Night-time coughing, measured through a smartphone app, indicates that asthma is getting worse, reveals a new study.

‘Monitoring asthma is important because if we can detect early signs that it's getting worse, we can adjust medication to prevent asthma attacks.
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The study was led by Dr. Frank Rassouli, from the Cantonal Hospital St. Gallen, Switzerland. He told the virtual conferencpotentials now; we haven't had a reliable tool for measuring peoples' asthma symptoms overnight, so we know very little about night-time coughing and what it means. 




"The current focus of our research group is using technology and simple interventions to improve the management of chronic lung diseases like asthma and chronic obstructive pulmonary disease. Smartphones have lots of potential to monitor different symptoms and detect changes early, so we worked with our research partners from University of St. Gallen and ETH Zurich to develop an app for measuring coughing."
The study involved 94 asthma patients who were being treated at two clinics in Switzerland: the Lung Centre, Cantonal Hospital, St Gallen, and the mediX Group Practice, Zurich. Each patient visited their asthma clinic at the beginning and end of the study and was assessed for their use of asthma treatments, symptoms such as shortness of breath and whether their asthma had any impact on their daily life.
For 29 days in between, they slept with a smartphone in their bedroom with the app running that measured the noise of their night-time coughing. The app also prompted patients to report their night-time symptoms.
The researchers found that the amount of night-time coughing varied a lot from one patient to the next, but they also found a strong correlation between an increase in night-time coughing over the course of a week and a subsequent worsening of asthma symptoms.
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Now they have used the smartphone app to monitor coughing in people with asthma successfully, Dr. Rassouli and his team plan to try the same technology out with people who have chronic obstructive pulmonary disease.
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"This study offers a potential new way to monitor patients for signs that their asthma might be getting worse, and the fact that it works via a smartphone makes it accessible to most patients. The app could also make it easier to gather lots of data to study night-time coughing in asthma and other respiratory conditions. The elegant mix of easy and available hardware such as a smartphone, combined with artificial intelligence that can work with 'noisy' data, will provide clinicians with additional eyes and ears to judge the clinical condition of their patients in real life, rather than only at the doctors' office.
"Asthma patients should still consult their doctor if they feel that their symptoms are worsening in any way, even if technologies like this do not highlight an increase in night-time coughing or other symptoms."
Source-Eurekalert