Evidence map›Paper›PMID 26231828›Full record

ArticleThe Journal of pediatrics2015

Secondhand Smoke Exposure and Illness Severity among Children Hospitalized with Pneumonia.

Anna Ahn, Kathryn M Edwards, Carlos G Grijalva, Wesley H Self, Yuwei Zhu, James D Chappell, Sandra R Arnold, Jonathan A McCullers, Krow Ampofo, Andrew T Pavia and 3 more

Abstract readMulticenter Study
In one paragraph

Article in The Journal of pediatrics, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed
4.4field-weighted citation impact, top 5% 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

24 citing papers in PubMed, 51 citations in OpenAlex.

  1. Trial
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  8. Review
  9. Analysis of Pneumonia Occurrence in Relation to Climate Change in Tanga, Tanzania.International journal of environmental research and public health · 2021
    Article
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  15. Article
  16. Assessing pediatric tobacco exposure using parent report: comparison with hair nicotine.Journal of exposure science & environmental epidemiology · 2018
    Article
  17. Integrative Physiology of Pneumonia.Physiological reviews · 2018
    Review
  18. Article
  19. Article
  20. Review
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 6 institutions in 1 country.

Anna AhnMonroe Carell Jr Children's Hospital at Vanderbilt, Nashville, TN; Department of Pediatrics, Vanderbilt University School of Medicine, Nashville, TN.
Kathryn M EdwardsMonroe Carell Jr Children's Hospital at Vanderbilt, Nashville, TN; Department of Pediatrics, Vanderbilt University School of Medicine, Nashville, TN.
Carlos G GrijalvaDepartment of Health Policy, Vanderbilt University School of Medicine, Nashville, TN.
Wesley H SelfDepartment of Emergency Medicine, Vanderbilt University School of Medicine, Nashville, TN.
Yuwei ZhuDepartment of Biostatistics, Vanderbilt University School of Medicine, Nashville, TN.
James D ChappellDepartment of Pediatrics, Vanderbilt University School of Medicine, Nashville, TN; Department of Pathology, Microbiology, and Immunology, Vanderbilt University School of Medicine, Nashville, TN.
Sandra R ArnoldDepartment of Pediatrics, LeBonheur Children's Hospital and University of Tennessee Health Sciences Center, Memphis, TN.
Jonathan A McCullersDepartment of Pediatrics, LeBonheur Children's Hospital and University of Tennessee Health Sciences Center, Memphis, TN; Department of Pediatrics, St Jude Children's Research Hospital, Memphis, TN.
Krow AmpofoDepartment of Pediatrics, Primary Children's Medical Center and University of Utah School of Medicine, Salt Lake City, UT.
Andrew T PaviaDepartment of Pediatrics, Primary Children's Medical Center and University of Utah School of Medicine, Salt Lake City, UT.
Anna M BramleyInfluenza Division, Centers for Disease Control and Prevention, Atlanta, GA.
Seema JainInfluenza Division, Centers for Disease Control and Prevention, Atlanta, GA.
Derek J WilliamsMonroe Carell Jr Children's Hospital at Vanderbilt, Nashville, TN; Department of Pediatrics, Vanderbilt University School of Medicine, Nashville, TN. Electronic address: derek.williams@vanderbilt.edu.
Vanderbilt University · USCenters for Disease Control and Prevention · USLe Bonheur Children's Hospital · USMonroe Carell Jr. Children's Hospital · USPrimary Children's Hospital · USUniversity of Utah · US

Funding

Development and Validation of a Clinical Prediction Rule for Pediatric PneumoniaK23AI104779 · NIAID · VANDERBILT UNIVERSITY MEDICAL CENTER · PI WILLIAMS, DEREK J. · 2013 to 2016
$688k
NIAID NIH HHS K23 AI104779NIAID NIH HHS K23AI104779
6 · The paper itself

Abstract

objectiveTo assess the relationship between secondhand smoke (SHS) exposure and disease severity among children hospitalized with community-acquired pneumonia (CAP). STUDY

designChildren hospitalized with clinical and radiographic CAP were enrolled between January 1, 2010, and June 30, 2012 at 3 hospitals in Tennessee and Utah as part of the Centers for Disease Control and Prevention's Etiology of Pneumonia in the Community study. Household SHS exposure was defined based on the number of smokers in the child's home. Outcomes included hospital length of stay, intensive care unit admission, and mechanical ventilation. Proportional hazards and logistic regression models were used to assess associations between SHS exposure and outcomes. All models were adjusted for age, sex, race/ethnicity, household education level, government insurance, comorbidities, enrollment site, year, and season.

resultsOf the 2219 children included in the study, SHS exposure was reported in 785 (35.4%), including 325 (14.8%) with ≥2 smokers in the home. Compared with nonexposed children, the children exposed to ≥2 smokers had longer length of stay (median, 70.4 hours vs 64.4 hours; adjusted hazard ratio, 0.85; 95% CI, 0.75-0.97) and were more likely to receive intensive care (25.2% vs 20.9%; aOR, 1.44; 95% CI, 1.05-1.96), but not mechanical ventilation. Outcomes in children exposed to only 1 household smoker were similar to those in nonexposed children.

conclusionChildren hospitalized with CAP from households with ≥2 smokers had a longer length of stay and were more likely to require intensive care compared with children from households with no smokers, suggesting that they experienced greater pneumonia severity.

Indexed as

ChildChild, PreschoolCommunity-Acquired InfectionsEnvironmental ExposureFemaleHospitalizationHumansInfantLength of StayMalePneumoniaProportional Hazards ModelsRegression AnalysisRespiration, ArtificialTennesseeTobacco Smoke PollutionTobacco Smoke Pollution

Identifiers

PMID26231828
PMCPMC4586387
OpenAlexW1590546596

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.