Evidence map›Paper›PMID 30267890›Full record

Trial reportThe journal of allergy and clinical immunology. In practice2019

Phenotypes of Recurrent Wheezing in Preschool Children: Identification by Latent Class Analysis and Utility in Prediction of Future Exacerbation.

Anne M Fitzpatrick, Leonard B Bacharier, Theresa W Guilbert, Daniel J Jackson, Stanley J Szefler, Avraham Beigelman, Michael D Cabana, Ronina Covar, Fernando Holguin, Robert F Lemanske and 7 more

Registry-linked trialAbstract readClinical TrialMulticenter Study
In one paragraph

Trial report in The journal of allergy and clinical immunology. In practice, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06603584 (Phenotypes of Preschool Wheezing Among Children Attending Sohag University Hospital), which is not on this map. Cited by 27 papers.

0numbers the graph read from it
0cells of the map it votes in
27citing 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.

NCT06603584 recruitingnot on this mapstarted 2024, after this paper: background citation

Phenotypes of Preschool Wheezing Among Children Attending Sohag University Hospital

TypeobservationalSponsorSohag UniversityRan2024 to 2025Enrolled100ConditionsWheezingArmsChest x- Rays
3 · Its place in the literature

Who cites it

27 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Review
  5. Article
  6. Article
  7. Article
  8. Article
  9. Emergency management and asthma risk in young Medicaid-enrolled children with recurrent wheeze.The Journal of asthma : official journal of the Association for the Care of Asthma · 2024
    Article
  10. Article
  11. Article
  12. Review
  13. Article
  14. Clinical features and later prognosis of replicable early-life wheeze clusters from two birth cohorts 12 years apart.Pediatric allergy and immunology : official publication of the European Society of Pediatric Allergy and Immunology · 2023
    Article
  15. Social determinants of health influence preschool and caregiver experiences during symptoms and exacerbations of wheezing.Annals of allergy, asthma & immunology : official publication of the American College of Allergy, Asthma, & Immunology · 2023
    Article
  16. Article
  17. Blood Eosinophils for Prediction of Exacerbation in Preschool Children With Recurrent Wheezing.The journal of allergy and clinical immunology. In practice · 2023
    Article
  18. Modeling Wheezing Spells Identifies Phenotypes with Different Outcomes and Genetic Associates.American journal of respiratory and critical care medicine · 2022
    Article
  19. Review
  20. Atopic dermatitis and atopic march: which link?Acta bio-medica : Atenei Parmensis · 2021
    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

17 authors.

Anne M FitzpatrickDepartment of Pediatrics, Emory University, Atlanta, Ga; Children's Healthcare of Atlanta, Atlanta, Ga. Electronic address: anne.fitzpatrick@emory.edu.
Leonard B BacharierDepartment of Pediatrics, Washington University, St. Louis, Mo.
Theresa W GuilbertCincinnati Children's Hospital and Medical Center, Cincinnati, Ohio; Department of Pediatrics, University of Cincinnati, Cincinnati, Ohio.
Daniel J JacksonDepartment of Pediatrics, University of Wisconsin, Madison, Wis.
Stanley J SzeflerChildren's Hospital Colorado, Aurora, Colo; Department of Pediatrics, University of Colorado, Aurora, Colo.
Avraham BeigelmanDepartment of Pediatrics, Washington University, St. Louis, Mo.
Michael D CabanaDepartment of Pediatrics, University of California San Francisco, San Francisco, Calif.
Ronina CovarDepartment of Pediatrics, National Jewish Health, Denver, Colo.
Fernando HolguinDepartment of Pediatrics, University of Pittsburgh, Pittsburgh, Pa.
Robert F LemanskeDepartment of Pediatrics, University of Wisconsin, Madison, Wis.
Fernando D MartinezDepartment of Pediatrics, University of Arizona, Tucson, Ariz.
Wayne MorganDepartment of Pediatrics, University of Arizona, Tucson, Ariz.
Wanda PhipatanakulBoston Children's Hospital, Boston, Mass; Department of Pediatrics, Harvard Medical School, Boston, Mass.
Jacqueline A PongracicChildren's Memorial Hospital, Chicago, Ill.
Robert S ZeigerKaiser Permanente, Southern California Region, San Diego, Calif; Department of Pediatrics, University of California San Diego, San Diego, Calif.
David T MaugerDepartment of Statistics, Pennsylvania State University, Hershey, Pa.
NIH/NHLBI AsthmaNet

