Evidence map›Paper›PMID 11279713›Full record

SynthesisThe Cochrane database of systematic reviews2001

Interventions for educating children who have attended the emergency room for asthma.

M M Haby, E Waters, C F Robertson, P G Gibson, F M Ducharme

Abstract readSystematic Review
PubMed Publisher
In one paragraph

Synthesis in The Cochrane database of systematic reviews, 2001. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 10 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 10 pooled it
–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

18 citing papers in PubMed, 10 syntheses or guidelines pooled it.

  1. Psychological interventions for asthma in children and adolescents.The Cochrane database of systematic reviews · 2024
    Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Pooled it
  6. Pooled it
  7. Psychological interventions for adults with asthma.The Cochrane database of systematic reviews · 2006
    Pooled it
  8. Pooled it
  9. Psychological interventions for children with asthma.The Cochrane database of systematic reviews · 2005
    Pooled it
  10. Education and follow-up.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2005
    Guideline
  11. Small-group, interactive education and the effect on asthma control by children and their families.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2009
    Trial
  12. Trial
  13. Trial
  14. Article
  15. Article
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  18. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

5 authors.

M M HabyCentre for Community Child Health, Royal Children's Hospital, Flemington Rd, Parkville, Victoria, Australia, 3052. habym@cryptic.rch.unimelb.edu.au
E Waters
C F Robertson
P G Gibson
F M Ducharme

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAsthma is one of the most common reasons for paediatric admissions to hospital, with substantial cost to the community. There is some evidence to suggest that many hospital admissions could be prevented with effective education about asthma and its management.

objectivesTo conduct a systematic review of the literature in order to identify whether asthma education leads to improved health outcomes in children who have attended the emergency department for asthma. SEARCH STRATEGY: We searched the Cochrane Airways Group trials register, including Medline, Embase, and Cinahl databases, and reference lists of trials and review articles. SELECTION CRITERIA: Randomised controlled trials or controlled clinical trials of asthma education for children who had attended the emergency department for asthma, with or without hospitalisation, within the previous 12 months. DATA COLLECTION AND ANALYSIS: Two reviewers independently assessed trial quality and extracted data. Study authors were contacted for additional information. MAIN

resultsEight trials involving 1407 patients were included, in all the education was provided by nurses or researchers. Compared to control (usual care or lower intensity education) education did not reduce subsequent emergency department (ED) visits [4 trials; relative risk (RR)= 0.87, 95% confidence interval (CI) 0.37 to 2.08], hospital admissions [5 trials; RR=0.74, 95% CI 0.38 to 1.46] and unscheduled doctor visits [5 trials; RR= 0.74, 95% CI 0.49 to 1.12). Each analysis showed evidence of heterogeneity among the studies (P<0.01). Subgroup analyses by the overall difference in scale of intervention between treatment and control groups (comprehensive programme versus information only) or the timing of the intervention/recruitment (early versus delayed) gave similar results to the main analysis and still revealed significant heterogeneity between trials. REVIEWER'S

conclusionsOn the basis of the published trials, there is no firm evidence to support the use of asthma education for children who have attended the emergency department for asthma as a means of reducing subsequent ED visits, hospital admissions or unscheduled doctor visits. Some trials appeared to show clear evidence of benefit, but reasons for differences between these and the negative studies is not clear. More research is required

Indexed as

Patient Education as TopicAsthmaChildClinical Trials as TopicEmergency Service, HospitalHealth Services Needs and DemandHospitalizationHumans

Identifiers

PMID11279713

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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 OpenQuestion graph.