Evidence map›Paper›PMID 33229468›Full record

ArticlePediatrics2020

Well-Child Care Attendance and Risk of Asthma Exacerbations.

Jason E Lang, Monica Tang, Congwen Zhao, Jillian Hurst, Angie Wu, Benjamin A Goldstein

Open access · greenAbstract readMulticenter Study
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 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
1.3field-weighted citation impact, top 19% 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

13 citing papers in PubMed, 22 citations in OpenAlex.

  1. Article
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  6. The influence of social and environmental determinants of health on hospitalizations for pediatric asthma.The Journal of asthma : official journal of the Association for the Care of Asthma · 2024
    Article
  7. Prediction of Asthma Exacerbations in Children.Journal of personalized medicine · 2023
    Review
  8. Association between Gentrification and Health and Healthcare Utilization.Journal of urban health : bulletin of the New York Academy of Medicine · 2022
    Article
  9. Article
  10. Article
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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

6 authors at 4 institutions in 1 country.

Jason E LangChildren's Health & Discovery Initiative, Departments of Pediatrics and jason.lang@duke.org.
Monica TangDepartment of Medicine, School of Medicine, University of California, San Francisco, San Francisco, California.
Congwen ZhaoChildren's Health & Discovery Initiative, Departments of Pediatrics and.
Jillian HurstChildren's Health & Discovery Initiative, Departments of Pediatrics and.
Angie WuDuke Clinical Research Institute, Duke University, Durham, North Carolina; and.
Benjamin A GoldsteinChildren's Health & Discovery Initiative, Departments of Pediatrics and.
Clinical Research Institute · USCancer Research And Biostatistics · USDuke University · USUniversity of California, San Francisco · US

Funding

Multifactorial spatiotemporal analyses to evaluate environmental triggers and patient-level clinical characteristics of severe asthma exacerbations in childrenR21HL145415 · NHLBI · DUKE UNIVERSITY · PI GOLDSTEIN, BENJAMIN ALAN, LANG, JASON E. · 2019 to 2020
$241k
NHLBI NIH HHS R21 HL145415
6 · The paper itself

Abstract

backgroundAsthma remains a leading cause of hospitalization in US children. Well-child care (WCC) visits are routinely recommended, but how WCC adherence relates to asthma outcomes is poorly described.

methodsWe conducted a retrospective longitudinal cohort study using electronic health records among 5 to 17 year old children residing in Durham County with confirmed asthma and receiving primary care within a single health system, to compare the association between asthma exacerbations and previous WCC exposure. Exacerbations included any

resultsA total of 5656 children met eligibility criteria and were included in the primary analysis. Patients with the highest WCC visit attendance tended to be younger, had a higher prevalence of private insurance, had greater asthma medication usage, and were less likely to be obese. The presence of a WCC visit in the previous 12 months was associated with a reduced risk of all-cause exacerbations (hazard ratio: 0.90; 95% confidence interval: 0.83-0.98) and severe exacerbations requiring hospital admission (hazard ratio: 0.53; 95% confidence interval: 0.39-0.71).

conclusionsWCC visits were associated with a lower risk of subsequent severe exacerbations, including asthma-related emergency department visits and hospitalizations. Poor WCC visit adherence predicts pediatric asthma morbidity, especially exacerbations requiring hospitalization.

Indexed as

AdolescentAsthmaChildChild CareDisease ProgressionEmergency Service, HospitalFemaleHospitalizationHumansMaleMorbidityRetrospective StudiesRisk FactorsUnited States

Identifiers

PMID33229468
PMCPMC7706112
OpenAlexW3108421146

What OpenQuestion holds

Textmetadata
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.