Evidence map›Paper›PMID 30444283›Full record

ArticleRespirology (Carlton, Vic.)2019

Effect of CPAP on airway reactivity and airway inflammation in children with moderate-severe asthma.

Eduardo Praca, Hasnaa Jalou, Nadia Krupp, Angela Delecaris, Joseph Hatch, James Slaven, Susan J Gunst, Robert S Tepper

Open access · greenAbstract read
In one paragraph

Article in Respirology (Carlton, Vic.), 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
0.4field-weighted citation impact, top 35% 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

2 citing papers in PubMed, 1 synthesis or guideline pooled it, 4 citations in OpenAlex.

  1. Non-invasive positive pressure ventilation for acute asthma in children.The Cochrane database of systematic reviews · 2024
    Pooled it
  2. Trial
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

8 authors at 3 institutions in 1 country.

Eduardo PracaDepartment of Pediatrics, Division of Pulmonology, James Whitcomb Riley Hospital for Children, Indiana University School of Medicine, Indianapolis, IN, USA.
Hasnaa JalouDepartment of Pediatrics, Division of Pulmonology, James Whitcomb Riley Hospital for Children, Indiana University School of Medicine, Indianapolis, IN, USA.
Nadia KruppDepartment of Pediatrics, Division of Pulmonology, James Whitcomb Riley Hospital for Children, Indiana University School of Medicine, Indianapolis, IN, USA.
Angela DelecarisDepartment of Pediatrics, Division of Pulmonology, James Whitcomb Riley Hospital for Children, Indiana University School of Medicine, Indianapolis, IN, USA.
Joseph HatchDepartment of Pediatrics, Division of Pulmonology, James Whitcomb Riley Hospital for Children, Indiana University School of Medicine, Indianapolis, IN, USA.
James SlavenDepartment of Biostatistics, Indiana University Schools of Medicine and Public Health, Indianapolis, IN, USA.
Susan J GunstDepartment of Cellular and Integrative Physiology, Indiana University School of Medicine, Indianapolis, IN, USA.
Robert S TepperDepartment of Pediatrics, Division of Pulmonology, James Whitcomb Riley Hospital for Children, Indiana University School of Medicine, Indianapolis, IN, USA.ORCID 0000-0003-3322-5903
Riley Hospital for Children · USIndianapolis Public Schools · USIndiana University School of Medicine

Funding

Smooth Muscle Mechanisms in Dynamic Airways PropertiesR01HL029289 · NHLBI · MAYO CLINIC COLL OF MEDICINE, ROCHESTER · PI GUNST, SUSAN J. · 1986 to 2020
$7.3M
Modulation of Airway Reactivity with Chronic Mechanical StrainR01HL048522 · NHLBI · INDIANA UNIV-PURDUE UNIV AT INDIANAPOLIS · PI GUNST, SUSAN J., TEPPER, ROBERT S. · 1992 to 2017
$6.2M
NHLBI NIH HHS R01 HL029289NHLBI NIH HHS R01 HL048522
6 · The paper itself

Abstract

BACKGROUND AND

objectiveAsthma is characterized by airway hyperreactivity and airway inflammation. We previously demonstrated that adults with mild well-controlled asthma exhibited a marked decrease in airway reactivity (PC20 increased >2-fold) after using nocturnal continuous positive airway pressure (CPAP) for 1 week. If CPAP produces a similar suppression of airway reactivity in children with moderate-severe asthma, who require chronic use of corticosteroids, then this non-pharmacological therapy might provide a beneficial alternative or supplemental therapy in these subjects.

methodsChildren aged 8-17 years with moderate-severe asthma were treated with 4 weeks of nocturnal CPAP (8-10 cm H

resultsThe percentage of subjects adherent to treatment was similar in both groups (19/27 CPAP vs 19/28 sham, ~70%). There was a tendency for PC20 to increase with treatment in both groups (3.0-5.3 mg/mL CPAP vs 3.2 to 4.3 mg/mL sham, P = 0.083); however, the change did not differ significantly between groups (P = 0.569).

conclusionWe found that the 4-week treatment with nocturnal CPAP did not produce a twofold suppression of airway reactivity in children with moderate-severe asthma.

Indexed as

Continuous Positive Airway PressureAdolescentAsthmaBronchial Provocation TestsBronchoconstrictor AgentsChildFemaleForced Expiratory VolumeHumansInflammationMaleMethacholine ChlorideBronchoconstrictor AgentsMethacholine Chloridebronchial challengechronic mechanical straininduced sputumlung function

Identifiers

PMID30444283
PMCPMC6743322
OpenAlexW2900785651

What OpenQuestion holds

Textmetadata
LicenceTDM
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.