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        "resumen" => "<span class="elsevierStyleSectionTitle">Objective</span><p class="elsevierStyleSimplePara elsevierViewall">The usefulness of the recently published guidelines of the Spanish Society of Pulmonology and Thoracic Surgery &#40;SEPAR&#41; on the diagnosis and treatment of chronic cough has not yet been demonstrated&#46; The objectives of the present study were <span class="elsevierStyleItalic">a&#41;</span> to evaluate the usefulness of the SEPAR guidelines for identifying the possible causes of chronic cough&#44; and <span class="elsevierStyleItalic">b&#41;</span> to determine the most frequent causes of chronic cough treated by primary care physicians&#46;</p> <span class="elsevierStyleSectionTitle">Methods</span><p class="elsevierStyleSimplePara elsevierViewall">We carried out a prospective descriptive study that included 57 consecutive patients &#40;mean age&#44; 62 years&#41; seeking medical attention for chronic cough in a primary health care area&#46; The patients were evaluated using the algorithm proposed in the SEPAR guidelines&#44; whereby the diagnostic procedure is divided into 3 phases in function of complexity&#46; Phase I was carried out at the primary care level&#44; and phases II and III at a hospital pneumology department&#46;</p> <span class="elsevierStyleSectionTitle">Results</span><p class="elsevierStyleSimplePara elsevierViewall">For 56 patients &#40;98&#37;&#41;&#44; the potential cause of cough was identified for 52 &#40;91&#37;&#41; in phase I&#59; for 3 &#40;5&#37;&#41;&#44; in phase II&#59; and for 1 &#40;2&#37;&#41;&#44; in phase III&#46; In 30 patients &#40;53&#37;&#41;&#44; a single cause was identified&#59; in 20 &#40;36&#37;&#41;&#44; 2 causes&#59; and in 6 &#40;11&#37;&#41;&#44; more than 2 causes&#46; Considered individually&#44; the most common causes were postnasal drip in 26 cases &#40;46&#37;&#41;&#44; the use of cough-inducing drugs &#40;10 of them attributable to angiotensin-converting enzyme inhibitors&#41; in 16 &#40;28&#37;&#41;&#44; asthma in 15 &#40;27&#37;&#41;&#44; infection in 13 &#40;23&#37;&#41;&#44; gastroesophageal reflux in 12 &#40;21&#37;&#41;&#44; and others in 9 &#40;16&#37;&#41;&#46;</p> <span class="elsevierStyleSectionTitle">Conclusions</span><p class="elsevierStyleSimplePara elsevierViewall">The application of the SEPAR guidelines on chronic cough is useful for the identification of its causes&#46; The use of angiotensin-converting enzyme inhibitors is a frequent cause of coughs diagnosed at the level of primary outpatient health care&#46;</p>"
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        "resumen" => "<span class="elsevierStyleSectionTitle">Objetivo</span><p class="elsevierStyleSimplePara elsevierViewall">Recientemente&#44; la Sociedad Espa&#241;ola de Neu-molog&#237;a y Cirug&#237;a Tor&#225;cica &#40;SEPAR&#41; ha editado una normativa para el diagn&#243;stico y tratamiento de la tos cr&#243;nica&#44; cuya eficacia a&#250;n no se ha demostrado&#46; Los objetivos del presente estudio han sido&#58; <span class="elsevierStyleItalic">a&#41;</span> evaluar la eficacia de la normativa SEPAR en la identificaci&#243;n de las posibles causas de tos cr&#243;nica&#44; y <span class="elsevierStyleItalic">b&#41;</span> determinar las causas de tos cr&#243;nica m&#225;s frecuentes en el nivel de la atenci&#243;n primaria sanitaria&#46;</p> <span class="elsevierStyleSectionTitle">M&#233;todos</span><p class="elsevierStyleSimplePara elsevierViewall">Se ha realizado un estudio descriptivo y pros-pectivo que incluy&#243; consecutivamente a 57 pacientes &#40;media de edad de 62 a&#241;os&#41; que consultaron por tos cr&#243;nica en un &#225;rea b&#225;sica de salud&#46; Se les evalu&#243; seg&#250;n el algoritmo pro-puesto en la normativa SEPAR&#44; que distribuye en 3 fases el proceso diagn&#243;stico a seguir dependiendo de su compleji-dad&#46; La primera de &#233;stas&#44; la fase I&#44; se