Evidence map›Paper›PMID 29228933›Full record

ArticleBMC pulmonary medicine2017

Pulmonary exacerbations and clinical outcomes in a longitudinal cohort of infants and preschool children with cystic fibrosis.

Jordana E Hoppe, Brandie D Wagner, Scott D Sagel, Frank J Accurso, Edith T Zemanick

Open access · goldAbstract read
In one paragraph

Article in BMC pulmonary medicine, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
1.0field-weighted citation impact, top 21% of its field
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

3 citing papers in PubMed, 11 citations in OpenAlex.

  1. Article
  2. Review
  3. Observational
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 at 2 institutions in 1 country.

Jordana E HoppeDepartment of Pediatrics, University of Colorado School of Medicine and Children's Hospital Colorado, 13123 E 16th Avenue, B-395, Aurora, CO, 80045, USA. jordana.hoppe@childrenscolorado.org.ORCID http://orcid.org/0000-0002-1588-4852
Brandie D WagnerDepartment of Pediatrics, University of Colorado School of Medicine and Children's Hospital Colorado, 13123 E 16th Avenue, B-395, Aurora, CO, 80045, USA.
Scott D SagelDepartment of Pediatrics, University of Colorado School of Medicine and Children's Hospital Colorado, 13123 E 16th Avenue, B-395, Aurora, CO, 80045, USA.
Frank J AccursoDepartment of Pediatrics, University of Colorado School of Medicine and Children's Hospital Colorado, 13123 E 16th Avenue, B-395, Aurora, CO, 80045, USA.
Edith T ZemanickDepartment of Pediatrics, University of Colorado School of Medicine and Children's Hospital Colorado, 13123 E 16th Avenue, B-395, Aurora, CO, 80045, USA.
Children's Hospital Colorado · USColorado School of Public Health · US

Funding

Colorado Clinical and Translational Sciences InstituteUL1TR001082 · NCATS · UNIVERSITY OF COLORADO DENVER · PI SOKOL, RONALD J. · 2013 to 2017
$48.0M
Airway Microbiome in Cystic Fibrosis Pulmonary ExacerbationsK23HL114883 · NHLBI · UNIVERSITY OF COLORADO DENVER · PI ZEMANICK, EDITH TOWLER · 2014 to 2017
$615k
Cystic Fibrosis Foundation ZEMANI08A0Cystic Fibrosis Foundation (US) ACCURSO3Y02Cystic Fibrosis Foundation (US) HOPPE14D0, HOPPE16A0National Center for Advancing Translational Sciences UL1 TR001082National Heart, Lung, and Blood Institute K23 HL114883-01A1NCATS NIH HHS UL1 TR001082NHLBI NIH HHS K23 HL114883
6 · The paper itself

Abstract

backgroundPulmonary exacerbations (PEx) in school aged children and adults with cystic fibrosis (CF) lead to increased morbidity and lung function decline. However, the effect of exacerbations in young children with CF is not fully understood. We sought to characterize the frequency and clinical impact of PEx in a pilot study of infants and pre-school aged children with CF.

methodsThirty young children with CF [median (range) 1.5 years (0.2-4.9)] were prospectively followed for 2 years. Exacerbation frequency (hospitalizations and outpatient antibiotic use) was determined. Chest radiographs were performed at enrollment and study completion and assigned a Brasfield score. Lung function at age 7 years was assessed in a subset of children. The association between PEx frequency, chest radiograph score, and lung function was determined using Spearman correlation coefficients and corresponding 95% confidence intervals. Correlations with an absolute magnitude of 0.3 or greater were considered clinically significant.

resultsOver 2 years, participants experienced a median of two PEx (range 0-13). Chest radiograph scores at enrollment and study completion were inversely associated with PEx frequency (R = -0.48 and R = -0.44, respectively). The association between frequency of PEx and lung function [forced expiratory volume in 1 s (FEV

conclusionsChildren with worse chest radiograph scores had more frequent PEx over the subsequent 2 years, suggesting a group of patients at higher risk for PEx. Frequent PEx in infants and young children with CF were not associated with lower FEV

Indexed as

Cystic FibrosisLungAnti-Bacterial AgentsChild, PreschoolCohort StudiesDisease ProgressionFemaleHumansInfantMalePilot ProjectsRadiographyRespiratory Function TestsAnti-Bacterial AgentsAntibioticsCystic fibrosisLung functionPulmonary exacerbation

Identifiers

PMID29228933
PMCPMC5725640
OpenAlexW2772424205

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.