Evidence map›Paper›PMID 32141261›Full record

ArticleAllergy, asthma & immunology research2020

Hospitalization Due to Asthma Exacerbation: A China Asthma Research Network (CARN) Retrospective Study in 29 Provinces Across Mainland China.

Jiangtao Lin, Bin Xing, Huaping Tang, Lan Yang, Yadong Yuan, Yuhai Gu, Ping Chen, Xiaoju Liu, Jie Zhang, Huiguo Liu and 21 more

Open access · diamondAbstract read
In one paragraph

Article in Allergy, asthma & immunology research, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
2.0field-weighted citation impact, top 13% 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

10 citing papers in PubMed, 24 citations in OpenAlex.

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  9. Variability ofThe World Allergy Organization journal · 2021
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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

31 authors at 20 institutions in 1 country.

Jiangtao LinDepartment of Pulmonary and Critical Care Medicine, China-Japan Friendship Hospital, Beijing, China. jiangtao_l@263.net.ORCID https://orcid.org/0000-0002-1336-3922
Bin XingDepartment of Pulmonary and Critical Care Medicine, China-Japan Friendship Hospital, Beijing, China.ORCID https://orcid.org/0000-0002-2700-9289
Huaping TangDepartment of Respiration, Qingdao Municipal Hospital, Qingdao, Shandong, China.ORCID https://orcid.org/0000-0002-2464-5028
Lan YangDepartment of Pulmonary and Critical Care Medicine, The First Affiliated Hospital of Xi'an Jiaotong University, Xi'an, China.ORCID https://orcid.org/0000-0003-3252-3300
Yadong YuanDepartment of Respiration, The Second Hospital of Hebei Medical University, Shijiazhuang, China.ORCID https://orcid.org/0000-0002-2417-1803
Yuhai GuDepartment of Respiration, Qinghai People's Hospital, Xining, China.ORCID https://orcid.org/0000-0001-5568-062X
Ping ChenDepartment of Respiratory Diseases, General Hospital of Shenyang Military Command, Shenyang, China.ORCID https://orcid.org/0000-0003-2126-9976
Xiaoju LiuDepartment of Respiration, The First Affiliated Hospital of Lanzhou University, Lanzhou, China.ORCID https://orcid.org/0000-0002-8830-9429
Jie ZhangDepartment of Pulmonary and Critical Care Medicine, The Second Hospital of Jilin University, Changchun, China.ORCID https://orcid.org/0000-0002-9888-5665
Huiguo LiuDepartment of Respiration, Tongji Hospital, Wuhan, China.ORCID https://orcid.org/0000-0001-9229-4840
Changzheng WangDepartment of Respiration, Xinqiao Hospital, Third Military Medical University, Chongqing, China.ORCID https://orcid.org/0000-0002-4728-1781
Wei ZhouDepartment of Respiration, General Hospital of Ningxia Medical University, Yinchuan, China.ORCID https://orcid.org/0000-0001-9981-6437
Dejun SunDepartment of Pulmonary and Critical Care Medicine, Inner Mongolia People's Hospital, Hohhot, China.ORCID https://orcid.org/0000-0003-0841-1501
Yiqiang ChenDepartment of Respiration, The First Affiliated Hospital of Guangxi Medical University, Nanning, China.ORCID https://orcid.org/0000-0001-6270-8600
Zhuochang ChenDepartment of Respiration, Henan Provincial People's Hospital, Zhengzhou, China.ORCID https://orcid.org/0000-0002-4172-0894
Mao HuangDepartment of Pulmonary and Critical Care Medicine, The First Affiliated Hospital of Nanjing Medical University, Nanjing, China.ORCID https://orcid.org/0000-0002-2743-1017
Qichang LinDepartment of Respiration, The First Affiliated Hospital of Fujian Medical University, Fuzhou, China.ORCID https://orcid.org/0000-0003-3081-8084
Chengping HuDepartment of Respiration, Xiangya Hospital, Changsha, China.ORCID https://orcid.org/0000-0002-6185-5155
Xiaohong YangDepartment of Pulmonary and Critical Care Medicine, People's Hospital of Xinjiang Uygur Autonomous Region, Urumqi, China.ORCID https://orcid.org/0000-0002-0253-0051
Jianmin HuoDepartment of Respiration, The First Affiliated Hospital of Harbin Medical University, Harbin China.ORCID https://orcid.org/0000-0002-1092-5352
Xianwei YeDepartment of Respiration, Guizhou Provincial People's Hospital, Guiyang, China.ORCID https://orcid.org/0000-0002-2330-3907
Xin ZhouDepartment of Respiration, Shanghai Central Hospital, Shanghai, China.ORCID https://orcid.org/0000-0003-0629-1788
Ping JiangDepartment of Respiration, Tianjin First Central Hospital, Tianjin, China.ORCID https://orcid.org/0000-0002-6247-4477
Wei ZhangDepartment of Respiration, The First Affiliated Hospital of Nanchang University, Nanchang, China.ORCID https://orcid.org/0000-0002-2756-459X
Yijiang HuangDepartment of Respiration, Hainan General Hospital, Haikou, China.ORCID https://orcid.org/0000-0002-2484-7666
Luming DaiDepartment of Respiration, Kunming General Hospital of the People's Liberation Army, Kunming, China.ORCID https://orcid.org/0000-0002-4110-4426
Rongyu LiuDepartment of Respiration, The First Affiliated Hospital of Anhui Medical University, Hefei, China.ORCID https://orcid.org/0000-0002-0483-0808
Shaoxi CaiDepartment of Respiration, Nanfang Hospital, Guangzhou, China.ORCID https://orcid.org/0000-0002-3141-1457
Jianying XuDepartment of Respiration, Shanxi Bethune Hospital, Taiyuan, China.ORCID https://orcid.org/0000-0003-1016-3690
Jianying ZhouDepartment of Respiration, The First Affiliated Hospital of Zhejiang University School of Medicine, Hangzhou, China.ORCID https://orcid.org/0000-0002-3150-5031
China Asthma Research Network
China-Japan Friendship Hospital · CNAnhui Medical University · CNArmy Medical University · CNFirst Affiliated Hospital of Xi'an Jiaotong University · CNFirst Affiliated Hospital Zhejiang University · CNFirst Hospital of Lanzhou University · CNFujian Medical University · CNGeneral Hospital of Shenyang Military Region · CNGuangxi Medical University · CNGuizhou Provincial People's Hospital · CNHainan General Hospital · CNHarbin Medical University · CNHebei Medical University · CNHenan Provincial People's Hospital · CNInner Mongolia People's Hospital · CNJiangsu Province Hospital · CNKunming General Hospital of Chengdu Military Command · CNNanchang University · CNNanfang Hospital · CNNingxia Medical University · CN

