Evidence map›Paper›PMID 32393606›Full record

ArticlePediatrics2020

Clinical Features of E-cigarette, or Vaping, Product Use-Associated Lung Injury in Teenagers.

Devika R Rao, Kendra L Maple, Amy Dettori, Folashade Afolabi, Jenny K R Francis, Maddy Artunduaga, Tiffany J Lieu, Kim Aldy, Dazhe James Cao, Stephanie Hsu and 2 more

Open access · greenAbstract read
In one paragraph

Article in Pediatrics, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed, 2 pooled it
5.7field-weighted citation impact, top 3% 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

26 citing papers in PubMed, 2 syntheses or guidelines pooled it, 62 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. E-Cigarette or Vaping Product Use-Associated Lung Injury: A Comprehensive Review.International journal of environmental research and public health · 2025
    Review
  4. Article
  5. Acute exposure to electronic cigarette components alters mRNA expression of pre-osteoblasts.FASEB journal : official publication of the Federation of American Societies for Experimental Biology · 2024
    Article
  6. Vaping-associated illness: a reassessment.International journal of emergency medicine · 2024
    Article
  7. Article
  8. Article
  9. Review
  10. Review
  11. Review
  12. Timing of ENDS Uptake by Sexual Orientation among Adolescents and Young Adults in Urban Texas.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2022
    Article
  13. Article
  14. Review
  15. A Comprehensive Review of Vaping Use in Pediatric Patients and Recent Changes in Regulatory Laws.The journal of pediatric pharmacology and therapeutics : JPPT : the official journal of PPAG · 2022
    Article
  16. Article
  17. Article
  18. Article
  19. The chemistry and toxicology of vaping.Pharmacology & therapeutics · 2021
    Review
  20. Cannabis, Vaping, and Respiratory Symptoms in a Probability Sample of U.S. Youth.The Journal of adolescent health : official publication of the Society for Adolescent Medicine · 2021
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

12 authors at 4 institutions in 1 country.

Devika R RaoDivisions of Respiratory Medicine, devika.rao@utsouthwestern.edu.
Kendra L MapleMedical School, University of Texas Southwestern Medical Center, Dallas, Texas.
Amy DettoriDivisions of Respiratory Medicine.
Folashade AfolabiDivisions of Respiratory Medicine.
Jenny K R FrancisDevelopmental-Behavioral Pediatrics.
Maddy ArtunduagaDivision of Pediatric Radiology, Department of Radiology.
Tiffany J LieuPediatric Hospital Medicine.
Kim AldyDivision of Medical Toxicology, Department of Emergency Medicine and.
Dazhe James CaoDivision of Medical Toxicology, Department of Emergency Medicine and.
Stephanie HsuCritical Care Medicine, and.
Sing Yi FengEmergency Medicine.
Vineeta MittalPediatric Hospital Medicine.
Medical City Children's Hospital · USPediatrics and Genetics · USParkland Health & Hospital System · USThe University of Texas Southwestern Medical Center · US

Funding

Use of Long-Acting Reversible ContraceptionK23HD097291 · NICHD · UT SOUTHWESTERN MEDICAL CENTER · PI FRANCIS, JENNY KRISTINE RODRIGUEZ · 2019 to 2023
$829k
NICHD NIH HHS K23 HD097291
6 · The paper itself

Abstract

backgroundIn the United States in 2019, there was an outbreak of electronic cigarette, or vaping, product use-associated lung injury (EVALI). The manifestations of EVALI in adolescents are not well characterized. We describe the diagnosis, evaluation, and management of EVALI in adolescents hospitalized at a tertiary care, university-affiliated children's hospital.

methodsA multidisciplinary committee developed an EVALI algorithm on the basis of guidelines from the Centers for Disease Control and Prevention. A retrospective chart review was conducted on patients diagnosed with EVALI. Descriptive analyses included sociodemographic characteristics, clinical presentation, laboratory and imaging results, pulmonary function testing, oxygen requirements, and clinic follow-up.

resultsThirteen hospitalized adolescents were diagnosed with confirmed or probable EVALI. The majority were female (54%) with a mean age of 15.9 years. Sixty-nine percent of patients presented with respiratory symptoms, whereas gastrointestinal symptoms were prominent in 85% of patients. Vaping Δ-9-tetrahydrocannabinol was reported in 92% of patients, and vaping nicotine was reported in 62% of patients. All had bilateral ground-glass opacities on the chest computed tomography (CT) scan. Treatment with glucocorticoids led to clinical improvement in 11 of 12 patients. Treatment with glucocorticoids led to improvement in both forced expiratory volume in 1 second and forced vital capacity (

conclusionsDiagnosis of EVALI should be suspected on the basis of vaping history and clinical presentation. Glucocorticoid treatment led to an improvement in symptoms and lung function. The 6-minute walk test may help determine oxygen needs at discharge.

Indexed as

Electronic Nicotine Delivery SystemsAdolescentFemaleHumansLung InjuryMaleRetrospective StudiesUnited StatesVaping

Identifiers

PMID32393606
PMCPMC7961805
OpenAlexW3022175253

What OpenQuestion holds

Textmetadata
LicenceTDM
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.