Health-Related Quality of Life and Its Determinants in Chronic Cough: The Korean Chronic Cough Registry Study

Noeul Kang, Ha Kyeong Won, Ji Hyang Lee, Ji Su Shim, Sung Yoon Kang, Han Ki Park, Eun Jung Jo, Seung Eun Lee, Min Hye Kim, Sang Heon Kim, Sae Hoon Kim, Yoon Seok Chang, Byung Jae Lee, Woo Jung Song, Min Woo Jo

Research output: Contribution to journalArticlepeer-review

6 Scopus citations


Purpose: Chronic cough (CC) is associated with health-related quality of life (HRQoL) impairment. However, the determinants of HRQoL are under-investigated. Methods: Patients aged 19–80 years with CC were prospectively recruited from 10 referral clinics. Comparisons were made with age- and sex-matched controls (1:4 ratio) selected from a Korean general population survey database; 1) a group without current cough (non-cough controls) and 2) another group without major chronic illnesses (healthy controls). HRQoL was assessed using the EuroQoL 5-dimension (EQ-5D) index. In CC patients, cough-specific patient-reported outcomes (PROs) were additionally measured. Cross-sectional analyses were performed to evaluate demographic and clinical parameters associated with the EQ-5D index of CC patients. Results: A total of 200 CC patients (137 newly referred with CC and 63 refractory or unexplained CC [RUCC] patients), 800 non-cough controls, and 799 healthy controls were analyzed. The EQ-5D index of CC patients was significantly lower than that of non-cough controls or healthy controls (0.82 ± 0.14 vs 0.92 ± 0.14/0.96 ± 0.08; P < 0.001, respectively). The index was also associated with older age (≥ 60 years), female sex, and comorbidities such as asthma or depression. Among the patients with CC, the index was significantly lower in patients with RUCC than in those with newly referred CC, being treated with codeine or cough neuromodulators, or with cough-related fatigue. In Spearman analyses, the EQ-5D index correlated with cough-specific quality of life and cough severity scores, not with throat sensation or cough trigger scores. Conclusions: The HRQoL impairment of CC patients was associated with older age, female sex, and comorbidities but it was also affected by cough severity, complications, treatments, and treatment responses. Longitudinal studies are warranted to further understand and improve the HRQoL of CC patients.

Original languageEnglish
Pages (from-to)348-360
Number of pages13
JournalAllergy, Asthma and Immunology Research
Issue number3
StatePublished - May 2023

Bibliographical note

Publisher Copyright:
Copyright © 2023 The Korean Academy of Asthma, Allergy and Clinical Immunology.


  • cost of illness
  • cough
  • health status
  • quality of life
  • registries


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