underway. 750 children aged