Evidence map›Paper›PMID 40129545›Full record

ArticleERJ open research2025

Continuous digital cough monitoring during 6-month pulmonary tuberculosis treatment.

Mihaja Raberahona, Alexandra Zimmer, Rivonirina Andry Rakotoarivelo, Patrick Andriniaina Randrianarisoa, Garcia Rambeloson, Etienne Rakotomijoro, Christophe Elody Andry, Haingonirina Anique Razafindrakoto, Dera Andriantahiana, Mamy Jean de Dieu Randria and 2 more

Abstract read
In one paragraph

Article in ERJ open research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors.

Mihaja RaberahonaDepartment of Infectious Diseases, University Hospital Joseph Raseta Befelatanana, Antananarivo, Madagascar.ORCID https://orcid.org/0000-0001-8857-5834
Alexandra ZimmerDepartment of Epidemiology, Biostatistics and Occupational Health, McGill University, Montréal, QC, Canada.
Rivonirina Andry RakotoariveloCentre d'Infectiologie Charles Mérieux, University of Antananarivo, Antananarivo, Madagascar.
Patrick Andriniaina RandrianarisoaDepartment of Infectious Diseases, University Hospital Joseph Raseta Befelatanana, Antananarivo, Madagascar.
Garcia RambelosonDepartment of Infectious Diseases, University Hospital Tambohobe, Fianarantsoa, Madagascar.
Etienne RakotomijoroDepartment of Infectious Diseases, University Hospital Joseph Raseta Befelatanana, Antananarivo, Madagascar.
Christophe Elody AndryDepartment of Infectious Diseases, University Hospital Joseph Raseta Befelatanana, Antananarivo, Madagascar.
Haingonirina Anique RazafindrakotoCentre d'Infectiologie Charles Mérieux, University of Antananarivo, Antananarivo, Madagascar.
Dera AndriantahianaCentre d'Infectiologie Charles Mérieux, University of Antananarivo, Antananarivo, Madagascar.
Mamy Jean de Dieu RandriaDepartment of Infectious Diseases, University Hospital Joseph Raseta Befelatanana, Antananarivo, Madagascar.
Niaina RakotosamimananaInstitut Pasteur de Madagascar, Antananarivo, Madagascar.ORCID https://orcid.org/0000-0002-2352-9797
Simon Grandjean LapierreImmunopathology Axis, Centre de Recherche du Centre Hospitalier de l'Université de Montréal, Montréal, QC, Canada.ORCID https://orcid.org/0000-0003-3646-1573

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Recent advances in digital and wearable technologies with artificial intelligence (AI) enable the use of continuous cough monitoring (CCM) to objectively monitor symptoms as surrogate markers of treatment efficacy in pulmonary tuberculosis (PTB). The objectives of this study were to describe the evolution of cough during PTB treatment in adults and to assess the feasibility of community-based CCM. Methods: We prospectively enrolled PTB adult participants upon treatment initiation. Participants' coughs were continuously monitored during 6 months with a smartphone loaded with an app able to detect cough by using an AI algorithm. Results: 22 participants were included. The median (interquartile range (IQR)) age was 28.5 (22-42) years and 62% were male. The median (IQR) coughs per hour (medCPH) was 11.0 (7.0-27.0) at week 1. By the end of the intensive phase of PTB treatment at week 8, the medCPH was 3.5 (1.5-7.0), which was significantly lower than the medCPH at week 1 (p=0.002). At week 26 (end of treatment), the medCPH was 1.0 (1.0-2.5). The adherence to CCM was high during the first 13 weeks of PTB treatment and then waned over time. The adherence was similar during daytime and night-time. Conclusion: Cough counts rapidly drop during the intensive phase of PTB treatment and then slowly decrease to a low baseline level by the end of the treatment. Community-based CCM using digital technology is feasible in low-resource settings but requires evaluation of alternative approaches to overcome adherence issues and technical limitations (mobile internet and electricity availability).

Identifiers

PMID40129545
PMCPMC11931562

What Socratic holds

Textmetadata
LicenceCC BY-NC
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.