Evidence map›Paper›PMID 39950392›Full record

Observational studyPediatric pulmonology2025

Air Pollutants Associated Hospitalization in Pediatric Pneumonia: A National Database Analysis.

Phanthila Sitthikarnkha, Rattapon Uppala, Leelawadee Techasatian, Suchaorn Saengnipanthkul, Sirapoom Niamsanit, Udomlack Peansukwech, Sumitr Sutra, Nattachai Anantasit, Jamaree Teeratakulpisarn, Kamonwan Jenwitheesuk and 1 more

Abstract readObservational Study
In one paragraph

Observational study in Pediatric pulmonology, 2025. 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
–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

2 citing papers in PubMed.

  1. Development of the Respiratory System During Adolescence.Advances in experimental medicine and biology · 2026
    Review
  2. 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

11 authors.

Phanthila SitthikarnkhaDepartment of Pediatrics, Faculty of Medicine, Khon Kaen University, Khon Kaen, Thailand.ORCID http://orcid.org/0000-0003-1245-837X
Rattapon UppalaDepartment of Pediatrics, Faculty of Medicine, Khon Kaen University, Khon Kaen, Thailand.ORCID http://orcid.org/0000-0003-1903-0907
Leelawadee TechasatianDepartment of Pediatrics, Faculty of Medicine, Khon Kaen University, Khon Kaen, Thailand.ORCID http://orcid.org/0000-0003-4668-6792
Suchaorn SaengnipanthkulDepartment of Pediatrics, Faculty of Medicine, Khon Kaen University, Khon Kaen, Thailand.ORCID http://orcid.org/0000-0003-1368-9508
Sirapoom NiamsanitDepartment of Pediatrics, Faculty of Medicine, Khon Kaen University, Khon Kaen, Thailand.
Udomlack PeansukwechResearch Program in Pediatrics, Khon Kaen University, Khon Kaen, Thailand.
Sumitr SutraDepartment of Pediatrics, Faculty of Medicine, Khon Kaen University, Khon Kaen, Thailand.
Nattachai AnantasitDepartment of Pediatrics, Division of Pediatric Critical Care, Ramathibodi Hospital, Mahidol University, Bangkok, Thailand.
Jamaree TeeratakulpisarnDepartment of Pediatrics, Faculty of Medicine, Khon Kaen University, Khon Kaen, Thailand.
Kamonwan JenwitheesukDepartment of Surgery, Faculty of Medicine, Khon Kaen University, Khon Kaen, Thailand.
Pope KosararaksaDepartment of Pediatrics, Faculty of Medicine, Khon Kaen University, Khon Kaen, Thailand.

Funding

This study was supported by Research and Graduate Studies, Khon Kaen University, Thailand.
6 · The paper itself

Abstract

backgroundPneumonia ranks as a leading contributor to hospital admissions and mortality among children worldwide. This study aimed to investigate the association between aerosol components of air pollution and pediatric pneumonia hospitalization.

methodsEmploying an observational study design, data from hospitalized children under 15 years diagnosed with pneumonia in Thailand from 2015 to 2019 were analyzed to ascertain the relationship between air pollution and health outcomes. Utilizing the Modern-Era Retrospective analysis for Research and Application version 2 (MERRA-2) data for aerosol components, and adjusting for demographic and geographical factors, using Poisson regression models.

resultsA total of 732,700 children were hospitalized with pneumonia, with children under the age of five accounting for the majority of admissions (637,313 cases, 86.9%). Dust had the strongest association with the incidence rate ratio of hospitalization in children with pneumonia across all age groups. The incidence rate ratio was 1.288 (95% CI: 1.271-1.304, p < 0.001), 1.392 (95%CI: 1.344-1.442, p < 0.001), and 1.349 (95%CI: 1.265-1.439, p < 0.001) for children under the age of 5, 5 to under 10, and 10 to under 15, respectively. The association of hospitalization among children with pneumonia increased by 21.0% and 13.8% for each 1 μg/m3 increase in black carbon and dust levels, respectively.

conclusionThe findings reveal a compelling link between certain air pollutants and pediatric pneumonia hospitalization, highlighting the urgent need for targeted interventions to mitigate air pollution's adverse effects.

Indexed as

Air PollutantsAir PollutionHospitalizationPneumoniaAdolescentChildChild, PreschoolDatabases, FactualDustFemaleHumansIncidenceInfantInfant, NewbornMaleParticulate MatterAir PollutantsDustParticulate Matterair pollutantschildrenhospitalizationPM2.5pneumonia

Identifiers

PMID39950392
PMCPMC11826497

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

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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.