Evidence map›Paper›PMID 39498233›Full record

ArticleThe journal of allergy and clinical immunology. Global2024

Effects of nonpharmaceutical interventions during COVID-19 pandemic on pediatric asthma exacerbations and viral infections.

Katherine Caid, Megan Tate, Shahwar Yousuf, Lillian Jones, Robert D Pesek, Akilah A Jefferson, Tamara T Perry, Daniel Liu, Grace Turner, Ashton Ingold and 11 more

Abstract read
In one paragraph

Article in The journal of allergy and clinical immunology. Global, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

5 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Efficacy of different biologics for treating chronic rhinosinusitis with nasal polyps: a network meta-analysis.European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 2025
    Pooled it
  2. Article
  3. Article
  4. Beyond respiratory syncytial virus and rhinovirus: The other viral respiratory bandits.Annals of allergy, asthma & immunology : official publication of the American College of Allergy, Asthma, & Immunology · 2025
    Review
  5. 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

21 authors.

Katherine CaidDepartment of Pediatrics, University of Arkansas for Medical Sciences, Little Rock, Ark.
Megan TateDepartment of Pediatrics, University of Arkansas for Medical Sciences, Little Rock, Ark.
Shahwar YousufDepartment of Pediatrics, University of Arkansas for Medical Sciences, Little Rock, Ark.
Lillian JonesDepartment of Pediatrics, University of Arkansas for Medical Sciences, Little Rock, Ark.
Robert D PesekDepartment of Pediatrics, University of Arkansas for Medical Sciences, Little Rock, Ark.
Akilah A JeffersonDepartment of Pediatrics, University of Arkansas for Medical Sciences, Little Rock, Ark.
Tamara T PerryDepartment of Pediatrics, University of Arkansas for Medical Sciences, Little Rock, Ark.
Daniel LiuDepartment of Pediatrics, University of Arkansas for Medical Sciences, Little Rock, Ark.
Grace TurnerArkansas Children's Research Institute, Little Rock, Ark.
Ashton IngoldArkansas Children's Research Institute, Little Rock, Ark.
Susanna HartzellArkansas Children's Research Institute, Little Rock, Ark.
Bobby L BoyantonDepartment of Pathology, Arkansas Children's Hospital and University of Arkansas for Medical Sciences, Little Rock, Ark.
Kim CobbDepartment of Pediatrics, University of Arkansas for Medical Sciences, Little Rock, Ark.
Haley LongDepartment of Pediatrics, University of Arkansas for Medical Sciences, Little Rock, Ark.
Suzanne HouseArkansas Children's Research Institute, Little Rock, Ark.
Dana FrederickDepartment of Pediatrics, University of Arkansas for Medical Sciences, Little Rock, Ark.
Rachel A FrennerDepartment of Pathology, Arkansas Children's Hospital and University of Arkansas for Medical Sciences, Little Rock, Ark.
Erin HathornDepartment of Bioinformatics, Arkansas Children's Hospital, Little Rock, Ark.
Jing JinDepartment of Biostatistics, University of Arkansas for Medical Sciences, Little Rock, Ark.
Scott StewartDepartment of Biostatistics, University of Arkansas for Medical Sciences, Little Rock, Ark.
Joshua L KennedyDepartment of Pediatrics, University of Arkansas for Medical Sciences, Little Rock, Ark.

Funding

An Integrated Host-Microbe Gene Classifier to Predict SARS-CoV-2 and Severe Disease in Children with Respiratory Viral CoinfectionsR01HL173537 · NHLBI · ARKANSAS CHILDREN'S HOSPITAL RES INST · PI Joshua Kennedy · 2024 to 2026
$2.0M
Multifactorial Asthma Determinants in Underresourced Pediatric PopulationsK23HL174407 · NHLBI · KAISER FOUNDATION RESEARCH INSTITUTE · PI Akilah Andrea Jefferson · 2024 to 2026
$494k
NHLBI NIH HHS K23 HL174407NHLBI NIH HHS L60 HL159842NHLBI NIH HHS R01 HL173537
6 · The paper itself

Abstract

Background: The emergence of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) in March 2020 led to the implementation of nonpharmaceutical interventions (NPIs) to curb its spread. Studies have shown that adult asthma exacerbations and viral infections decreased during NPI use. However, few studies have shown the effects of NPIs on pediatric asthma exacerbations and infections during and after the pandemic. Objective: This study aimed to understand the impact of NPIs on asthma exacerbations and viral respiratory infections in pediatric patients at our institution from March 2018 to December 2022. Methods: The medical record numbers of children with asthma exacerbations seen at our institution between March 2018 and December 2022 were analyzed. Subjects were categorized on the basis of timing of their exacerbation in relation to NPI enforcement. We used the results from clinical testing with the BioFire Respiratory Panel (BRP) to detect up to 22 respiratory pathogens and then correlated these results with asthma exacerbation severity. Results: There were 5,758 asthma exacerbations recorded, with a 50% decline in average weekly exacerbations during NPI enforcement. Of the 70,682 BRP tests performed, 87% returned a positive result for at least 1 pathogen. Several viruses (respiratory syncytial virus, parainfluenza, and influenza) had a decrease in positivity rate with NPIs, whereas rhinovirus/enterovirus positivity rates were unchanged throughout the pandemic. Asthma exacerbations with a positive BRP result required higher clinical levels of care during the admission. Conclusion: NPIs were associated with significantly reduced numbers of asthma exacerbations and respiratory viral infections. The post-NPI period saw a return to prepandemic levels of asthma exacerbations and an unusual surge in respiratory syncytial virus infections, emphasizing the need for continuous monitoring and adaptive strategies in the postpandemic landscape.

Indexed as

asthma exacerbationsNonpharmaceutical interventionspediatric asthmaSARS-CoV-2viral infections

Identifiers

PMID39498233
PMCPMC11533078

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.