Funding

Implementing a Maternal health and PRegnancy Outcomes Vision for Everyone (IMPROVE)UL1TR002378 · NCATS · EMORY UNIVERSITY · PI Andres J Garcia, Elizabeth O. Ofili · 2017 to 2026
$92.1M
Data Coordinating Center for the NHLBI Asthma Network (AsthmaNet)U10HL098115 · NHLBI · PENNSYLVANIA STATE UNIV HERSHEY MED CTR · PI MAUGER, DAVID T. · 2009 to 2015
$57.6M
Northwestern University Clinical and Translational Science Institute (NUCATS)UL1TR001422 · NCATS · NORTHWESTERN UNIVERSITY AT CHICAGO · PI D'AQUILA, RICHARD · 2015 to 2023
$56.8M
SOUTHWEST ENVIRONMENTAL HEALTH SCIENCES CENTERP30ES006694 · NIEHS · UNIVERSITY OF ARIZONA · PI DEAN BILLHEIMER · 1994 to 2026
$36.7M
PEDIATRIC ASTHMA NETWORK DATA COORDINATING CENTERU10HL064313 · NHLBI · PENNSYLVANIA STATE UNIV HERSHEY MED CTR · PI MAUGER, DAVID T. · 1999 to 2008
$18.3M
Multidisciplinary Training Program in Pediatric PulmonaryT32HL072748 · NHLBI · JOHNS HOPKINS UNIVERSITY · PI Joseph Michael Collaco · 2003 to 2026
$6.1M
AsthmaNet: Brigham and Women's Hospital & Children's Hospital BostonU10HL098102 · NHLBI · BRIGHAM AND WOMEN'S HOSPITAL · PI ISRAEL, ELLIOT, PHIPATANAKUL, WANDA · 2009 to 2015
$5.5M
NCATS NIH HHS UL1 TR001422NCATS NIH HHS UL1 TR002378NHLBI NIH HHS T32 HL072748NHLBI NIH HHS U10 HL064313NHLBI NIH HHS U10 HL098102NHLBI NIH HHS U10 HL098115NIEHS NIH HHS P30 ES006694
6 · The paper itself

Abstract

backgroundRecurrent preschool wheezing is a heterogeneous disorder with significant morbidity, yet little is known about phenotypic determinants and their impact on clinical outcomes.

objectiveLatent class analysis (LCA) was used to identify latent classes of recurrent preschool wheeze and their association with future exacerbations and inhaled corticosteroid (ICS) treatment response.

methodsData from 5 clinical trials of 1708 children aged 12 to 71 months with recurrent wheezing were merged. LCA was performed on 10 demographic, exposure, and sensitization variables to determine the optimal number of latent classes. The primary outcome was the annualized rate of wheezing exacerbations requiring systemic corticosteroids during the study intervention period; the secondary outcome was the time to first exacerbation. Exploratory analyses examined the effect of daily ICS treatment on exacerbation outcomes.

resultsFour latent classes of recurrent wheezing were identified; these were not distinguished by current symptoms or historical exacerbations but differed with regard to allergen sensitization and/or exposures. Annualized exacerbation rates (mean ± SEM/year) were 0.65 ± 0.06 for class 1 ("minimal sensitization"), 0.93 ± 0.10 for class 2 ("sensitization with indoor pet exposure"), 0.60 ± 0.07 for class 3 ("sensitization with tobacco smoke exposure"), and 0.81 ± 0.10 for class 4 ("multiple sensitization and eczema") (P < .001). In a research setting of high adherence, daily ICS treatment improved exacerbation rates in classes 2 and 4 but not the other groups.

conclusionsSensitization and exposure assessments are useful in the prediction of future exacerbation and may identify children most likely to respond favorably to daily ICS treatment.

Indexed as

Respiratory SoundsAdrenal Cortex HormonesChild, PreschoolCross-Over StudiesDisease ProgressionFemaleHumansHypersensitivityInfantLatent Class AnalysisMalePhenotypeAdrenal Cortex HormonesAsthma exacerbationAsthma in childrenInhaled corticosteroidLatent class analysisPhenotypePreschool childSensitizationType 2 inflammationWheeze

Identifiers

PMID30267890
PMCPMC6401237

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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.