Cochrane · systematic review · CD006822

Heliox for croup in children

Moraa, I, Sturman, N, McGuire, TM, et al. · Cochrane Database of Systematic Reviews · 2021 · Cochrane Library

Acute Respiratory Infections2 versionsAMSTAR 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
18
current version
GRADE rated
7
No studies
11
Included studies
NR
No studies 11 · 61.1%Ungraded 0 · 0%Very low 0 · 0%Low 7 · 38.9%Moderate 0 · 0%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

Current version only

Heliox compared to oxygen 30% for croup in children

Population: children with croup
CD006822.PUB6 (current) · 9 questions
OutcomeEffectEvidenceStatus / GRADE
Change in croup score at 20 minutes
Heliox vs oxygen 30%
no estimate extracted1 study · 15 participantsLow
Change in respiratory rate at 20 minutes
Heliox vs oxygen 30%
no estimate extracted1 study · 15 participantsLow
Change in heart rate at 20 minutes
Heliox vs oxygen 30%
no estimate extracted1 study · 15 participantsLow
Proportion of children hospitalised
Heliox vs oxygen 30%
no estimate extractedNRNo studies
Duration of hospitalisation
Heliox vs oxygen 30%
no estimate extractedNRNo studies
Proportion of children intubated
Heliox vs oxygen 30%
no estimate extractedNRNo studies
Duration of intubation
Heliox vs oxygen 30%
no estimate extractedNRNo studies
Proportion of children re‐presenting for medical care for ongoing croup symptoms
Heliox vs oxygen 30%
no estimate extractedNRNo studies
Adverse events
Heliox vs oxygen 30%
no estimate extractedNRNo studies

Heliox compared to placebo or no treatment for croup in children

Population: children with croup
CD006822.PUB6 (current) · 9 questions
OutcomeEffectEvidenceStatus / GRADE
Change in croup score at 60 minutes
Heliox vs placebo or no treatment
no estimate extracted1 study · 47 participantsLow
Downgraded: imprecision
Change in respiratory rate at 60 minutes
Heliox vs placebo or no treatment
no estimate extracted1 study · 47 participantsLow
Downgraded: imprecision
Change in heart rate at 60 minutes
Heliox vs placebo or no treatment
no estimate extractedNRNo studies
Proportion of children hospitalised
Heliox vs placebo or no treatment
OR 0.46 [0.04, 5.41]1 study · 47 participantsLow
Downgraded: imprecision
Duration of hospitalisation
Heliox vs placebo or no treatment
no estimate extractedNRNo studies
Proportion of children intubated
Heliox vs placebo or no treatment
no estimate extractedNRNo studies
Duration of intubation
Heliox vs placebo or no treatment
no estimate extractedNRNo studies
Proportion of children re‐presenting for medical care for ongoing croup symptoms (return to care)
Heliox vs placebo or no treatment
OR 0.95 [0.12, 7.41]1 study · 47 participantsLow
Downgraded: imprecision
Adverse events
Heliox vs placebo or no treatment
no estimate extractedNRNo studies

Heliox compared to oxygen 30% for croup in children

Population: children with croup
CD006822.PUB5 · 7 questions
OutcomeEffectEvidenceStatus / GRADE
Change in croup score at 20 minutes
Heliox vs oxygen 30%
no estimate extracted1 study · 15 participantsLow
Change in respiratory rate at 20 minutes
Heliox vs oxygen 30%
no estimate extracted1 study · 15 participantsLow
Change in heart rate at 20 minutes
Heliox vs oxygen 30%
no estimate extracted1 study · 15 participantsLow
Proportion of children hospitalised and duration of hospitalisation ‐ not reported
Heliox vs oxygen 30%
no estimate extractedNRNo studies
Proportion and duration of intubation ‐ not reported
Heliox vs oxygen 30%
no estimate extractedNRNo studies
Proprtion of children representing for medical care for ongoing croup symptoms ‐ not reported
Heliox vs oxygen 30%
no estimate extractedNRNo studies
Adverse events ‐ not reported
Heliox vs oxygen 30%
no estimate extractedNRNo studies

Heliox compared to placebo or no treatment for croup in children

Population: children with croup
CD006822.PUB5 · 7 questions
OutcomeEffectEvidenceStatus / GRADE
Change in croup score at 60 minutes
Heliox vs placebo or no treatment
no estimate extracted1 study · 47 participantsLow
Downgraded: imprecision
Change in respiratory rate at 60 minutes
Heliox vs placebo or no treatment
no estimate extracted1 study · 47 participantsLow
Downgraded: imprecision
Change in heart rate at 60 minutes ‐ not reported
Heliox vs placebo or no treatment
no estimate extractedNRNo studies
Proportion of children hospitalised and duration of hospitalisation
Heliox vs placebo or no treatment
OR 0.46 [0.04, 5.41]1 study · 47 participantsLow
Downgraded: imprecision
Proportion and duration of intubation ‐ not reported
Heliox vs placebo or no treatment
no estimate extractedNRNo studies
Proportion of children re‐presenting for medical care for ongoing croup symptoms (return to care)
Heliox vs placebo or no treatment
OR 0.95 [0.12, 7.41]1 study · 47 participantsLow
Downgraded: imprecision
Adverse events ‐ not reported
Heliox vs placebo or no treatment
no estimate extractedNRNo studies