Evidence map›Paper›PMID 27489787›Full record

ArticleAsia Pacific allergy2016

Relationship between all fevers or fever after vaccination, and atopy and atopic disorders at 18 and 36 months.

Hong Hui Wong, Jaslyn Jie Lin Lee, Lynette Pei-Chi Shek, Bee Wah Lee, Anne Goh, Oon Hoe Teoh, Peter D Gluckman, Keith M Godfrey, Seang Mei Saw, Kenneth Kwek and 2 more

Abstract read
In one paragraph

Article in Asia Pacific allergy, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.2field-weighted citation impact, top 38% 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

1 citing paper in PubMed, 2 citations in OpenAlex.

  1. 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

12 authors at 5 institutions in 3 countries.

Hong Hui WongNational University Health System, Singapore 119228, Singapore.
Jaslyn Jie Lin LeeNational University Health System, Singapore 119228, Singapore.
Lynette Pei-Chi ShekDepartment of Paediatrics, Yong Loo Lin School of Medicine, National University of Singapore, Singapore 119077, Singapore.
Bee Wah LeeDepartment of Paediatrics, Yong Loo Lin School of Medicine, National University of Singapore, Singapore 119077, Singapore.
Anne GohDepartment of Paediatric Medicine, Allergy Service, KK Women's and Children's Hospital, Singapore 229899, Singapore.
Oon Hoe TeohKK Women's and Children's Hospital, Singapore 229899, Singapore.
Peter D GluckmanSingapore Institute for Clinical Sciences, Agency for Science, Technology and Research (ASTAR), Singapore 138632, Singapore.; Liggins Institute, University of Auckland, Auckland 1010, New Zealand.
Keith M GodfreyMRC Lifecourse Epidemiology Unit, University of Southampton, Southampton, United Kingdom.; NIHR Southampton Biomedical Research Centre, University of Southampton and University Hospital Southampton NHS Foundation Trust, Southampton, United Kingdom.
Seang Mei SawSaw Swee Hock School of Public Health, National University of Singapore, Singapore 119077, Singapore.
Kenneth KwekDepartment of Maternal Fetal Medicine, KK Women's and Children's Hospital, Singapore 229899, Singapore.
Yap Seng ChongDepartment of Obstetrics and Gynaecology, Yong Loo Lin School of Medicine, National University of Singapore, Singapore 119077, Singapore.; Brenner Centre for Molecular Medicine, Singapore Institute for Clinical Sciences (SICS), Singapore 117609, Singapore.
Hugo Ps Van BeverDepartment of Paediatric Medicine, Allergy Service, KK Women's and Children's Hospital, Singapore 229899, Singapore.
National University Health System · SGNational University of Singapore · SGKK Women's and Children's Hospital · SGMRC Lifecourse Epidemiology Unit · GBSingapore Institute for Clinical Sciences · SG

Funding

Department of Health SOUDIBRU-2008-1Medical Research Council MC_U147574222Medical Research Council MC_U147574226Medical Research Council MC_UP_A620_1017Medical Research Council MC_UU_12011/4
6 · The paper itself

Abstract

backgroundStudies have reported that early febrile episodes and febrile episodes with infections are associated with a decreased risk of developing atopy.

objectiveTo examine further the association between presence of and number of febrile episodes are with atopy and atopic diseases and if there was a difference between all fevers and fever after vaccination.

methodsWe studied 448 infants in a Singapore mother-offspring cohort study (Growing Up in Singapore Towards Healthy Outcomes) which had complete data for the exposures and outcomes of interest. Fever was defined as more than 38.0℃ and was self-reported. The presence of and number of febrile episodes were examined for association with outcome measures, namely parental reports of doctor-diagnosed asthma and eczema, and rhinitis, which was evaluated by doctors involved in the study at 18 and 36 months. These outcomes were considered atopic if there were 1 or more positive skin prick tests.

resultsThe presence of all fevers from 0-6 months of age was associated with reduced odds of having atopy at 36 months of age (unadjusted odds ratio [OR], 0.628; 95% confidence interval [CI], 0.396-0.995). The presence of fever after vaccination from 0-24 months of age was associated with reduced odds of having atopy at 36 months of age (OR, 0.566; 95% CI, 0.350-0.915). The presence of all fevers from 0-6 months of age was associated with reduced odds of having atopic eczema at 36 months (OR, 0.430; 95% CI, 0.191-0.970). Fever was associated with increased odds of having doctor-diagnosed asthma and rhinitis.

conclusionThere was an inverse relationship between the presence of all fevers from 0-6 months of age and the development of atopy and eczema at 36 months of age. Fever after vaccination might be considered a subclinical infection that did not show the same effect in early life.

Indexed as

AsthmaEczemaFeverRhinitis

Identifiers

PMID27489787
PMCPMC4967615
OpenAlexW2500893500

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.