Evidence map›Paper›PMID 27979021›Full record

ArticleAnnals of allergy, asthma & immunology : official publication of the American College of Allergy, Asthma, & Immunology2016

Indoor tobacco legislation is associated with fewer emergency department visits for asthma exacerbation in children.

Christina E Ciaccio, Tami Gurley-Calvez, Theresa I Shireman

Abstract readMulticenter Study
In one paragraph

Article in Annals of allergy, asthma & immunology : official publication of the American College of Allergy, Asthma, & Immunology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 2 pooled it
–field-weighted citation impact
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

11 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
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  11. Taming Asthma in School-Aged Children: A Comprehensive Review.The journal of allergy and clinical immunology. In practice
    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

3 authors.

Christina E CiaccioDepartment of Pediatrics at Children's Mercy, University of Missouri-Kansas City, Kansas City, Missouri; Department of Preventive Medicine and Public Health, University of Kansas School of Medicine, Kansas City, Kansas; Department of Pediatrics, University of Chicago, Chicago, Illinois. Electronic address: cciaccio@peds.bsd.uchicago.edu.
Tami Gurley-CalvezDepartment of Health Policy and Management, University of Kansas School of Medicine, Kansas City, Kansas.
Theresa I ShiremanDepartment of Preventive Medicine and Public Health, University of Kansas School of Medicine, Kansas City, Kansas; Department of Health Services, Policy, and Practice, Brown University School of Public Health, Providence, Rhode Island.

Funding

Heartland Institute for Clinical and Translational ResearchKL2TR000119 · NCATS · UNIVERSITY OF KANSAS MEDICAL CENTER · PI BAROHN, RICHARD J. · 2012 to 2015
$2.5M
NCATS NIH HHS KL2 TR000119
6 · The paper itself

Abstract

backgroundDuring the past 3 decades, numerous cities and states have adopted laws that ban smoking in public indoor spaces. The rationale for these policies has been to protect nonsmokers from the adverse health effects of secondhand smoke.

objectiveTo determine whether the implementation of indoor smoking legislation is associated with a decrease in emergency department visits for asthma in children.

methodsThis retrospective analysis used a natural experiment to estimate the impact of clean indoor air legislation on the rate of emergency department admissions for asthma exacerbation in children. Data were obtained from the Pediatric Health Information System. A Poisson regression was used for analyses and controlled for age, sex, race, payer source, seasonality, and secular trends.

resultsAsthma emergency department visits were captured from 20 hospitals in 14 different states plus the District of Columbia from July 2000 to January 2014 (n = 335,588). Indoor smoking legislation, pooled across all cities, was associated with a decreased rate of severe asthma exacerbation (adjusted rate ratio 0.83, 95% confidence interval 0.82-0.85, P < .0001).

conclusionIndoor tobacco legislation is associated with a decrease in emergency department visits for asthma exacerbation. Such legislation should be considered in localities that remain without this legislation to protect the respiratory health of their children.

Indexed as

Emergency Service, HospitalAsthmaChildChild, PreschoolDisease ProgressionFemaleHealth PolicyHumansMaleNicotianaOutcome Assessment, Health CarePublic Health SurveillanceRetrospective StudiesTobacco Smoke PollutionUnited StatesTobacco Smoke Pollution

Identifiers

PMID27979021
PMCPMC5166981

What OpenQuestion holds

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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.