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首页> 外文期刊>PLoS One >Novel predictive factors for patient discomfort and severe cough during bronchoscopy: A prospective questionnaire analysis
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Novel predictive factors for patient discomfort and severe cough during bronchoscopy: A prospective questionnaire analysis

机译：支气管镜检查期间患者不适和严重咳嗽的新型预测因素：预期调查问卷分析

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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 0.001). Furthermore, the predictive factors for strong cough prior to performing bronchoscopy were female sex (OR = 2.57, p = 0.009), EBUS-TBNA (OR = 2.95, p = 0.004), and prolonged examination time of more than 36 min (OR = 2.32, p = 0.022). Regarding patients’ discomfort , younger age, less experienced bronchoscopist, and the elevation of cough score per 1 point were important factors for discomfort in bronchoscopy. On the other hand, female sex, EBUS-TBNA, and prolonged examination time were crucial factors for strong cough.
机译：在支气管镜检查期间，不适用于不可避免的咳嗽引起;然而，在进行程序之前确定的支气管镜检查期间，没有任何预测因素的预测因素。为了澄清支气管镜检查期间强烈咳嗽的不适状态和预测因素的因素，我们预期评估了2018年3月至2019年3月在京南大学医院接受支气管镜检查的患者。招生患者在支气管镜检查之前和之后，有关该程序的调查问卷。同时，支气管镜师使用四级咳嗽量表评估咳嗽严重程度。从不适和强烈咳嗽的角度，我们评估了与支气管镜检查相关的患者特征和预测因素。这项研究总共纳入了172名患者。在多变量逻辑回归分析中，对不适与舒适组之间的主观数据的比较显示，前组更常见的因素较小（或= 0.96，P = 0.002），较少经验丰富的支气管镜（或= 2.08，P = 0.047），每1点（或= 1.69，P <0.001）升高咳嗽得分。此外，在进行支气管镜检查之前强烈咳嗽的预测因素是女性（或= 2.57，p = 0.009），ebus-tbna（或= 2.95，p = 0.004），延长的检查时间超过36分钟（或= 2.32，p = 0.022）。关于患者的不适，年龄较小，经验丰富的支气管镜检查，每1点的咳嗽评分升高是支气管镜检查中不适的重要因素。另一方面，女性性别，ebus-tbna和延长的检查时间是强烈咳嗽的关键因素。

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