Cochrane · systematic review · CD001284

Combined inhaled beta‐agonist and anticholinergic agents for emergency management in adults with asthma

Kirkland, SW, Vandenberghe, C, Voaklander, B, et al. · Cochrane Database of Systematic Reviews · 2017 · Cochrane Library

AirwaysAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
7
current version
GRADE rated
7
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 0 · 0%Very low 1 · 14.3%Low 1 · 14.3%Moderate 5 · 71.4%High 0 · 0%

Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.

Questions and results

Combination inhaled therapy compared with SABA alone for acute asthma

Population: Adults with acute asthma
7 questions
OutcomeEffectEvidenceStatus / GRADE
Hospitalisation
Combination inhaled therapy vs SABA alone
RR 0.72 [0.59, 0.86]16 studies · 2120 participantsModerate
Downgraded: risk of bias
Total adverse events
Combination inhaled therapy vs SABA alone
OR 2.03 [1.28, 3.2]11 studies · 1392 participantsModerate
Downgraded: risk of bias, imprecision, inconsistency
FEV₁
Combination inhaled therapy vs SABA alone
no estimate extracted6 studies · 687 participantsLow
Downgraded: risk of bias
Percent change FEV₁(%)
Combination inhaled therapy vs SABA alone
no estimate extracted5 studies · 578 participantsVery low
Downgraded: risk of bias
Peak expiratory flow (PEF)
Combination inhaled therapy vs SABA alone
no estimate extracted12 studies · 1056 participantsModerate
Downgraded: risk of bias
Percent change from baseline PEF (%)
Combination inhaled therapy vs SABA alone
no estimate extracted7 studies · 551 participantsModerate
Downgraded: risk of bias
Relapse rates
Combination inhaled therapy vs SABA alone
RR 0.8 [0.66, 0.98]5 studies · 1180 participantsModerate
Downgraded: risk of bias