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The Diagnosis and Time of Onset of Voice Disorders in Patients with Chronic Cough
Journal article   Peer reviewed

The Diagnosis and Time of Onset of Voice Disorders in Patients with Chronic Cough

Jessica F. Kim, WayAnne Watson, Benjamin J. Becerra, Brianna K. Crawley, Rim Saab, Priya Krishna and Thomas Murry
Journal of voice, v 39(2), pp 464-468
01 Mar 2025
DOI: https://doi.org/10.1016/j.jvoice.2022.09.021
PMID: 36357238
Featured in Collection :   UN Sustainable Development Goals @ Drexel

Abstract

Chronic cough Chronic refractory cough Hoarseness Neurogenic voice disorders
Chronic cough is a complaint of up to 46% of patients referred to specialist clinics. Patients with cough often report hoarseness at the time of the cough diagnosis. When the cough fails to resolve with standard medications, referrals to other specialists including otolaryngologists are made. This is the first study to report the specific diagnosis and length of time it took to obtain a specific voice disorder diagnosis in patients with chronic cough. Case Series The charts of 105 patients referred to the Loma Linda Voice and Swallowing Center were reviewed. The first complaint of cough and/or hoarseness and the specific voice disorder diagnosis following otolaryngologic evaluation were identified. Voice disorders were divided into neurogenic or other/functional disorders and common comorbidities were identified. Statistical analysis between diagnostic groups, gender, and age were obtained. The specific voice disorders in the cohort were identified. There was a high prevalence of neurogenic voice disorders (n = 85, 81%). There were significant relationships between chronic cough and the two most common neurogenic voice disorders, vocal fold paresis and vocal fold atrophy. The average length of time between complaint of hoarseness and the specific voice disorder diagnosis was 32.3 months. Most patients (86%) complained of voice problems after diagnosis of chronic cough. A significant association was found in prevalence of asthma (OR = 4.52, P = 0.02) and dyspnea (OR = 4.24, P = 0.02) in the cohort who presented first with voice complaints and later developed chronic cough. There is a high incidence of neurogenic voice disorders accompanying patients with chronic cough. Understanding the relationship between chronic cough and hoarseness provides the clinician with specific diagnostic information in the treatment of both disorders.

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Collaboration types
Domestic collaboration
Web of Science research areas
Audiology & Speech-language Pathology
Otorhinolaryngology
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