Evidence map›Paper›PMID 27582402›Full record

ArticleAllergy, asthma & immunology research2016

Emergency Department Visits for Asthma Exacerbation due to Weather Conditions and Air Pollution in Chuncheon, Korea: A Case-Crossover Analysis.

Jae Woo Kwon, Young Ji Han, Moo Kyung Oh, Chang Youl Lee, Ja Yeun Kim, E Jin Kim, Ho Kim, Woo Jin Kim

Open access · hybridAbstract read
In one paragraph

Article in Allergy, asthma & immunology research, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 3 pooled it
2.9field-weighted citation impact, top 11% 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

13 citing papers in PubMed, 3 syntheses or guidelines pooled it, 29 citations in OpenAlex.

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  12. Regular follow-up visits reduce the risk for asthma exacerbation requiring admission in Korean adults with asthma.Allergy, asthma, and clinical immunology : official journal of the Canadian Society of Allergy and Clinical Immunology · 2018
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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

8 authors at 4 institutions in 1 country.

Jae Woo KwonDepartment of Allergy and Clinical Immunology, Kangwon National University School of Medicine, Chuncheon, Korea.
Young Ji HanDepartment of Environmental Science, Kangwon National University, Chuncheon, Korea.
Moo Kyung OhDepartment of Preventive Medicine, Kangwon National University Hospital, Chuncheon, Korea.
Chang Youl LeeDepartment of Internal Medicine, Chuncheon Sacred Heart Hospital, Hallym University College of Medicine, Chuncheon, Korea.
Ja Yeun KimDepartment of Biostatistics, Graduate School of Public Health, Seoul National University, Seoul, Korea.
E Jin KimDepartment of Biostatistics, Graduate School of Public Health, Seoul National University, Seoul, Korea.
Ho KimDepartment of Biostatistics, Graduate School of Public Health, Seoul National University, Seoul, Korea.
Woo Jin KimDepartment of Internal Medicine and Environmental Health Center, Kangwon National University Hospital, Chuncheon, Korea. wjkim47@gmail.com.
Kangwon National University Hospital · KRSeoul National University · KRHallym University Chuncheon Sacred Heart Hospital · KRKangwon National University · KR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThis retrospective study was conducted to estimate the effects of climate factors and air pollution on asthma exacerbations using a case-crossover analysis.

methodsPatients who visited the emergency department (ED) of 2 university hospitals in Chuncheon for asthma exacerbations from January 1, 2006, to December 31, 2011, were enrolled. Daily average data for meteorological factors (temperature, daily temperature range, relative humidity, wind speed, atmospheric pressure, presence of rain, solar irradiation, and presence of fog) and the daily average levels of gaseous air pollutants (SO₂, NO₂, O₃, CO, and PM10) were obtained. A case-crossover analysis was performed using variables about the weather and air pollution at 1-week intervals between cases and controls before and after ED visits.

resultsThere were 660 ED visits by 583 patients with asthma exacerbations. Low relative humidity (lag 1 and 2) and high wind speed (lag 1, 2, and 3) were associated with ED visits for asthma. Fog (lag 2) showed protective effects against asthma exacerbations in Chuncheon (risk increase: -29.4% [95% CI=-46.3% to -7.2%], P=0.013). These relationships were stronger in patients ≤19 years old than in those >60 years old. High levels of ambient CO (lag 1, 2, and 3) and NO₂ (lag 2 and 3) were associated with decreased ED visits for asthma. However, there were no significant relationships among levels of ambient CO or NO₂ and asthma exacerbations after adjusting for wind speed and relative humidity.

conclusionsHigh wind speed and low humidity were associated with an increased risk of asthma ED visits. Fog was associated with a decreased risk of asthma ED visits after controlling for seasonal variations in weather and air pollution.

Indexed as

air pollutionAsthmaclimatefog

Identifiers

PMID27582402
PMCPMC5011051
OpenAlexW2495012761

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.