Evidence map›Paper›PMID 40197817›Full record

ArticlePediatric pulmonology2025

Respiratory Related Hospitalization in Children With Exposure to Meconium Aspiration or Staining.

Gabriel Côté-Corriveau, Ariane Lasry, Philippe Bégin, Marianne Bilodeau-Bertrand, Jessica Healy-Profitós, Nathalie Auger

Abstract read
In one paragraph

Article in Pediatric pulmonology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

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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

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Gabriel Côté-CorriveauDepartment of Pediatrics, Sainte-Justine Hospital Research Centre, Montreal, Quebec, Canada.
Ariane LasryDepartment of Obstetrics & Gynecology, Sherbrooke University, Sherbrooke, Quebec, Canada.
Philippe BéginDepartment of Pediatrics, Sainte-Justine Hospital Research Centre, Montreal, Quebec, Canada.
Marianne Bilodeau-BertrandInstitut national de santé publique du Québec, Montreal, Quebec, Canada.
Jessica Healy-ProfitósInstitut national de santé publique du Québec, Montreal, Quebec, Canada.
Nathalie AugerInstitut national de santé publique du Québec, Montreal, Quebec, Canada.ORCID http://orcid.org/0000-0002-2412-0459

Funding

This study was supported by the Canadian Institutes of Health Research [grant number PJT-162300 to Nathalie Auger] and Fonds de recherche du Québec-Santé [grant number 296785 to Nathalie Auger].
6 · The paper itself

Abstract

backgroundWe investigated whether neonates exposed to meconium had a higher risk of respiratory hospitalization in childhood.

methodsWe analyzed a longitudinal cohort of 1,271,563 children with 6,334,857 person-years of follow-up between birth and age 5 years in Quebec, Canada from 2006 to 2022. The exposure was meconium aspiration or meconium staining without aspiration at birth. The outcome was hospitalization for bronchiolitis, asthma, and other allergic conditions up to age 5 years. We estimated hazard ratios (HR) and 95% confidence intervals (CI) for the association between meconium exposure and these outcomes using Cox regression models adjusted for patient characteristics. We additionally examined associations according to gestational age.

resultsA total of 6050 children had meconium aspiration (0.5%) and 131,238 were exposed to meconium without aspiration (10.3%). Compared with no exposure, meconium aspiration was associated with 1.24 times the risk of bronchiolitis (95% CI: 1.09-1.42), 1.43 times the risk of asthma (95% CI: 1.20-1.69), and 1.40 times the risk of other allergy hospitalization (95% CI: 1.11-1.76). Meconium aspiration was associated with these outcomes among children born at term (HR: 1.28, 95% CI: 1.14-1.44) and post-term (HR: 1.56, 95% CI: 1.26-1.94). There was no association for children born preterm. Meconium exposure without aspiration appeared to protect against the outcomes (HR: 0.92, 95% CI: 0.90-0.95), but the association disappeared when we accounted for gestational age.

conclusionMeconium aspiration is associated with a higher risk of hospitalization for respiratory or atopic complications, but meconium exposure without aspiration is not associated with these outcomes.

Indexed as

AsthmaBronchiolitisHospitalizationMeconiumMeconium Aspiration SyndromeChild, PreschoolFemaleGestational AgeHumansInfantInfant, NewbornLongitudinal StudiesMaleQuebecRisk Factorsallergy and immunologyasthmabronchiolitismeconiummeconium aspiration syndrome

Identifiers

PMID40197817
PMCPMC11977039

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