Evidence map›Paper›PMID 24388323›Full record

ArticleThe Journal of pediatrics2014

Wheezing symptoms and parental asthma are associated with a physician diagnosis of asthma in children with sickle cell anemia.

Robert C Strunk, Robyn T Cohen, Benjamin P Cooper, Mark Rodeghier, Fenella J Kirkham, John O Warner, Janet Stocks, Jane Kirkby, Irene Roberts, Carol L Rosen and 3 more

Abstract read
In one paragraph

Article in The Journal of pediatrics, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed
3.5field-weighted citation impact, top 7% 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

30 citing papers in PubMed, 58 citations in OpenAlex.

  1. Trial
  2. Trial
  3. Pathogens (Basel, Switzerland) · 2026
    Article
  4. Article
  5. Article
  6. Respiratory management of acute chest syndrome in children with sickle cell disease.European respiratory review : an official journal of the European Respiratory Society · 2024
    Review
  7. Review
  8. Article
  9. Review
  10. The Cardiopulmonary Complications of Sickle Cell Disease.Hematology/oncology clinics of North America · 2022
    Review
  11. Management of chronic respiratory complications in children and adolescents with sickle cell disease.European respiratory review : an official journal of the European Respiratory Society · 2020
    Review
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Review
  18. Article
  19. Acute Chest Syndrome in Children with Sickle Cell Disease.Pediatric allergy, immunology, and pulmonology · 2017
    Review
  20. Airway Hyperresponsiveness Does Not Predict Morbidity in Children with Sickle Cell Anemia.American journal of respiratory and critical care medicine · 2017
    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

13 authors at 7 institutions in 2 countries.

Robert C StrunkDivision of Allergy, Immunology, and Pulmonary Medicine, Department of Pediatrics, Washington University School of Medicine, St Louis, MO. Electronic address: strunk@kids.wustl.edu.
Robyn T CohenDepartment of Pediatrics, Boston Medical Center/Boston University School of Medicine, Boston, MA.
Benjamin P CooperBrown School of Social Work, Washington University, St Louis, MO.
Mark RodeghierIndependent Statistician, Chicago, IL.
Fenella J KirkhamUniversity College, London Institute of Child Health, London, United Kingdom.
John O WarnerDepartment of Paediatrics, Imperial College and Imperial College Healthcare NHS Trust, London, United Kingdom.
Janet StocksUniversity College, London Institute of Child Health, London, United Kingdom.
Jane KirkbyUniversity College, London Institute of Child Health, London, United Kingdom.
Irene RobertsDepartment of Paediatrics, Imperial College and Imperial College Healthcare NHS Trust, London, United Kingdom.
Carol L RosenDepartment of Pediatrics, Case Western Reserve University School of Medicine, Rainbow Babies and Children's Hospitals, University Hospitals Case Medical Center, Cleveland, OH.
Daniel I CravenDepartment of Pediatrics, Case Western Reserve University School of Medicine, Rainbow Babies and Children's Hospitals, University Hospitals Case Medical Center, Cleveland, OH.
Michael R DeBaunDepartment of Pediatrics, Vanderbilt University School of Medicine, Nashville, TN.
Sleep Asthma Cohort Investigative Team
University College London · GBImperial College Healthcare NHS Trust · GBWashington University in St. Louis · USBoston Medical Center · USRainbow Babies & Children's Hospital · USUniversity Hospitals Case Medical Center · USVanderbilt University · US

Funding

YOGA FOR THE MANAGEMENT OF HIV-METABOLIC SYNDROMESM01RR000036 · NCRR · WASHINGTON UNIVERSITY · PI NEWCOMER, JOHN W. · 1985 to 2007
$25.4M
Asthma and Nocturnal Hypoxemia in Sickle Cell Anemia IIR01HL079937 · NHLBI · WASHINGTON UNIVERSITY · PI DEBAUN, MICHAEL R., STRUNK, ROBERT · 2005 to 2013
$10.4M
Medical Research Council G1000758NCRR NIH HHS M01 RR000036NHLBI NIH HHS R01 HL079937
6 · The paper itself

Abstract

objectiveTo identify factors associated with asthma associated with increased sickle cell anemia (SCA). STUDY

designChildren with SCA (N = 187; mean age 9.6 years, 48% male) were classified as having "asthma" based on parent report of physician diagnosis plus prescription of asthma medication (n = 53) or "no asthma" based on the absence of these features (n = 134). Pain and acute chest syndrome (ACS) events were collected prospectively.

resultsMultiple variable logistic regression model identified 3 factors associated with asthma: parent with asthma (P = .006), wheezing causing shortness of breath (P = .001), and wheezing after exercise (P < .001). When ≥2 features were present, model sensitivity was 100%. When none of the features were present, model sensitivity was 0%. When only 1 feature was present, model sensitivity was also 0%, and presence of ≥2 of positive allergy skin tests, airway obstruction on spirometry, and bronchodilator responsiveness did not improve clinical utility. ACS incident rates were significantly higher in individuals with asthma than in those without asthma (incident rate ratio 2.21, CI 1.31-3.76), but pain rates were not (incident rate ratio 1.28, CI 0.78-2.10).

conclusionsFor children with SCA, having a parent with asthma and specific wheezing symptoms are the best features to distinguish those with and without parent report of a physician diagnosis of asthma and to identify those at higher risk for ACS events. The value of treatment for asthma in the prevention of SCA morbidity needs to be studied.

Indexed as

Acute Chest SyndromeAnemia, Sickle CellAsthmaChildFamily HealthFemaleFollow-Up StudiesHumansMaleParentsProspective StudiesRespiratory Sounds

Identifiers

PMID24388323
PMCPMC3962704
OpenAlexW2002344020

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.