Evidence map›Paper›PMID 34673286›Full record

ArticleThe journal of allergy and clinical immunology. In practice2022

Nebulizer Use by Black and Latinx Adults with Moderate to Severe Asthma.

Andrea Apter, Jennifer K Carroll, Juan Carlos Cardet, Rubin Cohen, Alex D Colon-Moya, Brianna Ericson, Victoria E Forth, Claudia Gaefke, Nancy Maher, Wilfredo Morales-Cosme and 3 more

Open access · greenAbstract read
In one paragraph

Article in The journal of allergy and clinical immunology. In practice, 2022. 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
0.6field-weighted citation impact, top 33% 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, 6 citations in OpenAlex.

  1. Trial
  2. 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

13 authors at 7 institutions in 2 countries.

Andrea ApterDivision of Pulmonary, Allergy, and Critical Care Medicine, Perelman School of Medicine University of Pennsylvania, Philadelphia, Pa. Electronic address: Andrea.apter@pennmedicine.upenn.edu.
Jennifer K CarrollNational Research Network, American Academy of Family Physicians, Leawood, Kan; Department of Family Medicine, University of Colorado, Aurora, Colo.
Juan Carlos CardetDivision of Allergy and Immunology, Department of Internal Medicine, University of South Florida, Morsani College of Medicine, Tampa, Fla.
Rubin CohenDivision of Pulmonary, Sleep, and Critical Care Medicine, Syracuse VA Medical Center, SUNY Upstate Medical University, Syracuse, NY.
Alex D Colon-MoyaRoseman College of Pharmacy South Jordan Campus, South Jordan, Utah.
Brianna EricsonDivision of Pulmonary and Critical Care Medicine, Brigham and Women's Hospital, Boston, Mass.
Victoria E ForthDivision of Pulmonary and Critical Care Medicine, Brigham and Women's Hospital, Boston, Mass.
Claudia GaefkeDivision of Allergy and Immunology, Department of Internal Medicine, University of South Florida, Morsani College of Medicine, Tampa, Fla.
Nancy MaherDivision of Pulmonary and Critical Care Medicine, Brigham and Women's Hospital, Boston, Mass.
Wilfredo Morales-CosmeDeanship of Student Affairs, Medical Sciences Campus, University of Puerto Rico, San Juan, Puerto Rico.
Jacqueline Rodriguez-LouisDivision of Pulmonary and Critical Care Medicine, Brigham and Women's Hospital, Boston, Mass.
Abigail TulchinskyDivision of Pulmonary and Critical Care Medicine, Brigham and Women's Hospital, Boston, Mass.
Elliot IsraelDivision of Pulmonary and Critical Care Medicine, Brigham and Women's Hospital, Boston, Mass. Electronic address: eisrael@partners.org.
Brigham and Women's Hospital · USUniversity of South Florida · USResearch Network (United States) · USRoseman University of Health Sciences · USSyracuse VA Medical Center · USUniversity of Pennsylvania · USUniversity of Puerto Rico, Medical Sciences Campus · PR

Funding

Enterolactone and AsthmaK23AI125785 · NIAID · UNIVERSITY OF SOUTH FLORIDA · PI CARDET, JUAN CARLOS · 2017 to 2021
$970k
NIAID NIH HHS K23 AI125785
6 · The paper itself

Abstract

backgroundGenerally, a short-acting beta-2 agonist (SABA) delivered via metered-dose inhaler (MDI) is recommended for quick relief of asthma symptoms. However, in the PeRson EmPowered Asthma RElief (PREPARE) pragmatic trial, 67% of patients reported having used a nebulizer for SABA administration.

objectiveTo understand preferences, experiences, and decision making regarding the use of nebulizers in Black and Latinx adults with uncontrolled asthma.

methodsWe interviewed 40 of the 1,201 PREPARE patients employing a matrix analysis. Those interviewed were Black (n = 20) and Latinx (n = 20) adults with uncontrolled asthma seeking primary or specialty care in clinics throughout the United States. Data were analyzed used a Rapid Assessment Procedures qualitative methodology, informed by grounded theory.

resultsSubstudy participants, on average, reported using a nebulizer 3.5 times/wk. Daily use was common, and frequency ranged from less than daily to up to 6 times daily. Nearly all participants reported a longstanding history of nebulizer use. Participants tended to use their nebulizer at home, and some shared it with others in the home. Many reported preferring a nebulizer over an MDI for relief of severe symptoms and to avoid emergency room visits or hospitalizations. The extent to which cost affected nebulizer use varied among participants.

conclusionsDespite asthma guideline recommendations that MDIs be used rather than nebulizers for SABA administration, nebulizer use was common among PREPARE study participants. Clinicians should explore patients' history and experiences with nebulizer use as part of evaluation of asthma control.

Indexed as

AsthmaNebulizers and VaporizersAdministration, InhalationAdultBronchodilator AgentsHospitalizationHumansMetered Dose InhalersBronchodilator AgentsBlack adultsLatinx adultsMDIMetered-dose inhalerNebulizerRescue inhalerSABAUncontrolled asthma

Identifiers

PMID34673286
PMCPMC10334854
OpenAlexW3205011986

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.