ArticleAmerican journal of preventive medicine2017
Secondhand Smoke Exposure and Pediatric Healthcare Visits and Hospitalizations.
Article in American journal of preventive medicine, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 1 of them a synthesis that pooled it.
What it found
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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.
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.
Who cites it
23 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Serum cotinine cut-points for secondhand smoke exposure assessment in children under 5 years: A systemic review.PloS one · 2022Pooled it
- Trial
- Exposure to tobacco smoke, concurrent short-term symptoms of respiratory, allergic, cardiovascular morbidities and health-services use among young adults in Kuwait.BMC health services research · 2026Observational
- Short-term traffic-related gaseous pollutant exposure is associated with childhood bronchopneumonia hospitalization: a 10-year time-series study from Guangzhou, China.Frontiers in public health · 2026Article
- Tobacco Smoke Exposure Biomarker Profiles and Healthcare Utilization Patterns Among U.S. Children.Toxics · 2025Article
- A real-world evaluation of the effectiveness and Sufficiency of Current Emergency Department Preventative Strategies for Reducing Emergency Department revisits in a Canadian children's hospital: a retrospective cohort study.Allergy, asthma, and clinical immunology : official journal of the Canadian Society of Allergy and Clinical Immunology · 2024Article
- Tobacco smoke exposure, the lower airways microbiome and outcomes of ventilated children.Pediatric research · 2023Article
- Pre- and postnatal exposure to secondhand tobacco smoke and cardiometabolic risk at 12 years: Periods of susceptibility.Environmental research · 2023Article
- Host, technical, and environmental factors affecting QuantiFERON-TB Gold In-Tube performance in children below 5 years of age.Scientific reports · 2022Article
- Tobacco smoke exposure and fractional exhaled nitric oxide levels among U.S. adolescents.Nitric oxide : biology and chemistry · 2021Article
- Comparison of Levels of Three Tobacco Smoke Exposure Biomarkers in Children of Smokers.International journal of environmental research and public health · 2021Article
- Association between Parental Cotinine-verified Smoking Status and Childhood Asthma: a Population-based Nationally Representative Analysis.Journal of Korean medical science · 2021Article
- Self-reported and Documented Substance Use Among Adolescents in the Pediatric Hospital.Pediatrics · 2021Article
- High Cotinine and Healthcare Utilization Disparities Among Low-Income Children.American journal of preventive medicine · 2021Article
- Asking the Right Questions About Secondhand Smoke.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2021Article
- Child tobacco smoke exposure and healthcare resource utilization patterns.Pediatric research · 2020Article
- Tobacco Smoke Exposure, Respiratory Health, and Health-care Utilization Among US Adolescents.Chest · 2020Article
- Screening, Counseling, and Health Care Utilization Among a National Sample of Adolescent Smokers.Clinical pediatrics · 2020Article
- Health-Related Quality of Life and Medical Resource Use in Patients with Osteoporosis and Depression: A Cross-Sectional Analysis from the National Health and Nutrition Examination Survey.International journal of environmental research and public health · 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
Corrections and comments
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Authors and funding
3 authors.
Funding
Abstract
introductionThis study assessed the relationship between secondhand smoke exposure (SHSe) as measured by serum cotinine and healthcare utilization among children.
methodsIn 2016, the 2009-2012 National Health and Nutrition Examination Survey data were analyzed including 4,985 children aged 3-19 years. Associations between SHSe and having a routine place for healthcare, type of place, and hospital utilization were examined using logistic regression models. Poisson regression analyses assessed the relationship between SHSe and number of hospital admissions. Relationships between SHSe and acute care visits and hospital utilization were examined among asthmatic children.
resultsSHSe level did not differ by having a routine place for healthcare, although children with high SHSe indicative of active smoking (cotinine ≥3 ng/mL) were 3.49 times (95% CI=1.77, 6.89) more likely to use an emergency department. Children with high SHSe were 2.85 times (95% CI=1.87, 4.34) more likely to have had an overnight hospital stay. Children with high SHSe had 2.05 times (95% CI=1.46, 2.87) the risk of having a higher number of hospital admissions for overnight stays versus children with no SHSe (cotinine <0.05 ng/mL). Among asthmatic children, those with high SHSe and low SHSe (cotinine 0.05-2.99 ng/mL) were more likely to have an acute care visit, overnight hospital stay, and higher number of hospital admissions than asthmatic children with no SHSe.
conclusionsHigh SHSe is associated with increased healthcare utilization. The emergency department and inpatient settings are important venues in which to routinely offer cessation and SHSe reduction interventions.
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Registered trials
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