Evidence map›Paper›PMID 28877939›Full record

Observational studyBMJ open2017

Daycare attendance and respiratory tract infections: a prospective birth cohort study.

Linnea Schuez-Havupalo, Laura Toivonen, Sinikka Karppinen, Anne Kaljonen, Ville Peltola

Registry-linked trialAbstract readObservational Study
In one paragraph

Observational study in BMJ open, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04534036 (A 12-week Randomized, Double-Blind Controlled Trial to Evaluate the Tolerability and Gastrointestinal Response of a Novel, Multi-Strain Synbiotic), which is not on this map. Cited by 39 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
39citing papers in PubMed, 3 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.

NCT04534036 nacompletednot on this mapstarted 2020, after this paper: background citation

A 12-week Randomized, Double-Blind Controlled Trial to Evaluate the Tolerability and Gastrointestinal Response of a Novel, Multi-Strain Synbiotic (PDS-08™) in Children Ages 3-17

TypeinterventionalSponsorSeed HealthRan2020 to 2022Enrolled64ConditionsConstipation, Signs and Symptoms, Digestive Signs and Symptoms, Infrequent or Difficult EvacuationArmsPDS-08, Placebo
3 · Its place in the literature

Who cites it

39 citing papers in PubMed, 3 syntheses or guidelines pooled it.

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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

5 authors.

Linnea Schuez-HavupaloDepartment of Paediatrics and Adolescent Medicine, Turku University Hospital, Turku, Finland.
Laura ToivonenDepartment of Paediatrics and Adolescent Medicine, Turku University Hospital, Turku, Finland.
Sinikka KarppinenDepartment of Paediatrics and Adolescent Medicine, Turku University Hospital, Turku, Finland.
Anne KaljonenTurku Institute for Child and Youth Research, University of Turku, Turku, Finland.
Ville PeltolaDepartment of Paediatrics and Adolescent Medicine, Turku University Hospital, Turku, Finland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveWe explored the burden of respiratory tract infections (RTIs) in young children with regard to day-care initiation.

designLongitudinal prospective birth cohort study. SETTING AND

methodsWe recruited 1827 children for follow-up until the age of 24 months collecting diary data on RTIs and daycare. Children with continuous daycare type and complete data were divided into groups of centre-based daycare (n=299), family day care (FDC) (n=245) and home care (n=350). Using repeated measures variance analyses, we analysed days per month with symptoms of respiratory tract infection, antibiotic treatments and parental absence from work for a period of 6 months prior to and 9 months after the start of daycare.

resultsWe documented a significant effect of time and type of daycare, as well as a significant interaction between them for all outcome measures. There was a rise in mean days with symptoms from 3.79 (95% CI 3.04 to 4.53) during the month preceding centre-based daycare to 10.57 (95% CI 9.35 to 11.79) at 2 months after the start of centre-based daycare, with a subsequent decrease within the following 9 months. Similar patterns with a rise and decline were observed in the use of antibiotics and parental absences. The start of FDC had weaker effects. Our findings were not changed when taking into account confounding factors.

conclusionsOur study shows the rapid increase in respiratory infections after start of daycare and a relatively fast decline in the course of time with continued daycare. It is important to support families around the beginning of daycare.

Indexed as

Child Day Care CentersAnti-Bacterial AgentsCost of IllnessFemaleFinlandHumansInfantInfant CareMaleProspective StudiesRespiratory Tract InfectionsRisk FactorsAnti-Bacterial Agentscommunity child healthrespiratory infections

Identifiers

PMID28877939
PMCPMC5588939

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Registered trials

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.