Evidence map›Paper›PMID 19337525›Full record

ArticleEnvironmental health perspectives2009

The effects of fine particle components on respiratory hospital admissions in children.

Bart Ostro, Lindsey Roth, Brian Malig, Melanie Marty

Abstract read
In one paragraph

Article in Environmental health perspectives, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 102 papers, 8 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
102citing 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

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

  1. Chemical constituents of PMEuropean journal of pediatrics · 2025
    Pooled it
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  5. Environmental Concerns for Children with Asthma on the Navajo Nation.Annals of the American Thoracic Society · 2018
    Pooled it
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  9. Article
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  14. Mass spectrometry analysis of PMAnalytical and bioanalytical chemistry · 2025
    Article
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42 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.

Bart OstroOffice of Environmental Health Hazard Assessment, California Environmental Protection Agency, Oakland, California 94612, USA. bostro@oehha.ca.gov
Lindsey Roth
Brian Malig
Melanie Marty

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundEpidemiologic studies have demonstrated an association between acute exposure to ambient fine particles and both mortality and morbidity. Less is known about the relative impacts of the specific chemical constituents of particulate matter<2.5 microm in aerodynamic diameter (PM2.5) on hospital admissions.

objectiveThis study was designed to estimate the risks of exposure to PM2.5 and several species on hospital admissions for respiratory diseases among children. DATA AND

methodsWe obtained data on daily counts of hospitalizations for children<19 and <5 years of age for total respiratory diseases and several subcategories including pneumonia, acute bronchitis, and asthma for six California counties from 2000 through 2003, as well as ambient concentrations of PM2.5 and its constituents, including elemental carbon (EC), organic carbon (OC), and nitrates (NO3). We used Poisson regression to estimate risks while controlling for important covariates.

resultsWe observed associations between several components of PM2.5 and hospitalization for all of the respiratory outcomes examined. For example, for total respiratory admissions for children<19 years of age, the interquartile range for a 3-day lag of PM2.5, EC, OC, NO3, and sulfates was associated with an excess risk of 4.1% [95% confidence interval (CI), 1.8-6.4], 5.4% (95% CI, 0.8-10.3), 3.4% (95% CI, 1.1-5.7), 3.3% (95% CI, 1.1-5.5), and 3.0% (95% CI, 0.4-5.7), respectively. We also observed associations for several metals. Additional associations with several of the species, including potassium, were observed in the cool season.

conclusionComponents of PM2.5 were associated with hospitalization for several childhood respiratory diseases including pneumonia, bronchitis, and asthma. Because exposure to components (e.g., EC, OC, NO3, and K) and their related sources, including diesel and gasoline exhaust, wood smoke, and other combustion sources, are ubiquitous in the urban environment, it likely represents an identifiable and preventable risk factor for hospitalization for children.

Indexed as

AdolescentCaliforniaChildChild, PreschoolHospitalizationHumansHumidityModels, StatisticalParticle SizeParticulate MatterRespiration DisordersRisk AssessmentTemperatureParticulate MatterchildrenEChospital admissionsOCPM2.5respiratoryspecies

Identifiers

PMID19337525
PMCPMC2661920

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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 OpenQuestion graph.