Recent advancements in deep learning techniques have sparked performance boosts in various real-world applications including disease diagnosis based on multi-modal medical data. Cough sound data-based respiratory disease (e.g., COVID-19 and Chronic Obstructive Pulmonary Disease) diagnosis has also attracted much attention. However, existing works usually utilise traditional machine learning or deep models of moderate scales. On the other hand, the developed approaches are trained and evaluated on small-scale data due to the difficulty of curating and annotating clinical data on scale. To address these issues in prior works, we create a unified framework to evaluate various deep models from lightweight Convolutional Neural Networks (e.g., ResNet18) to modern vision transformers and compare their performance in respiratory disease classification. Based on the observations from such an extensive empirical study, we propose a novel approach to cough-based disease classification based on both self-supervised and supervised learning on a large-scale cough data set. Experimental results demonstrate our proposed approach outperforms prior arts consistently on two benchmark datasets for COVID-19 diagnosis and a proprietary dataset for COPD/non-COPD classification with an AUROC of 92.5%.

Cough acoustics contain multitudes of vital information about pathomorphological alterations in the respiratory system. Reliable and accurate detection of cough events by investigating the underlying cough latent features and disease diagnosis can play an indispensable role in revitalizing the healthcare practices. The recent application of Artificial Intelligence (AI) and advances of ubiquitous computing for respiratory disease prediction has created an auspicious trend and myriad of future possibilities in the medical domain. In particular, there is an expeditiously emerging trend of Machine learning (ML) and Deep Learning (DL)-based diagnostic algorithms exploiting cough signatures. The enormous body of literature on cough-based AI algorithms demonstrate that these models can play a significant role for detecting the onset of a specific respiratory disease. However, it is pertinent to collect the information from all relevant studies in an exhaustive manner for the medical experts and AI scientists to analyze the decisive role of AI/ML. This survey offers a comprehensive overview of the cough data-driven ML/DL detection and preliminary diagnosis frameworks, along with a detailed list of significant features. We investigate the mechanism that causes cough and the latent cough features of the respiratory modalities. We also analyze the customized cough monitoring application, and their AI-powered recognition algorithms. Challenges and prospective future research directions to develop practical, robust, and ubiquitous solutions are also discussed in detail.