Evidence map›Paper›PMID 21951319›Full record

ArticleAllergy2012

Comparing school environments with and without legislation for the prevention and management of anaphylaxis.

L Cicutto, B Julien, N Y Li, N U Nguyen-Luu, J Butler, A Clarke, S J Elliott, L Harada, S McGhan, D Stark and 2 more

Abstract readComparative Study
In one paragraph

Article in Allergy, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
1.7field-weighted citation impact, top 19% of its field
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, 51 citations in OpenAlex.

  1. Article
  2. Online food allergy and anaphylaxis education for school personnel is effective and scalable: experience with the allergyaware e-learning portal from 2015 to 2022.Allergy, asthma, and clinical immunology : official journal of the Canadian Society of Allergy and Clinical Immunology · 2025
    Article
  3. Review
  4. Children's Perspectives on Food Allergy in Schools: A Qualitative Study.The Journal of school nursing : the official publication of the National Association of School Nurses · 2024
    Article
  5. Article
  6. Observational
  7. Food Allergy Management Competence in Greek Schools.Children (Basel, Switzerland) · 2023
    Article
  8. It takes a village: perceptions of Winnipeg parents, students, teachers and school staff regarding the impact of food allergy on school-age students and their families.Allergy, asthma, and clinical immunology : official journal of the Canadian Society of Allergy and Clinical Immunology · 2022
    Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Food Allergy Management at School in the Era of Immunotherapy.Current allergy and asthma reports · 2020
    Review
  14. Article
  15. Article
  16. Article
  17. Article
  18. Management of anaphylaxis in schools: Evaluation of an epinephrine auto-injector (EpiPen®) use by school personnel and comparison of two approaches of soliciting participation.Allergy, asthma, and clinical immunology : official journal of the Canadian Society of Allergy and Clinical Immunology · 2012
    Article
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

12 authors at 8 institutions in 3 countries.

L CicuttoNational Jewish Health Faculty of Nursing, University of Toronto, Ontario, Canada. cicuttol@njhealth.org
B Julien
N Y Li
N U Nguyen-Luu
J Butler
A Clarke
S J Elliott
L Harada
S McGhan
D Stark
T K Vander Leek
S Waserman
McGill University · CAUniversity of Alberta · CAUniversity of Toronto · CAMcMaster University · CAMemorial University of Newfoundland · CAUniversity of British Columbia · CAUniversity of Colorado System · USUniversity of Waterloo · CA

Funding

Short-Term Internship Program for Undergraduates and Health Professional StudentsR25HL103286 · NHLBI · UNIVERSITY OF COLORADO DENVER · PI Sonia Castro Flores, Meredith A Tennis · 2010 to 2026
$2.0M
CIHRNHLBI NIH HHS 1R25HL103286-01NHLBI NIH HHS R25 HL103286
6 · The paper itself

Abstract

backgroundSchool personnel in contact with students with life-threatening allergies often lack necessary supports, creating a potentially dangerous situation. Sabrina's Law, the first legislation in the world designed to protect such children, requires all Ontario public schools to have a plan to protect children at risk. Although it has captured international attention, the differences a legislative approach makes have not been identified. Our study compared the approaches to anaphylaxis prevention and management in schools with and without legislation.

methodsLegislated (Ontario) and nonlegislated (Alberta, British Columbia, Newfoundland and Labrador, and Quebec) environments were compared. School board anaphylaxis policies were assessed for consistency with Canadian anaphylaxis guidelines. Parents of at-risk children and school personnel were surveyed to determine their perspectives on school practices. School personnel's EpiPen5 technique was assessed.

resultsConsistency of school board policies with anaphylaxis guidelines was significantly better in a legislated environment (P=0.009). Parents in a legislated environment reported more comprehensive anaphylaxis emergency forms (P<0.001), while school personnel in nonlegislated environments reported more comprehensive forms (P=0.004). Despite school personnel in both environments receiving EpiPen5 training (>80%), suboptimal technique was commonly observed. However, school personnel in the legislated environment had better technique (P<0.001).

conclusionOur results suggest that school boards in legislated environments have made greater efforts to support students at risk for anaphylaxis compared to nonlegislated environments. However, significant gaps exist in both environments, especially with respect to EpiPen5 administration, content, and distribution of anaphylaxis emergency forms, and awareness of school procedures by school personnel and parents.

Indexed as

AnaphylaxisBronchodilator AgentsChildEpinephrineGuidelines as TopicHumansOntarioParentsSchool Health ServicesSchoolsStudentsBronchodilator AgentsEpinephrine

Identifiers

PMID21951319
PMCPMC3237918
OpenAlexW1488650573

What OpenQuestion holds

Textmetadata
LicenceTDM
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.