Evidence map›Paper›PMID 18157917›Full record

ArticleEnvironmental health : a global access science source2007

Outdoor air pollution and emergency department visits for asthma among children and adults: a case-crossover study in northern Alberta, Canada.

Paul J Villeneuve, Li Chen, Brian H Rowe, Frances Coates

Abstract read
In one paragraph

Article in Environmental health : a global access science source, 2007. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 71 papers, 8 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
71citing papers in PubMed, 8 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

71 citing papers in PubMed, 8 syntheses or guidelines pooled it.

  1. Pooled it
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  7. The population attributable fraction of asthma among Canadian children.Canadian journal of public health = Revue canadienne de sante publique
    Pooled it
  8. Pooled it
  9. Article
  10. Article
  11. Genetic susceptibility to PMFrontiers in immunology · 2026
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  13. Air Quality Geospatial Analysis in Vulnerable Areas. Case Study of Valencia (Spain).International journal of environmental research and public health · 2024
    Article
  14. The Role of Neighborhood Air Pollution in Disparate Racial and Ethnic Asthma Acute Care Use.American journal of respiratory and critical care medicine · 2024
    Article
  15. Article
  16. PMGut microbes · 2023
    Article
  17. Article
  18. Article
  19. Article
  20. Associations between meteorological factors and emergency department visits for unintentional falls during Ontario winters.Health promotion and chronic disease prevention in Canada : research, policy and practice · 2021
    Article

11 more citing papers are in PubMed but not listed here.

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

4 authors.

Paul J VilleneuveBiostatistics and Epidemiology Division, Health Canada, Ottawa, Ontario, Canada. Paul_Villeneuve@hc-sc.gc.ca
Li Chen
Brian H Rowe
Frances Coates

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundRecent studies have observed positive associations between outdoor air pollution and emergency department (ED) visits for asthma. However, few have examined the possible confounding influence of aeroallergens, or reported findings among very young children.

methodsA time stratified case-crossover design was used to examine 57,912 ED asthma visits among individuals two years of age and older in the census metropolitan area of Edmonton, Canada between April 1, 1992 and March 31, 2002. Daily air pollution levels for the entire region were estimated from three fixed-site monitoring stations. Similarly, daily levels of aeroallergens were estimated using rotational impaction sampling methods for the period between 1996 and 2002. Odds ratios and their corresponding 95% confidence intervals were estimated using conditional logistic regression with adjustment for temperature, relative humidity and seasonal epidemics of viral related respiratory disease.

resultsPositive associations for asthma visits with outdoor air pollution levels were observed between April and September, but were absent during the remainder of the year. Effects were strongest among young children. Namely, an increase in the interquartile range of the 5-day average for NO2 and CO levels between April and September was associated with a 50% and 48% increase, respectively, in the number of ED visits among children 2 - 4 years of age (p < 0.05). Strong associations were also observed with these pollutants among those 75 years of age and older. Ozone and particulate matter were also associated with asthma visits. Air pollution risk estimates were largely unchanged after adjustment for aeroallergen levels.

conclusionOur findings, taken together, suggest that exposure to ambient levels of air pollution is an important determinant of ED visits for asthma, particularly among young children and the elderly.

Indexed as

AdolescentAdultAgedAir PollutantsAlbertaAllergensAsthmaCase-Control StudiesChildChild, PreschoolConfounding Factors, EpidemiologicCross-Over StudiesEmergency Service, HospitalFemaleHumansMaleAir PollutantsAllergensNitrogen Dioxide

Identifiers

PMID18157917
PMCPMC2254596

What OpenQuestion holds

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LicenceCC BY
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.