Evidence map›Paper›PMID 30986181›Full record

ArticleJournal of hospital medicine2019

Critical Errors in Inhaler Technique among Children Hospitalized with Asthma.

Waheeda Samady, Victoria A Rodriguez, Ruchi Gupta, Hannah Palac, Marina Karamanis, Valerie G Press

Open access · bronzeAbstract read
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 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
1.4field-weighted citation impact, top 18% 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

8 citing papers in PubMed, 23 citations in OpenAlex.

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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

6 authors at 4 institutions in 1 country.

Waheeda SamadyAnn and Robert H. Lurie Children's Hospital of Chicago, Chicago, Illinois.
Victoria A RodriguezAnn and Robert H. Lurie Children's Hospital of Chicago, Chicago, Illinois.
Ruchi GuptaAnn and Robert H. Lurie Children's Hospital of Chicago, Chicago, Illinois.
Hannah PalacNorthwestern University Feinberg School of Medicine, Chicago, Illinois.
Marina KaramanisMidwestern University, Downers Grove, Illinois.
Valerie G PressUniversity of Chicago, Chicago, Illinois.
Northwestern University · USLurie Children's Hospital · USMidwestern University · USUniversity of Chicago · US

Funding

Video vs. TTG Respiratory inhaler technique Assessment and InstructioN (V-TRAIN)K23HL118151 · NHLBI · UNIVERSITY OF CHICAGO · PI PRESS, VALERIE G · 2013 to 2016
$658k
EPA EP-C-17-009NHLBI NIH HHS K23 HL118151
6 · The paper itself

Abstract

Past studies have not evaluated inhaler use in hospitalized children with asthma. The objectives of this study were to evaluate inhaler technique in hospitalized pediatric patients with asthma and identify risk factors for improper use. We conducted a prospective cross-sectional study in a tertiary children's hospital for children 2-16 years of age admitted for an asthma exacerbation, and inhaler technique demonstrations were analyzed. Of 113 participants enrolled, 55% had uncontrolled asthma, and 42% missed a critical step in inhaler technique. More patients missed a critical step when they used a spacer with mouthpiece instead of a spacer with mask (75% [51%-90%] vs 36% [27%-46%]) and were older (7.8 [6.7-8.9] vs 5.8 [5.1-6.5] years). Patients using the spacer with mouthpiece remained significantly more likely to miss a critical step when adjusting for other clinical covariates (odds ratio 6.95 [1.71-28.23], P = .007). Hospital-based education may provide teachable moments to address poor proficiency, especially for older children using a mouthpiece.

Indexed as

HospitalizationNebulizers and VaporizersPediatricsAsthmaChildCross-Sectional StudiesFemaleHumansInpatientsMalePatient Education as TopicProspective Studies

Identifiers

PMID30986181
PMCPMC6625439
OpenAlexW2937972347

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.