Evidence map›Paper›PMID 32035409›Full record

ArticleEnvironmental research2020

Ozone-related asthma emergency department visits in the US in a warming climate.

Nicholas Nassikas, Keith Spangler, Neal Fann, Christopher G Nolte, Patrick Dolwick, Tanya L Spero, Perry Sheffield, Gregory A Wellenius

Abstract read
In one paragraph

Article in Environmental research, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing 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

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

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Air Pollution and Effects of Tropospheric Ozone (OInternational journal of environmental research and public health · 2025
    Review
  6. Article
  7. Article
  8. Article
  9. Ozone Exposure and Asthma Attack in Children.Frontiers in pediatrics · 2022
    Article
  10. Article
  11. Outdoor air pollution and the onset and exacerbation of asthma.Chronic diseases and translational medicine · 2021
    Review
  12. Article
  13. 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.

Nicholas NassikasDepartment of Pulmonary, Critical Care, and Sleep Medicine, Brown University Alpert Medical School, Providence, RI, 02903, USA. Electronic address: Nicholas_nassikas@brown.edu.
Keith SpanglerDepartment of Earth, Environmental, and Planetary Sciences, Brown University, Providence, RI, 02912, USA; Department of Epidemiology, Brown University School of Public Health, Providence, RI, 02903, USA; Institute at Brown for Environment and Society, Brown University, Providence, RI, 02912, USA.
Neal FannU.S. Environmental Protection Agency, Office of Air Quality Planning and Standards, Research Triangle Park, NC, 27709, USA.
Christopher G NolteU.S. Environmental Protection Agency, Office of Research and Development, Research Triangle Park, NC, 27709, USA.
Patrick DolwickU.S. Environmental Protection Agency, Office of Air Quality Planning and Standards, Research Triangle Park, NC, 27709, USA.
Tanya L SperoU.S. Environmental Protection Agency, Office of Research and Development, Research Triangle Park, NC, 27709, USA.
Perry SheffieldDepartment of Environmental Medicine and Public Health, Icahn School of Medicine at Mount Sinai, New York City, NY, 10029, USA.
Gregory A WelleniusDepartment of Epidemiology, Brown University School of Public Health, Providence, RI, 02903, USA.

Funding

Evidence to improve heat warning effectiveness in reducing morbidity and mortality.R01ES029950 · NIEHS · BROWN UNIVERSITY · PI WELLENIUS, GREGORY A · 2019 to 2022
$2.5M
Intramural EPA EPA999999NIEHS NIH HHS R01 ES029950
6 · The paper itself

Abstract

Ozone exposure is associated with higher risk of asthma-related emergency department visits. The meteorological conditions that govern ozone concentration are projected to be more favorable to ozone formation over much of the United States due to continued climate change, even as emissions of anthropogenic ozone precursors are expected to decrease by 2050. Our goal is to quantify the health benefits of a climate change mitigation scenario versus a "business-as-usual" scenario, defined by the United Nations Intergovernmental Panel on Climate Change Representative Concentration Pathways (RCPs) 4.5 and 8.5, respectively, using the health impact analytical program Benefits Mapping and Analysis Program - Community Edition (BenMAP - CE) to project the number of asthma ED visits in 2045-2055. We project an annual average of 3100 averted ozone-related asthma ED visits during the 2045-2055 period under RCP4.5 versus RCP8.5, with all other factors held constant, which translates to USD $1.7 million in averted costs annually. We identify counties with tens to hundreds of avoided ozone-related asthma ED visits under RCP4.5 versus RCP8.5. Overall, we project a heterogeneous distribution of ozone-related asthma ED visits at different spatial resolutions, specifically national, regional, and county levels, and a substantial net health and economic benefit of climate change mitigation.

Indexed as

Air PollutantsAsthmaEmergency Service, HospitalOzoneClimate ChangeHumansUnited StatesAir PollutantsOzoneAsthmaClimate changeEmergency department visitOzone

Identifiers

PMID32035409
PMCPMC7167359

What OpenQuestion holds

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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.