Evidence map›Paper›PMID 32164622›Full record

ArticleBMC pediatrics2020

Age- and gender-specific trends in respiratory outpatient visits and diagnoses at a tertiary pediatric hospital in China: a 10-year retrospective study.

Peng Shi, Xiaobo Zhang, Lijuan Liu, Liangfeng Tang, Jing Li, Libo Wang, Albert M Li, Yang Cao, Hong Xu, Guoying Huang

Open access · goldAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in BMC pediatrics, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
1.9field-weighted citation impact, top 14% 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

9 citing papers in PubMed, 21 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

10 authors at 3 institutions in 3 countries.

Peng ShiDepartment of Data Management and Statistics, Children's Hospital of Fudan University, Shanghai, China.
Xiaobo ZhangDepartment of Respiratory Disease, Children's Hospital of Fudan University, National Children's Medical Center, Shanghai, 201102, China. xiaobozhang@fudan.edu.cn.ORCID 0000-0002-7666-9638
Lijuan LiuDepartment of Respiratory Disease, Children's Hospital of Fudan University, National Children's Medical Center, Shanghai, 201102, China.
Liangfeng TangDepartment of Urology, Children's Hospital of Fudan University, Shanghai, China.
Jing LiBig Data Product Department, Wonders Information Co. Ltd., Shanghai, China.
Libo WangDepartment of Respiratory Disease, Children's Hospital of Fudan University, National Children's Medical Center, Shanghai, 201102, China.
Albert M LiDepartment of Paediatrics, The Chinese University of Hong Kong, Hong Kong, China.
Yang CaoClinical Epidemiology and Biostatistics, School of Medical Sciences, Örebro University, Örebro, Sweden.
Hong XuDepartment of Nephrology and Rheumatology, Children's Hospital of Fudan University, Shanghai, China.
Guoying HuangPediatric Heart Center, Children's Hospital of Fudan University, Shanghai, China.
Children's Hospital of Fudan University · CNChinese University of Hong Kong · HKÖrebro University · SE

Funding

Intelligent Medical Research Project of Shanghai Health and Family Planning Commission 2018ZHYL0225Shanghai Science and Technology Committee 18411951700
6 · The paper itself

Abstract

backgroundRespiratory infections are one of three leading causes of childhood mortality, and worldwide increase and recent plateau in childhood asthma has been reported. However, data on trends of respiratory diseases over long period of time is limited. This study aimed to determine the trends of respiratory disease outpatient visits (ROVs) and diagnoses (RODs) in one of the largest children's teaching hospitals in China between 2009 and 2018.

methodsA retrospective study based on routine administrative data was designed and implemented according to the RECORD statement. Demographic details and diagnoses of the outpatients < 18 years visiting the respiratory department of the hospital were extracted from the Hospital Information System. Age- and gender-specific trends were illustrated by calculating average annual growth rate (AAGR) for ROVs and comparing change of proportion for different RODs over time.

resultsThere were 698,054 ROVs from 285,574 children (40.4% female). AAGR of ROVs was 15.2%. Children aged 4 to < 7 years had a faster increase than other age groups. Bronchitis (27.6%), pneumonia (18.5%), pneumonia affecting other systems (18.4%), asthma and status asthmaticus (10.7%), and vasomotor and allergic rhinitis (9.2%) accounted for 84.4% of all RODs. The proportion of bronchitis decreased across years, with the concomitant increasing trend in the proportion of pneumonia. Age-specific trend in diagnoses showed greater proportion of asthma in all visits for the children aged 7 to < 18 years than younger children. Gender-specific trend in diagnoses showed the proportion of asthma was greater for males but the AAGR was greater for females.

conclusionThe persistent upward trend in ROVs was observed among children at different ages and a gender difference was also seen. In contrast to what has been reported, burden of asthma and allergies diseases continues to increase locally.

Indexed as

BronchitisOutpatientsPneumoniaAdolescentChildChinaFemaleHospitals, PediatricHumansMaleRetrospective StudiesAsthmaOutpatientsPediatricsRespiratory infectionsTrend study

Identifiers

PMID32164622
PMCPMC7068978
OpenAlexW3011384033

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.