Evidence map›Paper›PMID 34210764›Full record

ArticleHospital pediatrics2021

Intravenous Magnesium and Hospital Outcomes in Children Hospitalized With Asthma.

James W Antoon, Matt Hall, Vineeta Mittal, Kavita Parikh, Rustin B Morse, Ronald J Teufel, Alexander H Hogan, Samir S Shah, Chén C Kenyon

Open access · greenAbstract read
In one paragraph

Article in Hospital pediatrics, 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
1.3field-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

4 citing papers in PubMed, 11 citations in OpenAlex.

  1. Article
  2. Review
  3. Article
  4. Observational
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

9 authors at 8 institutions in 1 country.

James W AntoonMonroe Carell Jr. Children's Hospital at Vanderbilt, Nashville, Tennessee james.antoon@vumc.org.
Matt HallChildren's Hospital Association, Lenexa, Kansas.
Vineeta MittalDivision of Pediatric Hospital Medicine, Department of Pediatrics, The University of Texas Southwestern Medical Center, Dallas, Texas.
Kavita ParikhHospitalist Division, Children's National Medical Center and School of Medicine, George Washington University, Washington, District of Columbia.
Rustin B MorseChildren's Health, Dallas, Texas.
Ronald J TeufelDepartment of Pediatrics, Medical University of South Carolina, Charleston, South Carolina.
Alexander H HoganDepartment of Pediatrics, Connecticut Children's Medical Center, Hartford, Connecticut.
Samir S ShahDivision of Hospital Medicine, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio.
Chén C KenyonCenter for Pediatric Clinical Effectiveness, Children's Hospital of Philadelphia and School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania.
Children's Hospital Association · USChildren's Hospital of Philadelphia · USCincinnati Children's Hospital Medical Center · USConnecticut Children's Medical Center · USGeorge Washington University · USMedical University of South Carolina · USMonroe Carell Jr. Children's Hospital · USThe University of Texas Southwestern Medical Center · US

Funding

Vanderbilt Scholars in T4 Translational Research (V-STTaR) ProgramK12HL137943 · NHLBI · VANDERBILT UNIVERSITY MEDICAL CENTER · PI KRIPALANI, SUNIL, ROUMIE, CHRISTIANNE L. · 2017 to 2021
$2.9M
Incentive-based Mobile Health Adherence Intervention for High Risk Children with AsthmaK23HL136842 · NHLBI · CHILDREN'S HOSP OF PHILADELPHIA · PI KENYON, CHEN COLLIN · 2019 to 2023
$908k
NHLBI NIH HHS K12 HL137943NHLBI NIH HHS K23 HL136842
6 · The paper itself

Abstract

backgroundUse of intravenous magnesium (IVMg) for childhood asthma exacerbations has increased significantly in the last decade. Emergency department administration of IVMg has been shown to reduce asthma hospitalization, yet most children receiving IVMg in the emergency department are subsequently hospitalized. Our objective with the study was to examine hospital outcomes of children given IVMg for asthma exacerbations.

methodsWe conducted a retrospective cohort study using data from the Pediatric Health Information System. We used propensity score matching to compare children who received IVMg on the first day of hospitalization with those who did not. Primary outcomes were initiation and duration of noninvasive positive pressure ventilation. Secondary outcomes included mechanical ventilation (MV) initiation, duration of MV, length of stay, and subsequent tertiary medication use. Primary analysis was restricted to children admitted to nonintensive care inpatient units.

resultsOverall, 91 309 hospitalizations met inclusion criteria. IVMg was administered in 25 882 (28.4%) children. After propensity score matching, IVMg was not significantly associated with lower initiation (adjusted odds ratio 0.88; 95% confidence interval [CI] 0.74-1.05) or shorter duration of noninvasive positive pressure ventilation (rate ratio 0.94; 95% CI 0.87-1.02). Similarly, no significant associations were seen for MV initiation, MV duration, or length of stay. IVMg was associated with lower subsequent tertiary medication use (adjusted odds ratio 0.66; 95% CI 0.60-0.72). However, the association was lost when ipratropium was removed from the tertiary medication definition.

conclusionsIVMg administration was not significantly associated with improved hospital outcomes. Further study is needed to inform the optimal indications and timing of magnesium use during hospitalization.

Indexed as

AsthmaMagnesiumChildHospitalizationHospitalsHumansIpratropiumRetrospective StudiesIpratropiumMagnesium

Identifiers

PMID34210764
PMCPMC8591772
OpenAlexW3177222375

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.