Evidence map›Paper›PMID 36882670›Full record

ArticlePaediatric and perinatal epidemiology2023

Case-control study of exclusive breast feeding and severe bronchiolitis in the United States.

Ruth J Geller, Nancy R Inhofe, Cassandra C Crifase, Janice A Espinola, Catalina Gallegos, Nicole Herrera, Elie Mitri, Ying Shelly Qi, Ashley F Sullivan, Carlos A Camargo

Open access · bronzeAbstract readMulticenter Study
In one paragraph

Article in Paediatric and perinatal epidemiology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.6field-weighted citation impact, top 30% 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

2 citing papers in PubMed, 3 citations in OpenAlex.

  1. Household cleaning product exposure and severe bronchiolitis in infancy: A case-control study.The journal of allergy and clinical immunology. In practice · 2025
    Article
  2. Infant feeding and criticality in children.Nursing in critical care · 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

10 authors at 3 institutions in 1 country.

Ruth J GellerDepartment of Emergency Medicine, Massachusetts General Hospital, Boston, Massachusetts, USA.ORCID 0000-0001-8828-0761
Nancy R InhofeDepartment of Pediatrics, The University of Oklahoma School of Community Medicine, Tulsa, Oklahoma, USA.
Cassandra C CrifaseDepartment of Emergency Medicine, Massachusetts General Hospital, Boston, Massachusetts, USA.
Janice A EspinolaDepartment of Emergency Medicine, Massachusetts General Hospital, Boston, Massachusetts, USA.
Catalina GallegosDepartment of Emergency Medicine, Massachusetts General Hospital, Boston, Massachusetts, USA.
Nicole HerreraDepartment of Emergency Medicine, Massachusetts General Hospital, Boston, Massachusetts, USA.
Elie MitriDepartment of Emergency Medicine, Massachusetts General Hospital, Boston, Massachusetts, USA.
Ying Shelly QiDepartment of Emergency Medicine, Massachusetts General Hospital, Boston, Massachusetts, USA.
Ashley F SullivanDepartment of Emergency Medicine, Massachusetts General Hospital, Boston, Massachusetts, USA.
Carlos A CamargoDepartment of Emergency Medicine, Massachusetts General Hospital, Boston, Massachusetts, USA.
Massachusetts General Hospital · USBoston University · USTulsa Community College · US

Funding

Host genetics, early-life microbiome, and childhood asthma: MARC-43 BostonUH3OD023253 · OD · MASSACHUSETTS GENERAL HOSPITAL · PI CARLOS ARTURO CAMARGO · 2018 to 2026
$12.1M
Host genetics, early-life microbiome, and childhood asthma: MARC-43 BostonUG3OD023253 · OD · MASSACHUSETTS GENERAL HOSPITAL · PI CAMARGO, CARLOS ARTURO · 2016 to 2024
$6.8M
Prospective Cohort Study of Severe Bronchiolitis and Risk of Recurrent WheezingU01AI087881 · NIAID · MASSACHUSETTS GENERAL HOSPITAL · PI CAMARGO, CARLOS ARTURO · 2011 to 2016
$6.2M
Infant specific-IgE, rhinovirus-C bronchiolitis, and incident asthma in MARC-35R01AI114552 · NIAID · MASSACHUSETTS GENERAL HOSPITAL · PI CAMARGO, CARLOS ARTURO · 2015 to 2019
$4.2M
NIAID NIH HHS R01 AI114552NIAID NIH HHS U01 AI087881NIH HHS UG3 OD023253NIH HHS UH3 OD023253
6 · The paper itself

Abstract

backgroundBronchiolitis is a major cause of infant illness, with few known modifiable risk factors. Breast feeding may reduce risk of severe bronchiolitis, but the association of exclusive vs. partial breast feeding with severe bronchiolitis is unclear.

objectiveTo estimate the association of exclusive vs. partial breast feeding during ages 0-2.9 months with bronchiolitis hospitalisation during infancy.

methodsWe conducted a case-control study as a secondary analysis of two prospective US cohorts in the Multicenter Airway Research Collaboration. Cases were enrolled in a 17-centre study of infants hospitalised for bronchiolitis during 2011-2014 (n = 921). Controls were enrolled in a five-centre study of healthy infants during 2013-2014 and 2017 (n = 719). Breast feeding history during ages 0-2.9 months was collected by parent interview. Among breastfed infants, the association of exclusive vs. partial breast feeding with odds of bronchiolitis hospitalisation was estimated using a multivariable logistic regression model adjusted for demographic variables, parental asthma history, and early-life exposures. As a secondary analysis, we estimated the associations of exclusive, predominant, and occasional breast feeding vs. no breast feeding with the odds of bronchiolitis hospitalisation.

resultsAmong 1640 infants, the prevalence of exclusive breast feeding was 187/921 (20.3%) among cases and 275/719 (38.3%) among controls. Exclusive vs. partial breast feeding was associated with 48% reduced odds of bronchiolitis hospitalisation (adjusted odds ratio [OR] 0.52, 95% confidence interval [CI] 0.39, 0.69). In the secondary analysis, exclusive vs. no breast feeding was associated with 58% reduced odds of bronchiolitis hospitalisation (OR 0.42, 95% CI 0.23, 0.77), whereas predominant breast feeding (OR 0.77, 95% CI 0.37, 1.57) and occasional breast feeding (OR 0.98, 95% CI 0.57, 1.69) were not associated with meaningfully reduced odds of bronchiolitis hospitalisation.

conclusionExclusive breast feeding had a strong protective association against bronchiolitis hospitalisation.

Indexed as

Breast FeedingBronchiolitisCase-Control StudiesFemaleHospitalizationHumansInfantProspective StudiesUnited Statesbreast feedingepidemiologyhospitalisationinfant feedingrespiratory syncytial virusesrespiratory tract infections

Identifiers

PMID36882670
PMCPMC10483022
OpenAlexW4323535121

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.