Evidence map›Paper›PMID 30044863›Full record

ArticlePloS one2018

Association between blood eosinophil count and risk of readmission for patients with asthma: Historical cohort study.

Marjan Kerkhof, Trung N Tran, Maarten van den Berge, Guy G Brusselle, Gokul Gopalan, Rupert C M Jones, Janwillem W H Kocks, Andrew Menzies-Gow, Javier Nuevo, Ian D Pavord and 2 more

Abstract read
In one paragraph

Article in PloS one, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed
–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

22 citing papers in PubMed.

  1. Trial
  2. Review
  3. Article
  4. Article
  5. Article
  6. Article
  7. Genetic effects of allergen-specific IgE levels on exhaled nitric oxide in schoolchildren with asthma: The STOPPA twin study.Pediatric allergy and immunology : official publication of the European Society of Pediatric Allergy and Immunology · 2021
    Article
  8. Review
  9. Article
  10. Article
  11. Article
  12. Review
  13. Biomarkers of Oxidative Stress and Inflammation in Chronic Airway Diseases.International journal of molecular sciences · 2020
    Article
  14. Article
  15. Observational
  16. Article
  17. Review
  18. Article
  19. Article
  20. Article
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

12 authors.

Marjan KerkhofObservational & Pragmatic Research Institute Pte Ltd, Singapore, Singapore.
Trung N TranAstraZeneca, Gaithersburg, MD, United States of America.
Maarten van den BergeUniversity of Groningen, University Medical Center Groningen, Groningen, Netherlands.
Guy G BrusselleGhent University Hospital, Ghent, Belgium.
Gokul GopalanAstraZeneca, Gaithersburg, MD, United States of America.
Rupert C M JonesThe Peninsula College of Medicine and Dentistry, Plymouth, United Kingdom.
Janwillem W H KocksObservational & Pragmatic Research Institute Pte Ltd, Singapore, Singapore.
Andrew Menzies-GowRoyal Brompton and Harefield NHS Foundation Trust, London, United Kingdom.
Javier NuevoAstraZeneca, Madrid, Spain.
Ian D PavordRespiratory Medicine Unit and Oxford Respiratory NIHR BRC, Nuffield Department of Medicine, University of Oxford, Oxford, United Kingdom.
Sarang RastogiAstraZeneca, Gaithersburg, MD, United States of America.
David B PriceObservational & Pragmatic Research Institute Pte Ltd, Singapore, Singapore.ORCID 0000-0002-9728-9992

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundRecent studies have demonstrated an association between high blood eosinophil counts and greater risk of asthma exacerbations. We sought to determine whether patients hospitalized for an asthma exacerbation were at greater risk of readmission if they had a high blood eosinophil count documented before the first hospitalization.

methodsThis historical cohort study drew on 2 years of medical record data (Clinical Practice Research Datalink with Hospital Episode Statistics linkage) of patients (aged ≥5 years) admitted to hospital in England for asthma, with recorded blood eosinophil count within 1 baseline year before admission. We analyzed the association between high blood eosinophil count (≥0.35x109 cells/L) and readmission risk during 1 year of follow-up after hospital discharge, with adjustment for predefined, relevant confounders using forward selection.

resultsWe identified 2,613 eligible patients with asthma-related admission, of median age 51 years (interquartile range, 36-69) and 76% women (1,997/2,613). Overall, 835/2,613 (32.0%) had a preadmission high blood eosinophil count. During the follow-up year, 130/2,613 patients (5.0%) were readmitted for asthma, including 55/835 (6.6%) with vs. 75/1,778 (4.2%) without high blood eosinophil count at baseline (adjusted hazard ratio [HR] 1.49; 95% CI 1.04-2.13, p = 0.029). The association was strongest in never-smokers (n = 1,296; HR 2.16, 95% CI 1.27-3.68, p = 0.005) and absent in current smokers (n = 547; HR 1.00, 95% CI 0.49-2.04, p = 0.997).

conclusionsA high blood eosinophil count in the year before an asthma-related hospitalization is associated with increased risk of readmission within the following year. These findings suggest that patients with asthma and preadmission high blood eosinophil count require careful follow-up, with treatment optimization, after discharge.

Indexed as

EosinophilsPatient ReadmissionAdolescentAdultAgedAsthmaChildChild, PreschoolCohort StudiesFemaleFollow-Up StudiesHumansLength of StayLeukocyte CountMaleMiddle Aged

Identifiers

PMID30044863
PMCPMC6059485

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.