ArticleThe Journal of asthma : official journal of the Association for the Care of Asthma2017
Secondhand smoke exposure, illness severity, and resource utilization in pediatric emergency department patients with respiratory illnesses.
Article in The Journal of asthma : official journal of the Association for the Care of Asthma, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.
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Who cites it
17 citing papers in PubMed, 1 synthesis or guideline pooled it, 29 citations in OpenAlex.
- Systematic Review of Behaviour Change Techniques within Interventions to Reduce Environmental Tobacco Smoke Exposure for Children.International journal of environmental research and public health · 2020Pooled it
- Intervening With Smoking Parents of Inpatients to Reduce Exposure: The INSPIRE Randomized Controlled Trial.Academic pediatrics · 2022Trial
- Smoking Behaviors Among Tobacco-Using Parents of Hospitalized Children and Association With Child Cotinine Level.Hospital pediatrics · 2021Trial
- Trial
- Article
- Defining and Promoting Pediatric Pulmonary Health: Assessing Lung Function and Structure.Pediatrics · 2023Article
- Associations of household tobacco smoking status with childhood temperament among U.S. preschool-aged children.Journal of affective disorders · 2023Article
- Comfort levels in discussing tobacco smoking among hospital staff in a children's hospital.Tobacco prevention & cessation · 2023Article
- Protecting vulnerable groups from tobacco-related harm during and following the COVID-19 pandemic.Health promotion and chronic disease prevention in Canada : research, policy and practice · 2021Article
- High Cotinine and Healthcare Utilization Disparities Among Low-Income Children.American journal of preventive medicine · 2021Article
- Child tobacco smoke exposure and healthcare resource utilization patterns.Pediatric research · 2020Article
- Associations of household environmental tobacco smoke exposure with respiratory symptoms and utilisation of medical services in healthy young children in Hong Kong.Tobacco induced diseases · 2020Article
- Home Smoke Exposure and Health-Related Quality of Life in Children with Acute Respiratory Illness.Journal of hospital medicine · 2019Article
- Association of secondhand smoke exposure with asthma symptoms, medication use, and healthcare utilization among asthmatic adolescents.The Journal of asthma : official journal of the Association for the Care of Asthma · 2019Article
- Nasal DNA methylation is associated with childhood asthma.Epigenomics · 2018Article
- An Electronic Health Record-Based Strategy to Address Child Tobacco Smoke Exposure.American journal of preventive medicine · 2018Article
- Secondhand Smoke Exposure and Pediatric Healthcare Visits and Hospitalizations.American journal of preventive medicine · 2017Article
Corrections and comments
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Authors and funding
3 authors at 3 institutions in 1 country.
Funding
Abstract
objectiveHospital-based data reveal that children who have secondhand smoke exposure (SHSe) experience severe respiratory illnesses and greater resource utilization. Our objective was to assess the relationship between SHSe and illness severity/resource utilization among children presenting to the pediatric emergency department (PED) with three common respiratory conditions-asthma, bronchiolitis, and pneumonia.
methodsA retrospective review of a yearlong consecutive sample of PED patients with SHSe status documentation and asthma, bronchiolitis, or pneumonia diagnoses was performed. PED illness severity/resource utilization variables included triage categorization, initial oxygen saturation, evaluation/testing (influenza A & B, respiratory syncytial virus, chest X-ray), procedures/interventions performed (supplemental oxygen, suctioning, intubation), medications administered, and disposition. Logistic and linear regression models were conducted to determine differences in each diagnosis group while controlling for sociodemographics, medical history, seasonality, and insurance type.
resultsThere were 3,229 children with documentation of SHSe status and an asthma (41%), bronchiolitis (36%), or pneumonia (23%) diagnosis. Across diagnosis groups, approximately 1/4 had positive documentation of SHSe. Asthmatic children with SHSe were more likely to receive corticosteroids (odds ratio (OR) = 1.71, 95% confidence interval (CI) = 1.19, 2.44) and/or magnesium sulfate (OR = 1.66, 95% CI = 1.14, 2.40). Children with SHSe and bronchiolitis were more likely to receive racemic epinephrine (OR = 2.48, 95% CI = 1.21, 5.08), have a chest X-ray (OR = 1.36, 95% CI = 1.00, 1.85), and/or be admitted (OR = 1.46, 95% CI = 1.09, 1.95). No differences in illness severity/resource utilization were identified for children with pneumonia.
conclusionsSHS-exposed children with asthma or bronchiolitis have greater illness severity/resource utilization. Our findings highlight the importance of SHSe assessment, cessation, and research efforts in the PED setting.
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