Evidence map›Paper›PMID 30154081›Full record

ArticleHospital pediatrics2018

Impact of Obesity on Asthma Morbidity During a Hospitalization.

Elissa Gross, Diana S Lee, Arda Hotz, Kim Chi Ngo, Deepa Rastogi

Abstract read
In one paragraph

Article in Hospital pediatrics, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 1 pooled it
2.5field-weighted citation impact, top 11% 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

20 citing papers in PubMed, 1 synthesis or guideline pooled it, 34 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Associations between body weight, asthma burden, and type 2 inflammation among under-resourced children.Annals of allergy, asthma & immunology : official publication of the American College of Allergy, Asthma, & Immunology · 2026
    Article
  4. National Economic Burden of Pediatric Asthma Hospitalizations.Annals of the American Thoracic Society · 2025
    Article
  5. Obesity: Next game changer of allergic airway diseases?Clinical and translational medicine · 2025
    Review
  6. Review
  7. Obesity-related pediatric asthma: relationships between pulmonary function and clinical outcomes.The Journal of asthma : official journal of the Association for the Care of Asthma · 2023
    Article
  8. Crosstalk between CD4American journal of respiratory and critical care medicine · 2023
    Article
  9. Article
  10. Article
  11. Review
  12. Observational
  13. Review
  14. Article
  15. Article
  16. The impact of obesity on immune function in pediatric asthma.Current opinion in allergy and clinical immunology · 2021
    Review
  17. Parental Feeding, Child Eating and Physical Activity: Differences in Children Living with and without Asthma.International journal of environmental research and public health · 2021
    Article
  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

5 authors at 3 institutions in 1 country.

Elissa GrossChildren's Hospital at Montefiore, Bronx, New York; egross@montefiore.org.
Diana S LeeChildren's Hospital at Montefiore, Bronx, New York.
Arda HotzBoston Children's Hospital, Boston, Massachusetts.
Kim Chi NgoAlbert Einstein College of Medicine, Bronx, New York; and.
Deepa RastogiChildren's Hospital at Montefiore, Bronx, New York.
Albert Einstein College of Medicine · USBoston Children's Museum · USChildren's Hospital at Montefiore · US

Funding

CTSA Administrative Supplement for Informatics Core: A novel AI/ML system to predict respiratory failure and ARDS in Covid-19 patientsUL1TR002556 · NCATS · ALBERT EINSTEIN COLLEGE OF MEDICINE, INC · PI KELLER, MARLA J, KIM, MIMI Y · 2018 to 2022
$26.7M
Genetic and Epigenetic Determinants of Pediatric Obesity-Associated AsthmaK23HL118733 · NHLBI · CHILDREN'S RESEARCH INSTITUTE · PI RASTOGI, DEEPA · 2014 to 2018
$893k
NCATS NIH HHS UL1 TR002556NHLBI NIH HHS K23 HL118733
6 · The paper itself

Abstract

backgroundAsthma and obesity are 2 common pediatric problems. Obesity is a known risk factor for asthma, and obese children with asthma have higher disease burden. However, little is known on how obesity in urban minority children, mainly Hispanic and African American children, impacts morbidity during pediatric asthma hospitalizations.

methodsA retrospective chart review was conducted on children and adolescents age 2 to 18 years hospitalized at the Children's Hospital at Montefiore for an acute asthma exacerbation. We elucidated the association of overweight or obese status with severity of the exacerbation, quantified by length of stay (LOS) and need for intensive care management. Multivariate analysis was conducted to identify independent predictors of LOS.

resultsA total of 975 children met the inclusion criteria, of whom 55% were normal weight and 45% were overweight or obese. Sixty percent were Hispanic, and 37% were African American. The overall average LOS was 2.57 days (range: 0.67-12.92). Overweight or obese status was associated with a higher asthma severity at baseline (

conclusionsObesity in children hospitalized for asthma is associated with more severe asthma exacerbations, longer LOS, and increased use of PICU level care, independent of their higher baseline disease severity and ethnicity.

Indexed as

AsthmaBlack or African AmericanChildChild, PreschoolComorbidityDatabases, FactualDisease ProgressionEthnicityFemaleHispanic or LatinoHospitalizationHospitals, PediatricHumansIntensive Care Units, PediatricLength of StayMale

Identifiers

PMID30154081
PMCPMC6561100
OpenAlexW2889218793

What OpenQuestion holds

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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.