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Profiles of Cough and Associated Risk Factors in Nonhospitalized Individuals With SARS-CoV-2 Omicron Variant Infection: Cross-Sectional Online Survey in China

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收录情况： ◇ SCIE ◇ SSCI

作者：
Xu Tingting[1] * ; Chen Yuehan[1] * ; Zhan Wenzhi[1] * ; Chung Kian Fan[2,3] * ; Qiu Zhongmin[4] * ; Huang Kewu[5] * ; Chen Ruchong[1] * ; Xie Jiaxing[1] * ; Wang Gang[6] ; Zhang Min[7] ; Wang Xuefen[8] ; Yao Hongmei[9] ; Liao Xiuqing[10] ; Zhang Yunhui[11] ; Zhang Guojun[12] ; Zhang Wei[13] ; Sun Dejun[14] ; Zhu Jia[15] ; Jiang Shujuan[16] ; Feng Juntao[17] ; Zhao Jianping[18] ; Sun Gengyun[19] ; Huang Huaqiong[20] ; Zhang Jianyong[21] ; Wang Lingwei[22] ; Wu Feng[23] ; Li Suyun[24] ; Xu Pusheng[25] ; Chi Chunhua[26] ; Chen Ping[27] ; Jiang Mei[1] ; He Wen[1] ; Huang Lianrong[1] ; Luo Wei[1] ; Li Shiyue[1] ; Zhong Nanshan[1] ; Lai Kefang[1,*1] ;
机构： [1]State Key Laboratory of Respiratory Disease, National Clinical Research Center for Respiratory Disease, Guangzhou Institute of Respiratory Health, The First Affiliated Hospital of Guangzhou Medical University, Guangzhou, China [2]Department of Respiratory Medicine, Royal Brompton and Harefield Hospital, London, United Kingdom [3]Experimental Studies Unit, National Heart & Lung Institute, Imperial College London, London, United Kingdom [4]Department of Pulmonary and Critical Care Medicine, School of Medicine, Tongji Hospital, Tongji University, Shanghai, China [5]Department of Pulmonary and Critical Care Medicine, Beijing Chao-Yang Hospital, Capital Medical University, Beijing, China [6]West China School of Medicine, West China Hospital of Sichuan University, Chengdu, China [7]Department of Respiratory and Critical Care Medicine, Shanghai General Hospital, Shanghai JiaoTong University School of Medicine, Shanghai, China [8]Department of Respiratory Medicine, The First Affliated Hospital, Zhejiang University School of Medicine, Hangzhou, China [9]Department of Respiratory Medicine, Guizhou Provincial People’s Hospital, Guiyang, Guizhou, China [10]Department of Respiratory Medicine, Fuling Center Hospital of Chongqing, Chongqing, China [11]The First People's Hospital of Yunnan Province, Kunming, China [12]Department of Respiratory and Critical Care Medicine, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, China [13]Department of Respiratory and Critical Care Medicine, The First Affiliated Hospital of Nanchang University, Nanchang, China [14]Department of Pulmonary and Critical Care Medicine, the Inner Mongolia Autonomous Region People's Hospital, Hohhot, China [15]Department of Respiratory Medicine, Jiangsu Province Hospital of Chinese Medicine, Affiliated Hospital of Nanjing University of Chinese Medicine, Nanjing, China [16]Department of Pulmonary Medicine, Shandong Provincial Hospital Affiliated to Shandong University, Jinan, China [17]Department of Respiratory Medicine, Xiangya Hospital, Central South University, Changsha, China [18]Department of Respiratory Medicine, Tongji Hospital, Tongji Medical College of Hua Zhong University of Science and Technology, Wuhan, China [19]Department of Respiratory Medicine, The First Affiliated Hospital of Medical University of Anhui, Hefei, China [20]Key Laboratory of Respiratory Disease of Zhejiang Province, Department of Respiratory and Critical Care Medicine, Second Affiliated Hospital of Zhejiang University School of Medicine, Hangzhou, China [21]The Second Department of Pulmonary and Critical Care Medicine, Affiliated Hospital of Zunyi Medical University, Zunyi, China [22]Shenzhen People's Hospital, Shenzhen Institute of Respiratory Diseases, Shenzhen, China [23]Department of Pulmonary and Critical Care Medicine, Huizhou Third People's Hospital, Guangzhou Medical University, Huizhou, China [24]The First Affiliated Hospital of Henan University of Chinese Medicine, Zhengzhou, China [25]The Second Affiliated Hospital of Guangzhou Medical University, Guangzhou, China [26]Department of Respiratory and Critical Care Medicine, Peking University First Hospital, Beijing, China [27]General Hospital of Northern Theater Command, Shenyang, China
出处：
DOI： 10.2196/47453
ISSN：

