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KMID : 0338420170320050910
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The Korean Journal of Internal Medicine
2017 Volume.32 No. 5 p.910 ~ p.915
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Korean version of the Cough Symptom Score: clinical utility and validity for chronic cough
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Kwon Jae-Woo
Moon Ji-Yong
Kim Sae-Hoon
Song Woo-Jung
Kim Min-Hye
Kang Min-Gyu
Lim Kyung-Hwan
Lee So-Hee
Lee Sang-Min
Lee Jin-Young
Kwon Hyouk-Soo
Kim Kyung-Mook
Kim Sang-Heon
Kim Sang-Hoon
Jeong Jae-Won
Kim Cheol-Woo
Cho Sang-Heon
Lee Byung-Jae
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Abstract
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Background/Aims: The Cough Symptom Score (CSS) is a simple, useful tool for measuring cough severity. However, there is no standard Korean version of the CSS. We developed a Korean version of the CSS and evaluated its clinical utility and validity for assessing chronic cough severity.
Methods: The CSS was adapted for Korean use following a forward-backward translation procedure. Patients with chronic cough enrolled from five university hospitals were graded using the CSS and a 100-mm linear visual analog scale (VAS) of cough severity at each visit. Patients completed the Leicester Cough Questionnaire (LCQ) upon presentation and completed the LCQ and Global Rating of Change at follow-up visits after 2 to 4 weeks. The concurrent validity, repeatability, and responsiveness of the Korean version of the CSS were determined.
Results: Correlation coefficients between the CSS and LCQ, and between the CSS and VAS, were ?0.66 and 0.52, respectively. There was a weak correlation between the scores for night and day symptoms (r = 0.24, p = 0.0006). The repeatability of the CSS in patients with no change in cough (n = 23) was high (intra-class correlation coefficient, 0.75; 95% confidence interval [CI], 0.51 to 0.88). Patients who reported an improvement in cough (n = 30) at follow-up visits had a significant improvement in the CSS (median, ?2; 95% CI, ?3 to ?1; p = 0.0003).
Conclusions: The Korean version of the CSS correlated well with other tools for accessing cough severity in chronic cough patients. Therefore, it could be a reliable method for measuring chronic cough severity.
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KEYWORD
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Cough, Surveys and questionnaires, Chronic disease, Korean version of the Cough Symptom Score
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