Bronchitis natural history, complications and prognosis: Difference between revisions
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{{CMG}}{{AE}}{{MehdiP}} | {{CMG}}{{AE}}{{MehdiP}}; {{NRM}} | ||
{{Bronchitis}} | {{Bronchitis}} | ||
==Overview== | ==Overview== | ||
Acute bronchitis is usually a self limiting disease with excellent prognosis but chronic bronchitis is a long lasting disease with variable outcomes depending on the severity of airflow obstruction | Acute bronchitis is usually a self limiting disease with excellent prognosis but chronic bronchitis is a long lasting disease with variable outcomes depending on the severity of airflow obstruction and number of complications. | ||
==Natural History== | ==Natural History== | ||
'''Acute bronchitis''' is a self limiting lower respiratory tract infection usually presents with cough | '''Acute bronchitis''' is a self limiting lower respiratory tract infection that usually presents with cough lasting up to 3 weeks.<ref name="pmid11119400">{{cite journal |vauthors=Gonzales R, Sande MA |title=Uncomplicated acute bronchitis |journal=Ann. Intern. Med. |volume=133 |issue=12 |pages=981–91 |year=2000 |pmid=11119400 |doi= |url=}}</ref><ref name="pmid16798599">{{cite journal |vauthors=Landau LI |title=Acute and chronic cough |journal=Paediatr Respir Rev |volume=7 Suppl 1 |issue= |pages=S64–7 |year=2006 |pmid=16798599 |doi=10.1016/j.prrv.2006.04.172 |url=}}</ref><br>'''Chronic bronchitis''' usually gradually worsens over time and may lead to death. The rate of deterioration varies between individuals and depends on the level of airflow obstruction and number of complications. | ||
==Prognosis== | ==Prognosis== | ||
*'''Acute bronchitis''' has | *'''Acute bronchitis''' has excellent prognosis.<ref name="pmid17108344">{{cite journal |vauthors=Wenzel RP, Fowler AA |title=Clinical practice. Acute bronchitis |journal=N. Engl. J. Med. |volume=355 |issue=20 |pages=2125–30 |year=2006 |pmid=17108344 |doi=10.1056/NEJMcp061493 |url=}}</ref> | ||
*'''Chronic bronchitis''' | *'''Chronic bronchitis''' prognosis depends on early recognition and smoking cessation, which significantly improves outcomes. | ||
==Complications== | ==Complications== | ||
*The most common complication of ''' | *The most common complication of '''acute bronchitis''' is persistent cough that may last up to 6 weeks.<ref name="pmid17108344">{{cite journal |vauthors=Wenzel RP, Fowler AA |title=Clinical practice.Acute bronchitis |journal=N. Engl. J. Med. |volume=355 |issue=20 |pages=2125–30 |year=2006 |pmid=17108344 |doi=10.1056/NEJMcp061493 |url=}}</ref> Rarely, in patients with immunosuppression or other debilitating disease, [[pneumonia]] occurs as a complication.<ref name="pmid21121518">{{cite journal |vauthors=Albert RH |title=Diagnosis and treatment of acute bronchitis |journal=Am Fam Physician |volume=82 |issue=11 |pages=1345–50 |year=2010 |pmid=21121518 |doi= |url=}}</ref> | ||
*Recurrent pneumonia is a common complication of '''chronic bronchitis'''. | *Recurrent pneumonia is a common complication of '''chronic bronchitis'''. [[Cor pulmonale]] is right-sided heart failure secondary to longstanding [[COPD]]. It is caused by chronic [[hypoxia]] and subsequent [[vasoconstriction]] in pulmonary vasculature that causes [[pulmonary hypertension]] and right-sided heart failure. | ||
==Associate Conditions== | |||
*[[Clinical depression|Depression]] is a common consequence of chronic bronchitis.<ref name="pmid11281745">{{cite journal |vauthors=Bach PB, Brown C, Gelfand SE, McCrory DC |title=Management of acute exacerbations of chronic obstructive pulmonary disease: a summary and appraisal of published evidence |journal=Ann. Intern. Med. |volume=134 |issue=7 |pages=600–20 |year=2001 |pmid=11281745 |doi= |url=}}</ref> | |||
==References== | ==References== | ||
{{Reflist|2}} | {{Reflist|2}} | ||
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[[Category:Inflammations]] | [[Category:Inflammations]] | ||
[[Category:Pulmonology]] | [[Category:Pulmonology]] | ||
[[Category:General practice]] | [[Category:General practice]] | ||
Latest revision as of 20:44, 29 July 2020
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]Associate Editor(s)-in-Chief: Seyedmahdi Pahlavani, M.D. [2]; Nate Michalak, B.A.
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Bronchitis Main page |
Overview
Acute bronchitis is usually a self limiting disease with excellent prognosis but chronic bronchitis is a long lasting disease with variable outcomes depending on the severity of airflow obstruction and number of complications.
Natural History
Acute bronchitis is a self limiting lower respiratory tract infection that usually presents with cough lasting up to 3 weeks.[1][2]
Chronic bronchitis usually gradually worsens over time and may lead to death. The rate of deterioration varies between individuals and depends on the level of airflow obstruction and number of complications.
Prognosis
- Acute bronchitis has excellent prognosis.[3]
- Chronic bronchitis prognosis depends on early recognition and smoking cessation, which significantly improves outcomes.
Complications
- The most common complication of acute bronchitis is persistent cough that may last up to 6 weeks.[3] Rarely, in patients with immunosuppression or other debilitating disease, pneumonia occurs as a complication.[4]
- Recurrent pneumonia is a common complication of chronic bronchitis. Cor pulmonale is right-sided heart failure secondary to longstanding COPD. It is caused by chronic hypoxia and subsequent vasoconstriction in pulmonary vasculature that causes pulmonary hypertension and right-sided heart failure.
Associate Conditions
- Depression is a common consequence of chronic bronchitis.[5]
References
- ↑ Gonzales R, Sande MA (2000). "Uncomplicated acute bronchitis". Ann. Intern. Med. 133 (12): 981–91. PMID 11119400.
- ↑ Landau LI (2006). "Acute and chronic cough". Paediatr Respir Rev. 7 Suppl 1: S64–7. doi:10.1016/j.prrv.2006.04.172. PMID 16798599.
- ↑ 3.0 3.1 Wenzel RP, Fowler AA (2006). "Clinical practice. Acute bronchitis". N. Engl. J. Med. 355 (20): 2125–30. doi:10.1056/NEJMcp061493. PMID 17108344.
- ↑ Albert RH (2010). "Diagnosis and treatment of acute bronchitis". Am Fam Physician. 82 (11): 1345–50. PMID 21121518.
- ↑ Bach PB, Brown C, Gelfand SE, McCrory DC (2001). "Management of acute exacerbations of chronic obstructive pulmonary disease: a summary and appraisal of published evidence". Ann. Intern. Med. 134 (7): 600–20. PMID 11281745.