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Novel predictive factors for patient discomfort and severe cough during bronchoscopy: A prospective questionnaire analysis

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Listed:
  • Fumi Kobayashi
  • Takeshi Saraya
  • Miku Oda
  • Sho Sakuma
  • Masato Watanabe
  • Saori Takata
  • Masaki Tamura
  • Hiroki Takakura
  • Keitaro Nakamoto
  • Kojiro Honda
  • Kosuke Ohkuma
  • Sunao Mikura
  • Manami Inoue
  • Aya Hirata
  • Nozomi Kurokawa
  • Tatsuya Shirai
  • Kaori Aso
  • Akinari Noda
  • Chika Miyaoka
  • Yuki Yoshida
  • Narishige Ishikawa
  • Kikuko Morita
  • Eriko Ieki
  • Hiromi Nakajima
  • Haruyuki Ishii
  • Hajime Takizawa

Abstract

During bronchoscopy, discomfort is mainly caused by an unavoidable cough; however, there are no reports of any predictive factors for strong cough during bronchoscopy identified before the procedure. To clarify the factors underlying the discomfort status and predictive factors for strong cough during bronchoscopy, we prospectively evaluated patients who underwent bronchoscopy at Kyorin University Hospital between March 2018 and July 2019. Before and after bronchoscopy, the enrolled patients answered a questionnaire regarding the procedure. At the same time, bronchoscopists evaluated cough severity using a four-grade cough scale. We evaluated patient characteristics and predictive factors associated with bronchoscopy from the perspective of discomfort and strong cough. A total of 172 patients were ultimately enrolled in this study. On multivariate logistic regression analysis, comparison of the subjective data between the discomfort and comfort groups revealed that factors that were more common in the former group were younger age (OR = 0.96, p = 0.002), less experienced bronchoscopist (OR = 2.08, p = 0.047), and elevation of cough score per 1 point (OR = 1.69, p

Suggested Citation

  • Fumi Kobayashi & Takeshi Saraya & Miku Oda & Sho Sakuma & Masato Watanabe & Saori Takata & Masaki Tamura & Hiroki Takakura & Keitaro Nakamoto & Kojiro Honda & Kosuke Ohkuma & Sunao Mikura & Manami Ino, 2020. "Novel predictive factors for patient discomfort and severe cough during bronchoscopy: A prospective questionnaire analysis," PLOS ONE, Public Library of Science, vol. 15(10), pages 1-12, October.
    • Handle: RePEc:plo:pone00:0240485
    DOI: 10.1371/journal.pone.0240485
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