{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T12:01:37Z","timestamp":1777636897235,"version":"3.51.4"},"reference-count":18,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2023,2,21]],"date-time":"2023-02-21T00:00:00Z","timestamp":1676937600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Respir Care"],"published-print":{"date-parts":[[2023,4]]},"abstract":"<jats:sec>\n                    <jats:title>BACKGROUND:<\/jats:title>\n                    <jats:p>Vocal cord dysfunction is an upper-airway disorder characterized by exaggerated and transient glottic constriction causing respiratory and laryngeal symptoms. Common presentation is with inspiratory stridor often in the context of emotional stress and anxiety. Other symptoms include wheezing (which may be on inspiration), frequent cough, choking sensation, or throat and chest tightness. This is seen commonly in teenagers, particularly in adolescent females. The COVID-19 pandemic has been a trigger for anxiety and stress with an increase in psychosomatic illness. Our objective was to find out if the incidence of vocal cord dysfunction increased during COVID-19 pandemic.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>METHODS:<\/jats:title>\n                    <jats:p>We performed a retrospective chart review of all the subjects with a new diagnosis of vocal cord dysfunction who were seen at the out-patient pulmonary practice at our children\u2019s hospital between January 2019\u2013December 2020.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>RESULTS:<\/jats:title>\n                    <jats:p>\n                      The incidence of vocal cord dysfunction in 2019 was found to be 5.2%, (41\/786 subjects seen) compared to 10.3% (47\/457 subjects seen) in 2020, which is a nearly 100% increase in incidence (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; .001).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>CONCLUSIONS:<\/jats:title>\n                    <jats:p>It is important to recognize that vocal cord dysfunction has increased during the COVID-19 pandemic. In particular, physicians treating pediatric patients, as well as respiratory therapists, should be aware of this diagnosis. It is imperative to avoid unnecessary intubations and treatments with bronchodilators and corticosteroids as opposed to behavioral and speech training to learn effective voluntary control over the muscles of inspiration and the vocal cords.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4187\/respcare.10408","type":"journal-article","created":{"date-parts":[[2023,2,21]],"date-time":"2023-02-21T13:45:27Z","timestamp":1676987127000},"page":"520-523","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":6,"title":["Vocal Cord Dysfunction During the COVID-19 Pandemic"],"prefix":"10.1177","volume":"68","author":[{"given":"Shashikanth R","family":"Ambati","sequence":"first","affiliation":[{"name":"Division of Pediatric Critical Care Medicine, Department of Pediatrics, Albany Medical College, Albany, New York."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Robert","family":"Kaslovsky","sequence":"additional","affiliation":[{"name":"Division of Pediatric Pulmonology, Department of Pediatrics, Albany Medical College, Albany, New York."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mary T","family":"Evans","sequence":"additional","affiliation":[{"name":"Division of Pediatric Pulmonology, Department of Pediatrics, Albany Medical College, Albany, New York."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Walter","family":"Edge","sequence":"additional","affiliation":[{"name":"Division of Pediatric Pulmonology, Department of Pediatrics, Albany Medical College, Albany, New York."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2023,2,21]]},"reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.1183\/09031936.00192809"},{"key":"e_1_3_2_3_2","doi-asserted-by":"publisher","DOI":"10.1001\/archotol.126.1.29"},{"issue":"2","key":"e_1_3_2_4_2","first-page":"156","article-title":"Vocal cord dysfunction","volume":"81","author":"Deckert J","year":"2010","unstructured":"Deckert J, , Deckert L. Vocal cord dysfunction. Am Fam Physician, 2010; 81(2):156-159.","journal-title":"Am Fam Physician"},{"key":"e_1_3_2_5_2","doi-asserted-by":"publisher","DOI":"10.1186\/s40733-015-0009-z"},{"key":"e_1_3_2_6_2","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph18073570"},{"key":"e_1_3_2_7_2","doi-asserted-by":"publisher","DOI":"10.1183\/20734735.019316"},{"key":"e_1_3_2_8_2","doi-asserted-by":"crossref","unstructured":"Stoltz LP Fajt ML Petrov AA Traister RS. Vocal cord dysfunction: a review. Clin Pulm Med 2018; 25(4):125-130.","DOI":"10.1097\/CPM.0000000000000267"},{"key":"e_1_3_2_9_2","doi-asserted-by":"publisher","DOI":"10.1378\/chest.09-2944"},{"key":"e_1_3_2_10_2","doi-asserted-by":"publisher","DOI":"10.1136\/pgmj.2006.052522"},{"key":"e_1_3_2_11_2","doi-asserted-by":"crossref","unstructured":"Morris MJ Allan PF Perkins PJ. Vocal cord dysfunction: etiologies and treatment. Clin Pulm Med 2006; 13(2):73-86.","DOI":"10.1097\/01.cpm.0000203745.50250.3b"},{"key":"e_1_3_2_12_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.pop.2007.09.005"},{"key":"e_1_3_2_13_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.anai.2010.09.004"},{"key":"e_1_3_2_14_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.anpedi.2012.07.001"},{"key":"e_1_3_2_15_2","doi-asserted-by":"publisher","DOI":"10.4088\/PCC.v01n0203"},{"key":"e_1_3_2_16_2","doi-asserted-by":"publisher","DOI":"10.1016\/0163-8343(94)90104-X"},{"key":"e_1_3_2_17_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.pnpbp.2020.110171"},{"key":"e_1_3_2_18_2","doi-asserted-by":"crossref","unstructured":"Cohen ZP Cosgrove KT DeVille DC Akeman E Singh MK White E et al. The impact of COVID-19 on adolescent mental health: preliminary findings from a longitudinal sample of healthy and at-risk adolescents. 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