关键词： COVID-19 Omicron variant nonhospitalized cough

摘要：
Cough is a common symptom during and after COVID-19 infection; however, few studies have described the cough profiles of COVID-19.The aim of this study was to investigate the prevalence, severity, and associated risk factors of severe and persistent cough in individuals with COVID-19 during the latest wave of the Omicron variant in China.In this nationwide cross-sectional study, we collected information of the characteristics of cough from individuals with infection of the SARS-CoV-2 Omicron variant using an online questionnaire sent between December 31, 2022, and January 11, 2023.There were 11,718 (n=7978, 68.1% female) nonhospitalized responders, with a median age of 37 (IQR 30-47) years who responded at a median of 16 (IQR 12-20) days from infection onset to the time of the survey. Cough was the most common symptom, occurring in 91.7% of participants, followed by fever, fatigue, and nasal congestion (68.8%-87.4%). The median cough visual analog scale (VAS) score was 70 (IQR 50-80) mm. Being female (odds ratio [OR] 1.31, 95% CI 1.20-1.43), having a COVID-19 vaccination history (OR 1.71, 95% CI 1.37-2.12), current smoking (OR 0.48, 95% CI 0.41-0.58), chronic cough (OR 2.04, 95% CI 1.69-2.45), coronary heart disease (OR 1.71, 95% CI 1.17-2.52), asthma (OR 1.22, 95% CI 1.02-1.46), and gastroesophageal reflux disease (GERD) (OR 1.21, 95% CI 1.01-1.45) were independent factors for severe cough (VAS>70, 37.4%). Among all respondents, 35.0% indicated having a productive cough, which was associated with risk factors of being female (OR 1.44, 95% CI 1.31-1.57), having asthma (OR 1.84, 95% CI 1.52-2.22), chronic cough (OR 1.44, 95% CI 1.19-1.74), and GERD (OR 1.22, 95% CI 1.01-1.47). Persistent cough (>3 weeks) occurred in 13.0% of individuals, which was associated with the risk factors of having diabetes (OR 2.24, 95% CI 1.30-3.85), asthma (OR 1.70, 95% CI 1.11-2.62), and chronic cough (OR 1.97, 95% CI 1.32-2.94).Cough is the most common symptom in nonhospitalized individuals with Omicron SARS-CoV-2 variant infection. Being female, having asthma, chronic cough, GERD, coronary heart disease, diabetes, and a COVID-19 vaccination history emerged as independent factors associated with severe cough, productive cough, and persistent cough.©Tingting Xu, Yuehan Chen, Wenzhi Zhan, Kian Fan Chung, Zhongmin Qiu, Kewu Huang, Ruchong Chen, Jiaxing Xie, Gang Wang, Min Zhang, Xuefen Wang, Hongmei Yao, Xiuqing Liao, Yunhui Zhang, Guojun Zhang, Wei Zhang, Dejun Sun, Jia Zhu, Shujuan Jiang, Juntao Feng, Jianping Zhao, Gengyun Sun, Huaqiong Huang, Jianyong Zhang, Lingwei Wang, Feng Wu, Suyun Li, Pusheng Xu, Chunhua Chi, Ping Chen, Mei Jiang, Wen He, Lianrong Huang, Wei Luo, Shiyue Li, Nanshan Zhong, Kefang Lai, China Cough Coalition. Originally published in JMIR Public Health and Surveillance (https://publichealth.jmir.org), 05.02.2024.

基金：
This study was supported by the National Key R&D Program of China (2021YFF0604000).
语种：
外文
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中科院(CAS)分区：
出版当年[2024]版：
无
最新[2023]版：
大类 | 2 区 医学
小类 | 2 区 公共卫生、环境卫生与职业卫生
JCR分区：
出版当年[2023]版：
Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
最新[2023]版：
Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

影响因子： 最新[2023版] 最新五年平均 出版当年[2023版] 出版当年五年平均 出版前一年[2022版]

第一作者：
第一作者机构： [1]State Key Laboratory of Respiratory Disease, National Clinical Research Center for Respiratory Disease, Guangzhou Institute of Respiratory Health, The First Affiliated Hospital of Guangzhou Medical University, Guangzhou, China
共同第一作者：
通讯作者：
通讯机构： [1]State Key Laboratory of Respiratory Disease, National Clinical Research Center for Respiratory Disease, Guangzhou Institute of Respiratory Health, The First Affiliated Hospital of Guangzhou Medical University, Guangzhou, China [*1]State Key Laboratory of Respiratory Disease National Clinical Research Center for Respiratory Disease, Guangzhou Institute of Respiratory Health The First Affiliated Hospital of Guangzhou Medical University 151 Yanjiang Rd Guangzhou, 510000 China
推荐引用方式(GB/T 7714)：
Xu Tingting,Chen Yuehan,Zhan Wenzhi,et al.Profiles of Cough and Associated Risk Factors in Nonhospitalized Individuals With SARS-CoV-2 Omicron Variant Infection: Cross-Sectional Online Survey in China[J].JMIR PUBLIC HEALTH AND SURVEILLANCE.2024,10:e47453.doi:10.2196/47453.
APA：
Xu Tingting,Chen Yuehan,Zhan Wenzhi,Chung Kian Fan,Qiu Zhongmin...&Lai Kefang.(2024).Profiles of Cough and Associated Risk Factors in Nonhospitalized Individuals With SARS-CoV-2 Omicron Variant Infection: Cross-Sectional Online Survey in China.JMIR PUBLIC HEALTH AND SURVEILLANCE,10,
MLA：
Xu Tingting,et al."Profiles of Cough and Associated Risk Factors in Nonhospitalized Individuals With SARS-CoV-2 Omicron Variant Infection: Cross-Sectional Online Survey in China".JMIR PUBLIC HEALTH AND SURVEILLANCE 10.(2024):e47453

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