Evidence map›Paper›PMID 30933671›Full record

ArticleJournal of hospital medicine2019

Home Smoke Exposure and Health-Related Quality of Life in Children with Acute Respiratory Illness.

Jakobi Johnson, Karen M Wilson, Chuan Zhou, David P Johnson, Chén C Kenyon, Joel S Tieder, Andrea Dean, Rita Mangione-Smith, Derek J Williams

Open access · bronzeAbstract readMulticenter Study
In one paragraph

Article in Journal of hospital medicine, 2019. 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
0.7field-weighted citation impact, top 25% 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, 5 citations in OpenAlex.

  1. Article
  2. Article
  3. 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

9 authors at 9 institutions in 1 country.

Jakobi JohnsonDivision of Hospital Medicine, Monroe Carell Jr. Children's Hospital at Vanderbilt, Department of Pediatrics, Vanderbilt University School of Medicine, Nashville, Tennessee.
Karen M WilsonDivision of General Pediatrics, Kravis Children's Hospital, Icahn School of Medicine at Mount Sinai, New York, New York.
Chuan ZhouDepartment of Pediatrics, University of Washington and the Center for Child Health, Behavior, and Development, Seattle Children's Research Institute, Seattle, Washington.
David P JohnsonDivision of Hospital Medicine, Monroe Carell Jr. Children's Hospital at Vanderbilt, Department of Pediatrics, Vanderbilt University School of Medicine, Nashville, Tennessee.
Chén C KenyonCenter for Pediatric Clinical Effectiveness, The Children's Hospital of Philadelphia and the Department of Pediatrics, University of Pennsylvania School of Medicine, Philadelphia, Pennsylvania.
Joel S TiederDivision of General Pediatrics and Hospital Medicine, Department of Pediatrics, University of Washington and Seattle Children's Hospital, Seattle, Washington.
Andrea DeanSection of Pediatric Hospital Medicine, Texas Children's Hospital, Department of Pediatrics, Baylor College of Medicine, Houston, Texas.
Rita Mangione-SmithDepartment of Pediatrics, University of Washington and the Center for Child Health, Behavior, and Development, Seattle Children's Research Institute, Seattle, Washington.
Derek J WilliamsDivision of Hospital Medicine, Monroe Carell Jr. Children's Hospital at Vanderbilt, Department of Pediatrics, Vanderbilt University School of Medicine, Nashville, Tennessee.
Baylor College of Medicine · USMonroe Carell Jr. Children's Hospital · USMonroe Carell Jr. Children's Hospital · USMount Sinai Hospital · USSeattle Children's Hospital · USSeattle Children's Hospital · USUniversity of Pennsylvania · USUniversity of Washington · USVanderbilt University · US

Funding

Pediatric Respiratory Illness Measurement System (PRIMES) Implementation in Community Hospital SettingsR01HL121067 · NHLBI · SEATTLE CHILDREN'S HOSPITAL · PI MANGIONE-SMITH, RITA · 2014 to 2025
$6.4M
Incentive-based Mobile Health Adherence Intervention for High Risk Children with AsthmaK23HL136842 · NHLBI · CHILDREN'S HOSP OF PHILADELPHIA · PI KENYON, CHEN COLLIN · 2019 to 2023
$908k
NHLBI NIH HHS K23 HL136842NHLBI NIH HHS R01 HL121067
6 · The paper itself

Abstract

objectiveThis study aims to assess whether secondhand smoke (SHS) exposure has an impact on health-related quality of life (HRQOL) in children with acute respiratory illness (ARI).

methodsThis study was nested within a multicenter, prospective cohort study of children (two weeks to 16 years) with ARI (emergency department visits for croup and hospitalizations for croup, asthma, bronchiolitis, and pneumonia) between July 1, 2014 and June 30, 2016. Subjects were surveyed upon enrollment for sociodemographics, healthcare utilization, home SHS exposure (0 or ≥1 smoker in the home), and child HRQOL (Pediatric Quality of Life Physical Functioning Scale) for both baseline health (preceding illness) and acute illness (on admission). Data on insurance status and medical complexity were collected from the Pediatric Hospital Information System database. Multivariable linear mixed regression models examined associations between SHS exposure and HRQOL.

resultsHome SHS exposure was reported in 728 (32%) of the 2,309 included children. Compared with nonexposed children, SHS-exposed children had significantly lower HRQOL scores for baseline health (mean difference -3.04 [95% CI -4.34, -1.74]) and acute illness (-2.16 [-4.22, -0.10]). Associations were strongest among children living with two or more smokers. HRQOL scores were lower among SHS-exposed children for all four conditions but only significant at baseline for bronchiolitis (-2.94 [-5.0, -0.89]) and pneumonia (-4.13 [-6.82, -1.44]) and on admission for croup (-5.71 [-10.67, -0.75]).

conclusionsOur study demonstrates an association between regular SHS exposure and decreased HRQOL with a dose-dependent response for children with ARI, providing further evidence of the negative impact of SHS.

Indexed as

Respiratory Tract InfectionsAsthmaBronchiolitisChildCroupEmergency Service, HospitalFemaleHospitalizationHumansMalePatient Acceptance of Health CarePneumoniaProspective StudiesQuality of LifeSmokersSurveys and QuestionnairesTobacco Smoke Pollution

Identifiers

PMID30933671
PMCPMC6948779
OpenAlexW2931142490

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.