Evidence map›Paper›PMID 36433853›Full record

ArticlePediatric allergy and immunology : official publication of the European Society of Pediatric Allergy and Immunology2022

Short-acting β

Erik Melén, Bright I Nwaru, Fredrik Wiklund, Sofie de Fine Licht, Gunilla Telg, Ekaterina Maslova, Ralf J P van der Valk, Trung N Tran, Magnus Ekström, Christer Janson

Open access · bronzeAbstract read
In one paragraph

Article in Pediatric allergy and immunology : official publication of the European Society of Pediatric Allergy and Immunology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
2.2field-weighted citation impact, top 11% 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

12 citing papers in PubMed, 20 citations in OpenAlex.

  1. Article
  2. Article
  3. Review
  4. Review
  5. Uncontrolled asthma in school-aged children-a nationwide specialist care study.The journal of allergy and clinical immunology. Global · 2024
    Article
  6. Article
  7. Article
  8. Review
  9. Short-acting βERJ open research · 2023
    Article
  10. Short-acting βPediatric allergy and immunology : official publication of the European Society of Pediatric Allergy and Immunology · 2022
    Article
  11. Article
  12. 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

10 authors at 8 institutions in 3 countries.

Erik MelénDepartment of Clinical Sciences and Education Södersjukhuset, Karolinska Institutet, Stockholm, Sweden.ORCID 0000-0002-8248-0663
Bright I NwaruKrefting Research Centre, Institute of Medicine, University of Gothenburg, Gothenburg, Sweden.ORCID 0000-0002-2876-6089
Fredrik WiklundStatisticon AB, Uppsala, Sweden.
Sofie de Fine LichtAstraZeneca Nordic, Södertälje, Sweden.
Gunilla TelgAstraZeneca Nordic, Södertälje, Sweden.
Ekaterina MaslovaAstraZeneca, Cambridge, UK.
Ralf J P van der ValkAstraZeneca, Cambridge, UK.
Trung N TranAstraZeneca, Gaithersburg, Maryland, USA.
Magnus EkströmDepartment of Clinical Sciences, Respiratory Medicine and Allergology, Lund University, Lund, Sweden.
Christer JansonDepartment of Medical Sciences: Respiratory, Allergy and Sleep Research, Uppsala University, Uppsala, Sweden.
AstraZeneca (Sweden) · SEAstraZeneca (United Kingdom) · GBAstraZeneca (United States) · USKarolinska Institutet · SELund University · SEStatisticon (Sweden) · SEUniversity of Gothenburg · SEUppsala University · SE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIn adults and adolescents with asthma, use of ≥3 short-acting β

methodsThis population-based cohort study utilized linked data from the Swedish national healthcare registries involving patients with asthma (<18 years) treated in secondary care between 2006-2015. Exacerbation risk, by baseline SABA collection (0-2 vs. ≥3 canisters, further examined as ordinal/continuous variable) and stratified on comorbid atopic disease (allergic rhinitis, dermatitis and eczema, and food/other allergies), was assessed for 1-year follow-up using negative binomial regression.

resultsOf 219,561 patients assessed, 45.4%, 31.7%, and 26.5% of patients aged 0-5, 6-11, and 12-17 years, respectively, collected ≥3 SABA canisters during the baseline year (high use). Collection of ≥3 SABA canisters (vs. 0-2) was associated with increased exacerbation risk during follow-up (incidence rate ratios [95% confidence interval]: 1.35 [1.29-1.42], 1.22 [1.15-1.29], and 1.26 [1.19-1.34] for 0-5-, 6-11-, and 12-17-year-olds, respectively); the association persisted with SABA as a continuous variable and was stronger among patients without atopic diseases (32%-44% increased risk versus. 14%-21% for those with atopic disease across groups).

conclusionsHigh SABA use was associated with increased asthma exacerbation risk in children, particularly in those without comorbid atopic diseases, emphasizing the need for asthma medication reviews and reformative initiatives by caregivers and healthcare providers on SABA use.

Indexed as

AsthmaRhinitis, AllergicAdolescentAdultChildCohort StudiesHumansSwedenasthmachildrenexacerbationspediatricSABINA junior studyshort-acting β2-agonistsSweden

Identifiers

PMID36433853
PMCPMC9828275
OpenAlexW4309680583

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.