Evidence map›Paper›PMID 23339216›Full record

ArticlePediatrics2013

Hospital admissions for childhood asthma after smoke-free legislation in England.

Christopher Millett, John Tayu Lee, Anthony A Laverty, Stanton A Glantz, Azeem Majeed

Registry-linked trialOpen access · bronzeAbstract read
In one paragraph

Article in Pediatrics, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01920165 (Smoke-free Legislation in England and Hospital Admissions for Respiratory Tract Infections Among Children), which is not on this map. Cited by 51 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
51citing papers in PubMed, 5 pooled it
18.1field-weighted citation impact, top 1% 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.

NCT01920165 completednot on this map

Smoke-free Legislation in England and Hospital Admissions for Respiratory Tract Infections Among Children

TypeobservationalSponsorUniversity of EdinburghRan2001 to 2012Enrolled1,660,652ConditionsRespiratory Tract Infections, Upper Respiratory Tract Infections, Lower Respiratory Tract InfectionsArmsSmoke-free legislation
3 · Its place in the literature

Who cites it

51 citing papers in PubMed, 5 syntheses or guidelines pooled it, 106 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Pooled it
  6. Development of the Respiratory System During Adolescence.Advances in experimental medicine and biology · 2026
    Review
  7. Article
  8. Article
  9. Article
  10. Review
  11. Article
  12. Article
  13. Article
  14. Hard to Reach or Just Not Enough? A Narrative Review of Inpatient Tobacco Cessation Programs in Pediatrics.International journal of environmental research and public health · 2021
    Review
  15. Article
  16. Article
  17. Article
  18. Review
  19. Article
  20. 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

5 authors at 2 institutions in 2 countries.

Christopher MillettDepartment of Primary Care and Public Health, School of Public Health, Imperial College London, 3rd Floor, Reynolds Building, St Dunstan's Rd, London, W6 8RP, United Kingdom. c.millett@imperial.ac.uk
John Tayu Lee
Anthony A Laverty
Stanton A Glantz
Azeem Majeed
Imperial College London · GBUniversity of California, San Francisco · US

Funding

TOBACCO ADVOCACY AT THE STATE LEVELR01CA061021 · NCI · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI GLANTZ, STANTON ARNOLD · 1994 to 2015
$7.4M
NCI NIH HHS CA-61021NCI NIH HHS R01 CA061021
6 · The paper itself

Abstract

objectiveTo assess whether the implementation of English smoke-free legislation in July 2007 was associated with a reduction in hospital admissions for childhood asthma.

methodsInterrupted time series study using Hospital Episodes Statistics data from April 2002 to November 2010. Sample consisted of all children (aged ≤14 years) having an emergency hospital admission with a principle diagnosis of asthma.

resultsBefore the implementation of the legislation, the admission rate for childhood asthma was increasing by 2.2% per year (adjusted rate ratio 1.02; 95% confidence interval [CI]: 1.02-1.03). After implementation of the legislation, there was a significant immediate change in the admission rate of -8.9% (adjusted rate ratio 0.91; 95% CI: 0.89-0.93) and change in time trend of -3.4% per year (adjusted rate ratio 0.97; 95% CI: 0.96-0.98). This change was equivalent to 6802 fewer hospital admissions in the first 3 years after implementation. There were similar reductions in asthma admission rates among children from different age, gender, and socioeconomic status groups and among those residing in urban and rural locations.

conclusionsThese findings confirm those from a small number of previous studies suggesting that the well-documented population health benefits of comprehensive smoke-free legislation appear to extend to reducing hospital admissions for childhood asthma.

Indexed as

AdolescentAsthmaChildChild, PreschoolCross-Sectional StudiesEmergency Service, HospitalEnglandFemaleHumansMalePatient AdmissionSmoke-Free PolicyTobacco Smoke PollutionUtilization ReviewTobacco Smoke Pollution

Identifiers

PMID23339216
PMCPMC4528337
OpenAlexW2170866354

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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.