Findings

What do systematic reviews say?

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Evidence found and GRADE certainty

23 questions · 23 findings · 13 reviews · Airways

No studies found 0 · 0%GRADE not reported 0 · 0%Very low 5 · 21.7%Low 6 · 26.1%Moderate 9 · 39.1%High 3 · 13%

Inhaled corticosteroids plus standard care vs placebo or usual care

Serious adverse events · adults with a confirmed diagnosis of mild COVID‐19, of whom only 10% (219/2132) participants had received ≥ 1 vaccination

It is very uncertain whether inhaled corticosteroids plus standard care changes serious adverse events compared with standard care (with or without placebo) (very low certainty).

1 finding from 1 review

Increased vs stable doses of inhaled corticosteroids

Serious adverse events 48 weeks · adults and children with chronic asthma

It is very uncertain whether increased changes serious adverse events 48 weeks compared with stable doses of inhaled corticosteroids (very low certainty).

1 finding from 1 review

Increased vs stable doses of inhaled corticosteroids

Non‐serious adverse events 43 weeks · adults and children with chronic asthma

It is very uncertain whether increased changes non‐serious adverse events 43 weeks compared with stable doses of inhaled corticosteroids (very low certainty).

1 finding from 1 review

Stopping LABA vs continuing use of LABA+ICS

Serious adverse events 17 weeks · adults with asthma well controlled on LABA and ICS

Stopping LABA showed no clear difference in serious adverse events 17 weeks compared with continuing use of LABA+ICS (moderate certainty).

1 finding from 1 review

LAMA add‐on vs long‐acting beta2‐agonists (LABA) add‐on

Serious adverse events 22 weeks · adults with asthma not well controlled on ICS

Long‐acting muscarinic antagonists (LAMA) add‐on showed no clear difference in serious adverse events 22 weeks compared with long‐acting beta2‐agonists (LABA) add‐on (low certainty).

1 finding from 1 review

Intervention not reported

Non‐fatal, serious adverse events (all) · patients with chronic obstructive pulmonary disease

The intervention showed no clear difference in non‐fatal, serious adverse events (all) (moderate certainty).

1 finding from 1 review

Intervention not reported

Non‐fatal, serious adverse events (all) · patients with chronic obstructive pulmonary disease

The intervention showed no clear difference in non‐fatal, serious adverse events (all) (high certainty).

1 finding from 1 review

Regular formoterol and ICS vs same‐dose ICS

Asthma‐related non‐fatal serious adverse events · adults, chronic asthma: all‐cause mortality

Regular formoterol and ICS showed no clear difference in asthma‐related non‐fatal serious adverse events compared with same‐dose ICS (moderate certainty).

1 finding from 1 review

Regular formoterol and ICS vs same‐dose ICS

Asthma‐related non‐fatal serious adverse events · children and adolescents with chronic asthma

It is very uncertain whether regular formoterol and ICS changes asthma‐related non‐fatal serious adverse events compared with same‐dose ICS (very low certainty).

1 finding from 1 review

Intermittent 'as needed' ICS vs daily ICS

Patients with serious adverse health events (duration 12 to 52 weeks) · Children and adults with persistent asthma.

Intermittent 'as needed' ICS showed no clear difference in patients with serious adverse health events (duration 12 to 52 weeks) compared with daily ICS (low certainty).

1 finding from 1 review

Intervention not reported

Non‐fatal, serious adverse pneumonia events (requiring hospital admission) · patients with chronic obstructive pulmonary disease

The intervention leads to higher non‐fatal, serious adverse pneumonia events (requiring hospital… (high certainty).

1 finding from 1 review

Intervention not reported

Non‐fatal, serious adverse pneumonia events (requiring hospital admission) · patients with chronic obstructive pulmonary disease

The intervention showed no clear difference in non‐fatal, serious adverse pneumonia events (requiring hospital… (moderate certainty).

1 finding from 1 review