Cochrane · systematic review · CD007074

Anti‐inflammatory medications for obstructive sleep apnoea in children

Kuhle, S, Hoffmann, DU, Mitra, S, et al. · Cochrane Database of Systematic Reviews · 2020 · 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
10
current version
GRADE rated
8
No studies
2
Included studies
NR
No studies 2 · 20%Ungraded 0 · 0%Very low 0 · 0%Low 3 · 30%Moderate 4 · 40%High 1 · 10%

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

Corticosteroids compared to placebo for obstructive sleep apnoea in children

Population: obstructive sleep apnoea in children
5 questions
OutcomeEffectEvidenceStatus / GRADE
AHI (number of breathing pauses and episodes of shallow breathing per hour of sleep time)
Corticosteroids vs placebo
no estimate extracted2 studies · 75 participantsLow
Downgraded: inconsistency
Desaturation index (number of times per hour of sleep time that the blood's O₂ level drops by a certain proportion from baseline)
Corticosteroids vs placebo
no estimate extracted2 studies · 75 participantsModerate
Downgraded: imprecision, inconsistency
Respiratory arousal index (number of times per hour of sleep time that an increased respiratory effort without a decrease in oxygen saturation is recorded)
Corticosteroids vs placebo
no estimate extracted2 studies · 75 participantsLow
Downgraded: imprecision, inconsistency
Nadir SpO₂ (lowest SpO₂ during sleep)
Corticosteroids vs placebo
no estimate extracted2 studies · 75 participantsModerate
Downgraded: imprecision, inconsistency
Serious adverse events (N experiencing events)
Corticosteroids vs placebo
no estimate extractedNRNo studies

Montelukast compared to placebo for obstructive sleep apnoea in children

Population: obstructive sleep apnoea in children
5 questions
OutcomeEffectEvidenceStatus / GRADE
AHI (number of breathing pauses and episodes of shallow breathing per hour of sleep time)
Montelukast vs placebo
no estimate extracted2 studies · 103 participantsModerate
Downgraded: inconsistency
Desaturation index (number of times per hour of sleep time that the blood's O₂ level drops by a certain proportion from baseline)
Montelukast vs placebo
no estimate extracted2 studies · 103 participantsLow
Downgraded: imprecision, inconsistency
Respiratory arousal index (number of times per hour of sleep time that an increased respiratory effort without a decrease in oxygen saturation is recorded)
Montelukast vs placebo
no estimate extracted2 studies · 103 participantsModerate
Downgraded: imprecision, inconsistency
Nadir SpO₂ (lowest SpO₂ during sleep)
Montelukast vs placebo
no estimate extracted2 studies · 103 participantsHigh
Serious adverse events (N experiencing event)
Montelukast vs placebo
no estimate extractedNRNo studies