Evidence map›Paper›PMID 33621228›Full record

Trial reportPloS one2021

Healthcare resources attributable to child tobacco smoke exposure.

Ashley L Merianos, Roman A Jandarov, Judith S Gordon, Michael S Lyons, E Melinda Mahabee-Gittens

Open access · goldAbstract readClinical Trial
In one paragraph

Trial report in PloS one, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
1.2field-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

4 citing papers in PubMed, 4 citations in OpenAlex.

  1. Article
  2. Sources of Tobacco Smoke Exposure and Their Associations With Serum Cotinine Levels Among US Children and Adolescents.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2023
    Article
  3. Article
  4. 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

5 authors at 3 institutions in 1 country.

Ashley L MerianosSchool of Human Services, University of Cincinnati, Cincinnati, Ohio, United States of America.ORCID 0000-0002-5640-7227
Roman A JandarovDepartment of Environmental and Public Health Sciences, Division of Biostatistics and Bioinformatics, College of Medicine, University of Cincinnati, Cincinnati, Ohio, United States of America.
Judith S GordonCollege of Nursing, The University of Arizona, Tucson, Arizona, United States of America.
Michael S LyonsCenter for Addiction Research, College of Medicine, University of Cincinnati, Cincinnati, Ohio, United States of America.
E Melinda Mahabee-GittensDivision of Emergency Medicine, Cincinnati Children's Hospital Medical Center, College of Medicine, University of Cincinnati, Cincinnati, Ohio, United States of America.
University of Cincinnati · USCincinnati Children's Hospital Medical Center · USUniversity of Arizona · US

Funding

Prevalence and Clinical Correlates of Thirdhand Smoke Exposure in a Pediatric Patient PopulationR01ES030743 · NIEHS · CINCINNATI CHILDRENS HOSP MED CTR · PI MAHABEE-GITTENS, E. MELINDA · 2019 to 2023
$2.9M
An Intervention to Reduce Second Hand Smoke Exposure among Pediatric Emergency Patients. R01HD083354 · NICHD · CINCINNATI CHILDRENS HOSP MED CTR · PI MAHABEE-GITTENS, E. MELINDA · 2015 to 2019
$2.9M
Reducing Secondhand Smoke Exposure Among Pediatric Patients in the Emergency Department SettingK01DA044313 · NIDA · UNIVERSITY OF CINCINNATI · PI MERIANOS, ASHLEY L · 2017 to 2021
$727k
Pediatric Emergency Department Decision Support System to Reduce Secondhand SmokeR21CA184337 · NCI · CINCINNATI CHILDRENS HOSP MED CTR · PI GORDON, JUDITH SARAH, MAHABEE-GITTENS, E. MELINDA · 2015 to 2016
$401k
NCI NIH HHS R21 CA184337NICHD NIH HHS R01 HD083354NIDA NIH HHS K01 DA044313NIEHS NIH HHS R01 ES030743
6 · The paper itself

Abstract

backgroundTobacco smoke exposure (TSE) places an economic toll on the U.S. healthcare system. There is a gap in the literature on pediatric emergency department (ED) and urgent care related healthcare costs and utilization specific to tobacco smoke-exposed patients. The objectives were to assess pediatric ED visits, urgent care visits and hospital admissions longitudinally, and baseline visit costs among tobacco smoke-exposed children (TSE group) relative to unexposed children (non-TSE group). METHODS AND

findingsWe conducted a retrospective study using electronic medical records of 380 children ages 0-17 years in the TSE group compared to 1,140 in the non-TSE group propensity score matched via nearest neighbor search by child age, sex, race, and ethnicity. Linear and Poisson regression models were used. Overall, children had a mean of 0.19 (SE = 0.01) repeat visits within 30-days, and 0.69 (SE = 0.04) pediatric ED visits and 0.87 (SE = 0.03) urgent care visits over 12-months following their baseline visit. The percent of children with ≥ 1 urgent care visit was higher among the TSE group (52.4%) than the non-TSE group (45.1%, p = 0.01). Children in the TSE group (M = $1,136.97, SE = 76.44) had higher baseline pediatric ED visit costs than the non-TSE group (M = $1,018.96, SE = 125.51, p = 0.01). Overall, children had 0.08 (SE = 0.01) hospital admissions over 12-months, and the TSE group (M = 0.12, SE = 0.02) had higher mean admissions than the non-TSE group (M = 0.06, SE = 0.01, p = 0.02). The child TSE group was at 1.85 times increased risk of having hospital admissions (95% CI = 1.23, 2.79, p = 0.003) than the non-TSE group.

conclusionsTobacco smoke-exposed children had higher urgent care utilization and hospital admissions over 12-months, and higher pediatric ED costs at baseline. Pediatric ED visits, urgent care visits, and hospitalizations may be opportune times for initiating tobacco control interventions, which may result in reductions of preventable acute care visits.

Indexed as

AdolescentAge FactorsChildChild, PreschoolEmergency Service, HospitalEthnicityFemaleHospitals, PediatricHumansInfantMalePatient AdmissionSex FactorsTobacco Smoke PollutionTobacco Smoke Pollution

Identifiers

PMID33621228
PMCPMC7901732
OpenAlexW3131429270

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.