Evidence map›Paper›PMID 42807809›Full record

ArticleERJ open research2026

Improving paediatric asthma outcomes in rural settings: clinical effectiveness of a multicomponent asthma care model.

Ryan Mackle, Melinda Gray, Mei Chan, Nicole Campbell, Trudie Campbell, Dominque Howard, Lisa Williams, Tracey Tyler, Prue McNamara, Nan Hu and 17 more

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in ERJ open research, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

27 authors.

Ryan MackleDiscipline of Paediatrics and Child Health, School of Clinical Medicine, UNSW Sydney, Sydney, NSW, Australia.ORCID https://orcid.org/0000-0003-0600-7265
Melinda GrayRespiratory Department, Sydney Children's Hospital Randwick, Sydney Children's Hospital Network, Sydney, NSW, Australia.
Mei ChanDiscipline of Paediatrics and Child Health, School of Clinical Medicine, UNSW Sydney, Sydney, NSW, Australia.
Nicole CampbellRespiratory Department, Sydney Children's Hospital Randwick, Sydney Children's Hospital Network, Sydney, NSW, Australia.
Trudie CampbellOut of Hospital Care, Illawarra Shoalhaven Local Health District, Warrawong, NSW, Australia.
Dominque HowardDepartment of Paediatrics, South East Regional Hospital, Southern NSW Local Health District, Bega, NSW, Australia.
Lisa WilliamsDepartment of Paediatrics, South East Regional Hospital, Southern NSW Local Health District, Bega, NSW, Australia.
Tracey TylerDepartment of Emergency Medicine, Byron District Hospital, Northern NSW Local Health District, Ewingsdale, NSW, Australia.
Prue McNamaraDepartment of Paediatrics, Dubbo Base Hospital, Western NSW Local Health District, Dubbo, NSW, Australia.
Nan HuDiscipline of Paediatrics and Child Health, School of Clinical Medicine, UNSW Sydney, Sydney, NSW, Australia.
Carmen Crespo-GonzalezDiscipline of Paediatrics and Child Health, School of Clinical Medicine, UNSW Sydney, Sydney, NSW, Australia.
Michael HodginsDiscipline of Paediatrics and Child Health, School of Clinical Medicine, UNSW Sydney, Sydney, NSW, Australia.
Blake AngellThe George Institute for Global Health, UNSW Sydney, Sydney, NSW, Australia.
Louisa OwensDiscipline of Paediatrics and Child Health, School of Clinical Medicine, UNSW Sydney, Sydney, NSW, Australia.
Jeffery FletcherSchool of Medicine, Bond University, Robina, QLD, Australia.
Timothy McCrossinDepartment of Paediatrics, Bathurst Base Hospital, Western NSW Local Health District, West Bathurst, NSW, Australia.
Susie PiperDepartment of Paediatrics, South East Regional Hospital, Southern NSW Local Health District, Bega, NSW, Australia.
Hong DuDepartment of Paediatrics, Wollongong Hospital, Illawarra Shoalhaven Local Health District, Wollongong, NSW, Australia.
Stuart HaggieDepartment of Paediatrics, Shoalhaven District Memorial Hospital, Illawarra Shoalhaven Local Health District, Nowra, NSW, Australia.
Aunty Kerrie DoyleDiscipline of Indigenous Health, School of Medicine, Western Sydney University, Sydney, NSW, Australia.
Bronwyn GouldFaculty of Medicine and Health, University of Sydney, Sydney, NSW, Australia.
Sue WoolfendenSydney Institute for Women, Children and Families, Sydney Local Health District, Sydney, NSW, Australia.
Flic WardParent of child with asthma.
Anthony FlynnAsthma Australia, Chatswood, NSW, Australia.
Raghu LingamDiscipline of Paediatrics and Child Health, School of Clinical Medicine, UNSW Sydney, Sydney, NSW, Australia.
Adam JaffeDiscipline of Paediatrics and Child Health, School of Clinical Medicine, UNSW Sydney, Sydney, NSW, Australia.
Nusrat HomairaDiscipline of Paediatrics and Child Health, School of Clinical Medicine, UNSW Sydney, Sydney, NSW, Australia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Asthma is a leading cause of childhood hospitalisation and emergency department (ED) presentations in Australia. Barriers persist in accessing paediatric asthma care, particularly in rural areas. We implemented and evaluated a multicomponent model to reduce preventable hospital presentations across rural New South Wales. Methods: We conducted pre-post evaluation of children aged 5-12 years with asthma exacerbations across 13 hospitals in four rural NSW health districts. Children received: 1) a standardised discharge pack, 2) general practitioners (GP) and school linkage, 3) text reminders, and 4) nurse-led virtual home visits for uncontrolled asthma. Primary outcome was healthcare utilisation (ED presentations, admissions and GP visits) from electronic records, comparing matched pre-post periods at 1, 3, 6 and 12 months. Secondary outcomes included asthma control and quality of life at 6 and 12 months. Analyses used generalised estimating equations and mixed-effects models to calculate adjusted rate ratios (aRRs) and mean differences. Results: 188 children participated (62% male, mean age 7.6 years). ED presentations decreased 93% at 1 month (aRR 0.07, 95% confidence interval 0.04-0.12), 85% at 3 months (aRR 0.15, 0.10-0.22), 78% at 6 months (aRR 0.22, 0.16-0.30) and 69% at 12 months (aRR 0.31, 0.25-0.40). Hospital admissions decreased 97%, 95%, 90% and 81%. Uncontrolled asthma decreased from 73% to 37% (6 months) and 30% (12 months). Asthma control and quality of life improved significantly at both timepoints. Conclusion: This multisite study achieved sustained reductions in preventable hospitalisations and meaningful improvements in asthma control and quality of life. This model offers a replicable approach for underserved populations.

Identifiers

PMID42807809
PMCPMC13617586

What OpenQuestion holds

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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.