Funding

Beijing Municipal Science and Technology Committee 2015-BKJ-001
6 · The paper itself

Abstract

purposeDetails of patients hospitalized for asthma exacerbation in mainland China are lacking. To improve disease control and reduce economic burden, a large sample survey among this patient population is indispensable. This study aimed to investigate the clinical characteristics and outcomes of such patients.

methodsA retrospective study was conducted on patients hospitalized for asthma exacerbation in 29 hospitals of 29 regions in mainland China during the period 2013 to 2014. Demographic features, pre-admission conditions, exacerbation details, and outcomes were summarized. Risk factors for exacerbation severity were analyzed.

resultsThere were 3,240 asthmatic patients included in this study (57.7% females, 42.3% males). Only 28.0% used daily controller medications; 1,287 (39.7%) patients were not currently on inhaled corticosteroids. Acute upper airway infection was the most common trigger of exacerbation (42.3%). Patients with severe to life-threatening exacerbation tended to have a longer disease course, a smoking history, and had comorbidities such as hypertension, chronic obstructive pulmonary disease (COPD), and food allergy. The multivariate analysis showed that smoking history, comorbidities of hypertension, COPD, and food allergy were independent risk factors for more severe exacerbation. The number of patients hospitalized for asthma exacerbation varied with seasons, peaking in March and September. Eight patients died during the study period (mortality 0.25%).

conclusionsDespite enhanced education on asthma self-management in China during recent years, few patients were using daily controller medications before the onset of their exacerbation, indicating that more educational efforts and considerations are needed. The findings of this study may improve our understanding of hospital admission for asthma exacerbation in mainland China and provide evidence for decision-making.

Indexed as

Asthmadisease progressionhospitalizationinpatientsmedication adherencemortalityrisk factorsseasonal variation

Identifiers

PMID32141261
PMCPMC7061152
OpenAlexW3009579090

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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.