Evidence map›Paper›PMID 33651109›Full record

ArticleJAMA network open2021

Assessment of Respiratory Function in Infants and Young Children Wearing Face Masks During the COVID-19 Pandemic.

Riccardo Lubrano, Silvia Bloise, Alessia Testa, Alessia Marcellino, Anna Dilillo, Saverio Mallardo, Sara Isoldi, Vanessa Martucci, Maria Sanseviero, Emanuela Del Giudice and 3 more

Open access · goldAbstract read
In one paragraph

Article in JAMA network open, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 35 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
35citing papers in PubMed, 1 pooled it
8.7field-weighted citation impact, top 2% 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

35 citing papers in PubMed, 1 synthesis or guideline pooled it, 64 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Trial
  4. Review
  5. Risks and benefits of face masks in children.Frontiers in pediatrics · 2026
    Review
  6. Article
  7. Article
  8. Article
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  13. Medical Face Masks Do Not Affect Acid-Base Balance Yet Might Facilitate the Transmission ofInternational journal of environmental research and public health · 2023
    Article
  14. Effect of Facemask in Congenital Central Hypoventilation Syndrome.Respiration; international review of thoracic diseases · 2023
    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

13 authors at 1 institution in 1 country.

Riccardo LubranoPediatric and Neonatology Unit, Maternal and Child Department, Sapienza University of Rome, Polo Pontino, Rome Italy.
Silvia BloisePediatric and Neonatology Unit, Maternal and Child Department, Sapienza University of Rome, Polo Pontino, Rome Italy.
Alessia TestaPediatric and Neonatology Unit, Maternal and Child Department, Sapienza University of Rome, Polo Pontino, Rome Italy.
Alessia MarcellinoPediatric and Neonatology Unit, Maternal and Child Department, Sapienza University of Rome, Polo Pontino, Rome Italy.
Anna DililloPediatric and Neonatology Unit, Maternal and Child Department, Sapienza University of Rome, Polo Pontino, Rome Italy.
Saverio MallardoPediatric and Neonatology Unit, Maternal and Child Department, Sapienza University of Rome, Polo Pontino, Rome Italy.
Sara IsoldiPediatric and Neonatology Unit, Maternal and Child Department, Sapienza University of Rome, Polo Pontino, Rome Italy.
Vanessa MartucciPediatric and Neonatology Unit, Maternal and Child Department, Sapienza University of Rome, Polo Pontino, Rome Italy.
Maria SansevieroPediatric and Neonatology Unit, Maternal and Child Department, Sapienza University of Rome, Polo Pontino, Rome Italy.
Emanuela Del GiudicePediatric and Neonatology Unit, Maternal and Child Department, Sapienza University of Rome, Polo Pontino, Rome Italy.
Concetta MalvasoPediatric and Neonatology Unit, Maternal and Child Department, Sapienza University of Rome, Polo Pontino, Rome Italy.
Donatella IorfidaPediatric and Neonatology Unit, Maternal and Child Department, Sapienza University of Rome, Polo Pontino, Rome Italy.
Flavia VentrigliaPediatric and Neonatology Unit, Maternal and Child Department, Sapienza University of Rome, Polo Pontino, Rome Italy.
Sapienza University of Rome · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Importance: Face masks have been associated with effective prevention of diffusion of viruses via droplets. However, the use of face masks among children, especially those aged younger than 3 years, is debated, and the US Centers for Disease Control and American Academy of Physicians recommend the use of face mask only among individuals aged 3 years or older. Objective: To examine whether the use of surgical facial masks among children is associated with episodes of oxygen desaturation or respiratory distress. Design, Setting, and Participants: This cohort study was conducted from May through June 2020 in a secondary-level hospital pediatric unit in Italy. Included participants were 47 healthy children divided by age (ie, group A, aged ≤24 months, and group B, aged >24 months to ≤144 months). Data were analyzed from May through June 2020. Interventions: All participants were monitored every 15 minutes for changes in respiratory parameters for the first 30 minutes while not wearing a surgical face mask and for the next 30 minutes while wearing a face mask. Children aged 24 months and older then participated in a walking test for 12 minutes. Main Outcomes and Measures: Changes in respiratory parameters during the use of surgical masks were evaluated. Results: Among 47 children, 22 children (46.8%) were aged 24 months or younger (ie, group A), with 11 boys (50.0%) and median (interquartile range [IQR]) age 12.5 (10.0-17.5) months, and 25 children (53.2%) were aged older than 24 months to 144 months or younger, with 13 boys (52.0%) and median (IQR) age 100.0 (72.0-120.0) months. During the first 60 minutes of evaluation in the 2 groups, there was no significant change in group A in median (IQR) partial pressure of end-tidal carbon dioxide (Petco2; 33.0 [32.0-34.0] mm Hg; P for Kruskal Wallis = .59), oxygen saturation (Sao2; 98.0% [97.0%-99.0%]; P for Kruskal Wallis = .61), pulse rate (PR; 130.0 [115.0-140.0] pulsations/min; P for Kruskal Wallis = .99), or respiratory rate (RR; 30.0 [28.0-33.0] breaths/min; P for Kruskal Wallis = .69) or for group B in median (IQR) Petco2 (36.0 [34.0-38.0] mm Hg; P for Kruskal Wallis = .97), Sao2 (98.0% [97.0%-98.0%]; P for Kruskal Wallis = .52), PR (96.0 [84.0-104.5] pulsations/min; P for Kruskal Wallis test = .48), or RR (22.0 [20.0-25.0] breaths/min; P for Kruskal Wallis = .55). After the group B walking test, compared with before the walking test, there was a significant increase in median (IQR) PR (96.0 [84.0-104.5] pulsations/min vs 105.0 [100.0-115.0] pulsations/min; P < .02) and RR (22.0 [20.0-25.0] breaths/min vs 26.0 [24.0-29.0] breaths/min; P < .05). Conclusions and Relevance: This cohort study among infants and young children in Italy found that the use of facial masks was not associated with significant changes in Sao2 or Petco2, including among children aged 24 months and younger.

Indexed as

PandemicsRespirationCarbon DioxideChild, PreschoolCOVID-19FemaleHumansInfantItalyMaleMasksOxygenPartial PressureRespiratory Function TestsRespiratory InsufficiencyRespiratory RateCarbon DioxideOxygen

Identifiers

PMID33651109
PMCPMC7926283
OpenAlexW3135101260

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.