Cochrane · systematic review · CD003123

Epinephrine for bronchiolitis

Hartling, L, Bialy, LM, Vandermeer, B, et al. · Cochrane Database of Systematic Reviews · 2011 · Cochrane Library

Acute Respiratory InfectionsAMSTAR 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
10
current version
GRADE rated
10
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 0 · 0%Very low 0 · 0%Low 3 · 30%Moderate 7 · 70%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

Epinephrine versus placebo for acute viral bronchiolitis

Population: patients with acute viral bronchiolitis
3 questions
OutcomeEffectEvidenceStatus / GRADE
Admissions at enrollment or < 24 hours (outpatients only)
Epinephrine vs placebo
RR 0.67 [0.5, 0.89]5 studies · 995 participantsModerate
Admissions overall up to 7 days (outpatients only)
Epinephrine vs placebo
RR 0.81 [0.63, 1.03]3 studies · 875 participantsLow
Length of stay (inpatients only)
Epinephrine vs placebo
no estimate extracted2 studies · 292 participantsModerate

Epinephrine versus salbutamol/albuterol for acute viral bronchiolitis

Population: patients with acute viral bronchiolitis
3 questions
OutcomeEffectEvidenceStatus / GRADE
Admissions at enrollment or < 24 hours (outpatients only)
Epinephrine vs salbutamol/albuterol
RR 0.67 [0.41, 1.09]7 studies · 444 participantsModerate
Admissions overall up to 7 days (outpatients only)
Epinephrine vs salbutamol/albuterol
RR 1.05 [0.71, 1.54]2 studies · 212 participantsModerate
Length of stay (inpatients only)
Epinephrine vs salbutamol/albuterol
no estimate extracted4 studies · 261 participantsModerate

Epinephrine and steroid versus placebo for acute viral bronchiolitis

Population: patients with acute viral bronchiolitis
2 questions
OutcomeEffectEvidenceStatus / GRADE
Admissions at enrollment or < 24 hours (outpatients only)
Epinephrine and steroid vs placebo
RR 0.64 [0.4, 1.04]1 study · 401 participantsLow
Admissions overall up to 7 days (outpatients only)
Epinephrine and steroid vs placebo
RR 0.64 [0.44, 0.95]1 study · 400 participantsLow

Epinephrine versus steroid for acute viral bronchiolitis

Population: patients with acute viral bronchiolitis
2 questions
OutcomeEffectEvidenceStatus / GRADE
Admissions (outpatients only)
Epinephrine vs steroid
RR 1.12 [0.66, 1.88]2 studies · 444 participantsModerate
Admissions overall up to 7 days (outpatients only)
Epinephrine vs steroid
RR 1.08 [0.77, 1.52]1 study · 399 participantsModerate