Evidence map›Paper›PMID 36414301›Full record

ArticleBMJ open2022

Association between grass, tree and weed pollen and asthma health outcomes in Adelaide, South Australia: a time series regression analysis.

Monika Nitschke, Keith Brian Gordon Dear, Kamalesh Venugopal, Katrina Margaret Rose Lyne, Hubertus Paul Anton Jersmann, David Leslie Simon, Nicola Spurrier

Open access · goldAbstract read
In one paragraph

Article in BMJ open, 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
0.7field-weighted citation impact, top 32% 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, 5 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. [Clinical characteristics of allergic rhinitis induced by pollen in northern China].Lin chuang er bi yan hou tou jing wai ke za zhi = Journal of clinical otorhinolaryngology head and neck surgery · 2025
    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

7 authors at 5 institutions in 3 countries.

Monika NitschkeSchool of Public Health, The University of Adelaide, Adelaide, South Australia, Australia monika.nitschke@sa.gov.au.ORCID 0000-0002-8524-7867
Keith Brian Gordon DearSchool of Public Health, The University of Adelaide, Adelaide, South Australia, Australia.
Kamalesh VenugopalPrevention and Population Health, Wellbeing SA, Adelaide, South Australia, Australia.
Katrina Margaret Rose LyneHealth Protection and Licensing Services, SA Health Department for Health and Wellbeing, Adelaide, South Australia, Australia.
Hubertus Paul Anton JersmannThoracic Medicine, Royal Adelaide Hospital, Adelaide, South Australia, Australia.
David Leslie SimonHealth Protection and Licensing Services, SA Health Department for Health and Wellbeing, Adelaide, South Australia, Australia.
Nicola SpurrierSA Health Department for Health and Wellbeing, Adelaide, South Australia, Australia.
Health Protection Scotland · GBSA Health · AURoyal Adelaide Hospital · AUThe University of Adelaide · AUWellbeing of Women · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesWe aim to establish daily risk estimates of the relationships between grass, tree and weed pollen and asthma health outcomes.

designTime series regression analysis of exposure and health outcomes using interaction by month to determine risk estimates all year round.

settingMetropolitan Adelaide, South Australia.

participantsHealth outcomes for asthma are based on 15 years of hospital admissions, 13 years emergency presentations and ambulance callouts. In adults (≥18 years), there were 10 381 hospitalisations, 26 098 emergency department (ED) presentations and 11 799 ambulance callouts and in children (0-17 years), 22 114, 39 813 and 3774, respectively. OUTCOME MEASURES: The cumulative effect of 7 day lags was calculated as the sum of the coefficients and reported as incidence rate ratio (IRR) related to an increase in 10 grains of pollen/m

resultsIn relation to grass pollen, children and adults were disparate in their timing of health effects. Asthma outcomes in children were positively related to grass pollen in May, and for adults in October. Positive associations with weed pollen in children was seen from February to May across all health outcomes. For adults, weed pollen-related health outcomes were restricted to February. Adults were not affected by tree pollen, while children's asthma morbidity was associated with tree pollen in August and September. In children, IRRs ranged from 1.14 (95% CI 1.06 to 1.21) for ED presentations for tree pollen in August to 1.98 (95% CI 1.06 to 3.72) for weed pollen in February. In adults, IRRs ranged from 1.28 (95% CI 1.01 to 1.62) for weed pollen in February to 1.31 (95% CI 1.08 to 1.57) for grass pollen in October.

conclusionMonthly risk assessment indicated that most pollen-related asthma health outcomes in children occur in the colder part of the year, while adults are affected in the warm season. The findings indicate a need for year-round pollen monitoring and related health campaigns to provide effective public health prevention.

Indexed as

AsthmaRhinitis, Allergic, SeasonalAdultChildHumansOutcome Assessment, Health CarePoaceaePollenRegression AnalysisSouth AustraliaTime FactorsTreesAsthmaEPIDEMIOLOGYPUBLIC HEALTH

Identifiers

PMID36414301
PMCPMC9723903
OpenAlexW4309679513

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.