Cochrane · systematic review · CD002316

Inhaled steroids for acute asthma following emergency department discharge

Edmonds, ML, Milan, SJ, Brenner, BE, et al. · Cochrane Database of Systematic Reviews · 2012 · 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
6
current version
GRADE rated
6
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 0 · 0%Very low 0 · 0%Low 1 · 16.7%Moderate 4 · 66.7%High 1 · 16.7%

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

Any ICS plus oral corticosteroid versus oral corticosteroid for acute asthma following emergency department discharge

Population: predominantly adults with acute asthma following emergency department discharge
3 questions
OutcomeEffectEvidenceStatus / GRADE
Asthma relapse1at 20 to 24 days
Any ICS plus oral corticosteroid vs oral corticosteroid
OR 0.68 [0.46, 1.02]3 studies · 909 participantsHigh
Hospital admission
Any ICS plus oral corticosteroid vs oral corticosteroid
OR 0.99 [0.39, 2.52]2 studies · 805 participantsModerate
Downgraded: imprecision, inconsistency
Hoarseness at 20 to 24 days
Any ICS plus oral corticosteroid vs oral corticosteroid
OR 0.6 [0.36, 1.01]2 studies · 596 participantsModerate
Downgraded: imprecision, inconsistency

Any ICS versus oral corticosteroid for acute asthma following emergency department discharge

Population: patients with acute asthma following emergency department discharge
3 questions
OutcomeEffectEvidenceStatus / GRADE
Asthma relapse1at 16 to 21 days
Any ICS vs oral corticosteroid
OR 1.26 [0.8, 1.99]2 studies · 425 participantsModerate
Downgraded: imprecision
Hospital admission
Any ICS vs oral corticosteroid
OR 0.31 [0.01, 7.95]3 studies · 254 participantsModerate
Downgraded: imprecision
Hoarseness at 16 to 21 days
Any ICS vs oral corticosteroid
OR 1.62 [0.52, 5.05]1 study · 412 participantsLow
Downgraded: imprecision