Evidence map›Paper›PMID 31876035›Full record

Trial reportClinical and experimental allergy : journal of the British Society for Allergy and Clinical Immunology2020

Longitudinal trajectories of severe wheeze exacerbations from infancy to school age and their association with early-life risk factors and late asthma outcomes.

Matea Deliu, Sara Fontanella, Sadia Haider, Matthew Sperrin, Nophar Geifman, Clare Murray, Angela Simpson, Adnan Custovic

Abstract readClinical Trial
In one paragraph

Trial report in Clinical and experimental allergy : journal of the British Society for Allergy and Clinical Immunology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 1 pooled it
–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

19 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Longitudinal trajectories of severe wheeze exacerbations from infancy to school age and their association with early-life risk factors and late asthma outcomes.Clinical and experimental allergy : journal of the British Society for Allergy and Clinical Immunology · 2020
    Trial
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Social inequalities in childhood asthma.The World Allergy Organization journal · 2024
    Review
  10. Article
  11. Review
  12. Article
  13. Article
  14. Article
  15. Article
  16. Childhood CCL18, CXCL10 and CXCL11 levels differentially relate to and predict allergy development.Pediatric allergy and immunology : official publication of the European Society of Pediatric Allergy and Immunology · 2021
    Article
  17. Recurrent Severe Preschool Wheeze: From Prespecified Diagnostic Labels to Underlying Endotypes.American journal of respiratory and critical care medicine · 2021
    Article
  18. Article
  19. Review
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.

Matea DeliuDivision of Informatics, Imaging, and Data Science, Faculty of Medicine, Biology, and Health, University of Manchester, Manchester, UK.ORCID 0000-0002-6254-2708
Sara FontanellaNational Heart and Lung Institute, Imperial College of Science, Technology, and Medicine, London, UK.
Sadia HaiderNational Heart and Lung Institute, Imperial College of Science, Technology, and Medicine, London, UK.
Matthew SperrinDivision of Informatics, Imaging, and Data Science, Faculty of Medicine, Biology, and Health, University of Manchester, Manchester, UK.
Nophar GeifmanDivision of Informatics, Imaging, and Data Science, Faculty of Medicine, Biology, and Health, University of Manchester, Manchester, UK.
Clare MurrayDivision of Infection, Immunity, and Respiratory Medicine, School of Biological Sciences, University of Manchester, Manchester, UK.
Angela SimpsonDivision of Infection, Immunity, and Respiratory Medicine, School of Biological Sciences, University of Manchester, Manchester, UK.
Adnan CustovicNational Heart and Lung Institute, Imperial College of Science, Technology, and Medicine, London, UK.ORCID 0000-0001-5218-7071

Funding

Medical Research Council G0601361Medical Research Council MC_PC_13042Medical Research Council MR/K002449/1Medical Research Council MR/K002449/2Medical Research Council MR/K006665/1Medical Research Council MR/LO12693/1Medical Research Council MR/S025340/1
6 · The paper itself

Abstract

introductionExacerbation-prone asthma subtype has been reported in studies using data-driven methodologies. However, patterns of severe exacerbations have not been studied.

objectiveTo investigate longitudinal trajectories of severe wheeze exacerbations from infancy to school age.

methodsWe applied longitudinal k-means clustering to derive exacerbation trajectories among 887 participants from a population-based birth cohort with severe wheeze exacerbations confirmed in healthcare records. We examined early-life risk factors of the derived trajectories, and their asthma-related outcomes and lung function in adolescence.

results498/887 children (56%) had physician-confirmed wheeze by age 8 years, of whom 160 had at least one severe exacerbation. A two-cluster model provided the optimal solution for severe exacerbation trajectories among these 160 children: "Infrequent exacerbations (IE)" (n = 150, 93.7%) and "Early-onset frequent exacerbations (FE)" (n = 10, 6.3%). Shorter duration of breastfeeding was the strongest early-life risk factor for FE (weeks, median [IQR]: FE, 0 [0-1.75] vs. IE, 6 [0-20], P < .001). Specific airway resistance (sR

conclusionWe have identified two distinct trajectories of severe exacerbations during childhood with different early-life risk factors and asthma-related outcomes in adolescence.

Indexed as

AsthmaRespiratory SoundsAdolescentChildChild, PreschoolFemaleFollow-Up StudiesHumansInfantInfant, NewbornLongitudinal StudiesMaleRespiratory Function TestsRisk Factorsasthma exacerbationschildhood asthmamachine learningprimary care data

Identifiers

PMID31876035
PMCPMC7065181

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.