Evidence map›Paper›PMID 22006677›Full record

Trial reportPediatric pulmonology2012

Bronchodilator responsiveness in wheezy infants and toddlers is not associated with asthma risk factors.

Jason Debley, Sanja Stanojevic, Amy G Filbrun, Padmaja Subbarao

Open access · greenAbstract readClinical TrialMulticenter Study
In one paragraph

Trial report in Pediatric pulmonology, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
1.6field-weighted citation impact, top 18% 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

6 citing papers in PubMed, 17 citations in OpenAlex.

  1. Article
  2. Article
  3. Do helminth infections underpin urban-rural differences in risk factors for allergy-related outcomes?Clinical and experimental allergy : journal of the British Society for Allergy and Clinical Immunology · 2019
    Article
  4. Article
  5. Preschool wheeze is not asthma: a clinical dilemma.Indian journal of pediatrics · 2014
    Review
  6. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

4 authors at 4 institutions in 2 countries.

Jason DebleySeattle Children's Hospital, University of Washington, Seattle, Washington, USA. jason.debley@seattlechildrens.org
Sanja Stanojevic
Amy G Filbrun
Padmaja Subbarao
C. S. Mott Children's Hospital · USHospital for Sick Children · CAUniversity of Toronto · CAUniversity of Washington · US

Funding

INSTITUTE FOR TRANSLATIONAL HEALTH SCIENCE (UL1): BPCAUL1RR025014 · NCRR · UNIVERSITY OF WASHINGTON · PI DISIS, MARY L. · 2007 to 2011
$51.5M
Respiratory Function in Infants with Persistent WheezingK23HL067881 · NHLBI · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI GOLDSTEIN FILBRUN, AMY B · 2002 to 2006
$763k
Noninvasive Measures in Wheezy Infants and ToddlersK23HL077626 · NHLBI · SEATTLE CHILDREN'S HOSPITAL · PI DEBLEY, JASON S · 2005 to 2009
$662k
NCRR NIH HHS I ULI RR025014-01NCRR NIH HHS UL1 RR025014NHLBI NIH HHS K23 HL067881NHLBI NIH HHS K23HL067881NHLBI NIH HHS K23 HL077626NHLBI NIH HHS K23HL077626
6 · The paper itself

Abstract

backgroundThere are limited data assessing bronchodilator responsiveness (BDR) in infants and toddlers with recurrent wheezing, and factors associated with a positive response.

objectivesIn a multicenter study of children ≤ 36 months old, we assessed the prevalence of and factors associated with BDR among infants/toddlers with recurrent episodes of wheezing.

methodsForced expiratory flows and volumes using the raised-volume rapid thoracic compression method were measured in 76 infants/toddlers [mean (SD) age 16.8 (7.6) months] with recurrent wheezing before and after administration of albuterol. Prior history of hospitalization or emergency department treatment for wheezing, use of inhaled or systemic corticosteroids, physician treatment of eczema, environmental tobacco smoke exposure, and family history of asthma or allergic rhinitis were ascertained.

resultsUsing the published upper limit of normal for post bronchodilator change (FEV(0.5)  ≥ 13% and/or FEF(25-75)  ≥ 24%) in healthy infants, 24% (n = 18) of children in our study exhibited BDR. The BDR response was not associated with any clinical factor other than body size. Dichotomizing subjects into responders (defined by published limits of normal) or by quartile to identify children with the greatest change from baseline (4th quartile vs. other) did not identify any other factor associated with BDR.

conclusionsApproximately one quarter of infants/toddlers with recurrent wheezing exhibited BDR at their clinical baseline. However, BDR in wheezy infants/toddlers was not associated with established clinical asthma risk factors.

Indexed as

AlbuterolAsthmaBronchodilator AgentsChild, PreschoolFemaleHumansInfantMalePrevalenceRespiratory Function TestsRespiratory SoundsRhinitisRisk FactorsTobacco Smoke PollutionAlbuterolBronchodilator AgentsTobacco Smoke Pollution

Identifiers

PMID22006677
PMCPMC3325342
OpenAlexW2018778604

What OpenQuestion holds

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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.