realiz&#243; en el nivel asis-tencial de la atenci&#243;n primaria&#44; y las fases II y III&#44; en la con-sulta de neumolog&#237;a hospitalaria&#46;</p> <span class="elsevierStyleSectionTitle">Resultados</span><p class="elsevierStyleSimplePara elsevierViewall">En 56 pacientes &#40;98&#37;&#41; se consigui&#243; identifi-car la causa potencial de la tos&#44; en 52 &#40;91 &#37;&#41; en la fase I&#44; en 3 &#40;5&#37;&#41; en la fase II y en uno &#40;2&#37;&#41; en la fase III&#46; En 30 pacientes &#40;53&#37;&#41; se constat&#243; una sola causa de tos&#44; en 20 &#40;36&#37;&#41; se evidenciaron 2 y en 6 &#40;11&#37;&#41;&#44; m&#225;s de 2&#46; Consideradas indivi-dualmente&#44; las causas m&#225;s frecuentes observadas fueron&#58; en 26 casos &#40;46&#37;&#41;&#44; goteo nasal posterior&#59; en 16 &#40;28&#37;&#41;&#44; ingesta de f&#225;rmacos desencadenantes de tos &#40;10 de ellos inhibidores de la enzima de conversi&#243;n de la angiotensina&#41;&#59; en 15 &#40;27&#37;&#41;&#44; asma&#59; en 13 &#40;23&#37;&#41;&#44; infecciosa&#59; en 12 &#40;21&#37;&#41;&#44; reflujo gastro-esof&#225;gico&#44; y en 9 &#40;16&#37;&#41;&#44; otras&#46;</p> <span class="elsevierStyleSectionTitle">Conclusiones</span><p class="elsevierStyleSimplePara elsevierViewall">La aplicaci&#243;n de la normativa SEPAR so-bre la tos cr&#243;nica es eficaz en la identificaci&#243;n de sus causas&#46; La tos por la toma de inhibidores de la enzima de conversi&#243;n de la angiotensina es una causa frecuente en el nivel ex-trahospitalario b&#225;sico sanitario&#46;</p>"
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Original Articles
Usefulness of the Guidelines of the Spanish Society of Pulmonology and Thoracic Surgery (SEPAR) in Identifying the Causes of Chronic Cough
V. Plazaa,
Corresponding author
vplaza@santpau.es

Correspondence: Dr. V. Plaza-Moral. Departament de Pneumologia. Hospital de la Santa Creu i Sant Pau. Sant Antoni M. Claret, 167. 08025 Barcelona. España
, E. Miguela, J. Bellido-Casadoa, M.P. Lozanob, L. Ríosb, I. Bolíbarc
a Departament de Pneumologia, Hospital de la Santa Creu i Sant Pau, Barcelona, Spain
b Area Bàsica de Salut Congrès, Barcelona, Spain
c Servei de Epidemiologia Clínica, Hospital de la Santa Creu i Sant Pau, Barcelona, Spain
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        "resumen" => "<span class="elsevierStyleSectionTitle">Objective</span><p class="elsevierStyleSimplePara elsevierViewall">The usefulness of the recently published guidelines of the Spanish Society of Pulmonology and Thoracic Surgery &#40;SEPAR&#41; on the diagnosis and treatment of chronic cough has not yet been demonstrated&#46; The objectives of the present study were <span class="elsevierStyleItalic">a&#41;</span> to evaluate the usefulness of the SEPAR guidelines for identifying the possible causes of chronic cough&#44; and <span class="elsevierStyleItalic">b&#41;</span> to determine the most frequent causes of chronic cough treated by primary care physicians&#46;</p> <span class="elsevierStyleSectionTitle">Methods</span><p class="elsevierStyleSimplePara elsevierViewall">We carried out a prospective descriptive study that included 57 consecutive patients &#40;mean age&#44; 62 years&#41; seeking medical attention for chronic cough in a primary health care area&#46; The patients were evaluated using the algorithm proposed in the SEPAR guidelines&#44; whereby the diagnostic procedure is divided into 3 phases in function of complexity&#46; Phase I was carried out at the primary care level&#44; and phases II and III at a hospital pneumology department&#46;</p> <span class="elsevierStyleSectionTitle">Results</span><p class="elsevierStyleSimplePara elsevierViewall">For 56 patients &#40;98&#37;&#41;&#44; the potential cause of cough was identified for 52 &#40;91&#37;&#41; in phase I&#59; for 3 &#40;5&#37;&#41;&#44; in phase II&#59; and for 1 &#40;2&#37;&#41;&#44; in phase III&#46; In 30 patients &#40;53&#37;&#41;&#44; a single cause