Evidence map›Paper›PMID 24902733›Full record

ArticleBMJ open2014

Use of corticosteroids during pregnancy and risk of asthma in offspring: a nationwide Danish cohort study.

Anna Byrjalsen, Trine Frøslev, Ane Birgitte Telén Andersen, Morten Olsen, Henrik Toft Sørensen

Open access · goldAbstract read
In one paragraph

Article in BMJ open, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.9field-weighted citation impact, top 24% 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

2 citing papers in PubMed, 7 citations in OpenAlex.

  1. Review
  2. 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 1 institution in 1 country.

Anna ByrjalsenDepartment of Clinical Epidemiology, Aarhus University, Aarhus N, Denmark.
Trine FrøslevDepartment of Clinical Epidemiology, Aarhus University, Aarhus N, Denmark.
Ane Birgitte Telén AndersenDepartment of Clinical Epidemiology, Aarhus University, Aarhus N, Denmark.
Morten OlsenDepartment of Clinical Epidemiology, Aarhus University, Aarhus N, Denmark.
Henrik Toft SørensenDepartment of Clinical Epidemiology, Aarhus University, Aarhus N, Denmark.
Aarhus University · DK

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo examine whether in utero exposure to local and systemic corticosteroids is associated with asthma development in offspring.

designCohort study.

settingDenmark.

participantsWe included all singletons born alive in Denmark between 1996 and 2009. Data on maternal corticosteroid use, asthma in offspring and covariates were obtained from medical registries.

main outcome measuresWe compared asthma risks of children prenatally exposed to corticosteroids and of children of former corticosteroid users with that of unexposed children. We computed absolute risks and used proportional-hazards regression to compute adjusted HRs (aHRs). Using logistic regression we compared exposed children with unexposed siblings in a 'within-mother-between-pregnancy' analysis. Adjustment addressed varying length of follow-up.

resultsWe identified 877 778 children, 3.6% of whom were prenatally exposed to systemic (n=5327) or local (n=24 436) corticosteroids. A total of 105 677 children developed asthma during follow-up with a 10-year risk of 18.4% among the exposed and 13.5% among the unexposed. The aHR was 1.54 (95% CI 1.45 to 1.65) for systemic use, 1.45 (95% CI 1.40 to 1.50) for local use and 1.32 (95% CI 1.30 to 1.34) for former use. The adjusted OR of the 'within-mother-between-pregnancy' analysis was 1.11 (95% CI 0.98 to 1.25).

conclusionsThese population-based data do not support a strong causal association between maternal corticosteroid use during pregnancy and increased asthma risk in offspring.

Indexed as

AdolescentAdrenal Cortex HormonesAdultAsthmaChildCohort StudiesDenmarkFemaleHumansMiddle AgedPregnancyPrenatal Exposure Delayed EffectsRisk AssessmentYoung AdultAdrenal Cortex HormonesCLINICAL PHARMACOLOGYEPIDEMIOLOGYPERINATOLOGYRESPIRATORY MEDICINE (see Thoracic Medicine)

Identifiers

PMID24902733
PMCPMC4054622
OpenAlexW2164147044

What OpenQuestion holds

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LicenceCC BY-NC
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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.