Evidence map›Paper›PMID 28756082›Full record

ArticleThe journal of allergy and clinical immunology. In practice

Asthma Morbidity, Comorbidities, and Modifiable Factors Among Older Adults.

Joy Hsu, Jessica Chen, Maria C Mirabelli

Abstract read
In one paragraph

Article in The journal of allergy and clinical immunology. In practice. 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.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 1 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

23 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Review
  3. Sex, hormones, and lung health.Physiological reviews · 2026
    Review
  4. Article
  5. Risk Factors for Acute Asthma Exacerbations in Adults With Mild Asthma.The journal of allergy and clinical immunology. In practice · 2024
    Article
  6. Article
  7. Article
  8. The relationship between social support, self-efficacy, and asthma outcomes in older adults.The Journal of asthma : official journal of the Association for the Care of Asthma · 2023
    Article
  9. Review
  10. Article
  11. Article
  12. Article
  13. Article
  14. Characteristics of older adult hospitalized patients with bronchial asthma: a retrospective study.Allergy, asthma, and clinical immunology : official journal of the Canadian Society of Allergy and Clinical Immunology · 2021
    Article
  15. Article
  16. Review
  17. Article
  18. Physical Activity: A Missing Link in Asthma Care.Journal of clinical medicine · 2020
    Review
  19. Article
  20. Novel Insights on Sex-Related Differences in Asthma.Current allergy and asthma reports · 2019
    Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

3 authors.

Joy HsuAir Pollution and Respiratory Health Branch, Division of Environmental Hazards and Health Effects, National Center for Environmental Health, Centers for Disease Control and Prevention, Atlanta, Ga. Electronic address: xdd6@cdc.gov.
Jessica ChenRollins School of Public Health, Emory University, Atlanta, Ga.
Maria C MirabelliAir Pollution and Respiratory Health Branch, Division of Environmental Hazards and Health Effects, National Center for Environmental Health, Centers for Disease Control and Prevention, Atlanta, Ga.

Funding

Intramural CDC HHS CC999999
6 · The paper itself

Abstract

backgroundAsthma morbidity is increased among older adults, especially older adult women. Interventions to improve asthma control in this population are not well described.

objectiveThe objective of this study was to identify risk factors (including modifiable factors) associated with asthma-related hospitalizations and emergency department or urgent care center visits (ED/UCV) among older adults. A secondary objective was to investigate sex differences in variables relevant to asthma control.

methodsData were obtained from 14,076 older adults ≥65 years with active asthma participating in the 2006-2010 Behavioral Risk Factor Surveillance System Asthma Call-back Survey (a random-digit dialed survey) in 40 US states, the District of Columbia, and Puerto Rico, representative of >2.6 million persons. Weighted, adjusted logistic regression was conducted.

resultsOne or more asthma-related hospitalizations in the past year were reported by 5.7% (95% confidence interval [95% CI] = 5.0% to 6.4%) of participants; 10.6% (95% CI = 9.7% to 11.5%) reported ≥1 asthma-related ED/UCV. Compared with older adults without asthma-related hospitalizations, adjusted odds were higher among those with ≥1 asthma-related hospitalization for chronic obstructive pulmonary disease (COPD), coronary artery disease, depression, cockroaches or mold in the home, and cost barriers to asthma-related health care or medication. All these factors, except for cockroaches, were associated with asthma-related ED/UCV. Compared with males, adjusted odds were higher among females for COPD, depression, obesity, and cost barriers to asthma-related health care or medication.

conclusionsAmong older adults, asthma-related hospitalizations and ED/UCV were associated with clinical comorbidities, mold in the home, and financial barriers to asthma-related health care. Interventions addressing modifiable factors could reduce asthma morbidity among older adults.

Indexed as

Age FactorsAgedAged, 80 and overAllergensAnimalsAsthmaCockroachesComorbidityCoronary Artery DiseaseDepressionEmergency Medical ServicesFemaleFungiHealth Services AccessibilityHospitalizationHumansAllergensAsthmaChronic obstructive pulmonary diseaseCockroachCostDepressionElderlyEnvironmentHealth care utilizationMoldOlder adults

Identifiers

PMID28756082
PMCPMC5760447

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Registered trials

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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.