was identified&#59; in 20 &#40;36&#37;&#41;&#44; 2 causes&#59; and in 6 &#40;11&#37;&#41;&#44; more than 2 causes&#46; Considered individually&#44; the most common causes were postnasal drip in 26 cases &#40;46&#37;&#41;&#44; the use of cough-inducing drugs &#40;10 of them attributable to angiotensin-converting enzyme inhibitors&#41; in 16 &#40;28&#37;&#41;&#44; asthma in 15 &#40;27&#37;&#41;&#44; infection in 13 &#40;23&#37;&#41;&#44; gastroesophageal reflux in 12 &#40;21&#37;&#41;&#44; and others in 9 &#40;16&#37;&#41;&#46;</p> <span class="elsevierStyleSectionTitle">Conclusions</span><p class="elsevierStyleSimplePara elsevierViewall">The application of the SEPAR guidelines on chronic cough is useful for the identification of its causes&#46; The use of angiotensin-converting enzyme inhibitors is a frequent cause of coughs diagnosed at the level of primary outpatient health care&#46;</p>"
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        "resumen" => "<span class="elsevierStyleSectionTitle">Objetivo</span><p class="elsevierStyleSimplePara elsevierViewall">Recientemente&#44; la Sociedad Espa&#241;ola de Neu-molog&#237;a y Cirug&#237;a Tor&#225;cica &#40;SEPAR&#41; ha editado una normativa para el diagn&#243;stico y tratamiento de la tos cr&#243;nica&#44; cuya eficacia a&#250;n no se ha demostrado&#46; Los objetivos del presente estudio han sido&#58; <span class="elsevierStyleItalic">a&#41;</span> evaluar la eficacia de la normativa SEPAR en la identificaci&#243;n de las posibles causas de tos cr&#243;nica&#44; y <span class="elsevierStyleItalic">b&#41;</span> determinar las causas de tos cr&#243;nica m&#225;s frecuentes en el nivel de la atenci&#243;n primaria sanitaria&#46;</p> <span class="elsevierStyleSectionTitle">M&#233;todos</span><p class="elsevierStyleSimplePara elsevierViewall">Se ha realizado un estudio descriptivo y pros-pectivo que incluy&#243; consecutivamente a 57 pacientes &#40;media de edad de 62 a&#241;os&#41; que consultaron por tos cr&#243;nica en un &#225;rea b&#225;sica de salud&#46; Se les evalu&#243; seg&#250;n el algoritmo pro-puesto en la normativa SEPAR&#44; que distribuye en 3 fases el proceso diagn&#243;stico a seguir dependiendo de su compleji-dad&#46; La primera de &#233;stas&#44; la fase I&#44; se realiz&#243; en el nivel asis-tencial de la atenci&#243;n primaria&#44; y las fases II y III&#44; en la con-sulta de neumolog&#237;a hospitalaria&#46;</p> <span class="elsevierStyleSectionTitle">Resultados</span><p class="elsevierStyleSimplePara elsevierViewall">En 56 pacientes &#40;98&#37;&#41; se consigui&#243; identifi-car la causa potencial de la tos&#44; en 52 &#40;91 &#37;&#41; en la fase I&#44; en 3 &#40;5&#37;&#41; en la fase II y en uno &#40;2&#37;&#41; en la fase III&#46; En 30 pacientes &#40;53&#37;&#41; se constat&#243; una sola causa de tos&#44; en 20 &#40;36&#37;&#41; se evidenciaron 2 y en 6 &#40;11&#37;&#41;&#44; m&#225;s de 2&#46; Consideradas indivi-dualmente&#44; las causas m&#225;s frecuentes observadas fueron&#58; en 26 casos &#40;46&#37;&#41;&#44; goteo nasal posterior&#59; en 16 &#40;28&#37;&#41;&#44; ingesta de f&#225;rmacos desencadenantes de tos &#40;10 de ellos inhibidores de la enzima de conversi&#243;n de la angiotensina&#41;&#59; en 15 &#40;27&#37;&#41;&#44; asma&#59; en 13 &#40;23&#37;&#41;&#44; infecciosa&#59; en 12 &#40;21&#37;&#41;&#44; reflujo gastro-esof&#225;gico&#44; y en 9 &#40;16&#37;&#41;&#44; otras&#46;</p> <span class="elsevierStyleSectionTitle">Conclusiones</span><p class="elsevierStyleSimplePara elsevierViewall">La aplicaci&#243;n de la normativa SEPAR so-bre la tos cr&#243;nica es eficaz en la identificaci&#243;n de sus causas&#46; La tos por la toma de inhibidores de la enzima de conversi&#243;n de la angiotensina es una causa frecuente en el nivel ex-trahospitalario b&#225;sico sanitario&#46;</p>"
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ISSN: 15792129
Original language: English
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