Establishing a gold standard for manual cough counting: video versus digital audio recordings
2006

Comparing Cough Counting Methods

Sample size: 8 publication Evidence: high

Author Information

Author(s): Jaclyn A Smith, John E Earis, Ashley A Woodcock

Primary Institution: North West Lung Research Centre, South Manchester University Hospitals Trust

Hypothesis

Is manual cough counting from video recordings necessary to accurately count coughs compared to digital audio recordings?

Conclusion

Manual counting of cough sounds from digital audio recordings has excellent agreement with simultaneous video recordings in laboratory conditions.

Supporting Evidence

  • The median cough frequency was similar between video and audio recordings.
  • Digital audio recordings required less time for analysis compared to video.
  • There was excellent agreement between the two methods of cough counting.

Takeaway

This study looked at two ways to count coughs: one using video and the other using audio. They found that both methods worked really well together.

Methodology

Eight patients with chronic cough were recorded overnight using both video and digital audio, and coughs were counted manually by a trained observer.

Potential Biases

The same individual counted all coughs, which could introduce bias if they remembered the recordings.

Limitations

Cough recordings were only performed overnight, which may not represent daytime cough counts accurately.

Participant Demographics

Mean age 55 years, 3 men, with diagnoses including asthma, rhinitis, gastro-oesophageal reflux disease, and idiopathic cough.

Statistical Information

Confidence Interval

95% limits of agreement -1.5 to +0.9 coughs per hour

Digital Object Identifier (DOI)

10.1186/1745-9974-2-6

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