Evidence map›Paper›PMID 31146802›Full record

ArticlePreventing chronic disease2019

Neighborhood Risk and Hospital Use for Pediatric Asthma, Rhode Island, 2005-2014.

Annie Gjelsvik, Michelle L Rogers, Aris Garro, Adam Sullivan, Daphne Koinis-Mitchell, Elizabeth L McQuaid, Raul Smego, Patrick M Vivier

Abstract read
In one paragraph

Article in Preventing chronic disease, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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.

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

4 citing papers in PubMed.

  1. Article
  2. The Role of Neighborhood Air Pollution in Disparate Racial and Ethnic Asthma Acute Care Use.American journal of respiratory and critical care medicine · 2024
    Article
  3. Article
  4. 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

8 authors.

Annie GjelsvikDepartment of Epidemiology, Brown University, Providence, Rhode Island.
Michelle L RogersHassenfeld Child Health Innovation Institute, Providence, Rhode Island.
Aris GarroDepartment of Emergency Medicine, Brown University Warren Alpert Medical School, Providence, Rhode Island.
Adam SullivanHassenfeld Child Health Innovation Institute, Providence, Rhode Island.
Daphne Koinis-MitchellHassenfeld Child Health Innovation Institute, Providence, Rhode Island.
Elizabeth L McQuaidHassenfeld Child Health Innovation Institute, Providence, Rhode Island.
Raul SmegoHassenfeld Child Health Innovation Institute, Providence, Rhode Island.
Patrick M VivierHassenfeld Child Health Innovation Institute, Providence, Rhode Island.

Funding

Tracking and Evaluation CoreU54GM115677 · NIGMS · BROWN UNIVERSITY · PI ROUNDS, SHARON IRENE SMITH · 2016 to 2025
$45.0M
NIGMS NIH HHS U54 GM115677
6 · The paper itself

Abstract

introductionStudies consistently show that children living in poor neighborhoods have worse asthma outcomes. The objective of our study was to assess the association between negative neighborhood factors (ie, neighborhood risk) and pediatric asthma hospital use.

methodsThis retrospective study used data from children aged 2 to 17 years in a statewide (Rhode Island) hospital network administrative database linked to US Census Bureau data. We defined an asthma visit as an International Classification of Diseases, 9th Revision, Clinical Modification (ICD-9-CM) code of 493 in any diagnosis field. We used 8 highly correlated measures for each census-block group to construct an index of neighborhood risk. We used maps and linear regression to assess the association of neighborhood risk with average annual census-block-group rates of asthma emergency department visits and hospitalizations. We used multivariable analyses to identify child characteristics and neighborhood risk associated with an asthma revisit, accounting for the child's sociodemographic information, season, and multiple measurements per child.

resultsFrom 2005 through 2014, we counted 359,195 visits for 146,889 children. Of these, 12,699 children (8.6%) had one or more asthma visits. Linear regression results showed 1.18 (95% confidence interval, 1.06-1.30) more average annual emergency departments visits per 100 children and 0.41 (95% confidence interval, 0.34-0.47) more average annual hospitalizations per 100 children in neighborhoods in the highest-risk index quintile than in neighborhoods in the lowest-risk index quintile.

conclusionInterventions to improve asthma outcomes among children should move beyond primary care or clinic settings and involve a careful evaluation of social context and environmental triggers.

Indexed as

Socioeconomic FactorsAdolescentAsthmaChildChild, PreschoolFemaleHospitalizationHumansMalePediatric Emergency MedicineResidence CharacteristicsRetrospective StudiesRhode Island

Identifiers

PMID31146802
PMCPMC6549429

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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.