Cochrane · systematic review · CD007949

Addition of long‐acting beta₂‐agonists to inhaled corticosteroids for chronic asthma in children

Chauhan, BF, Chartrand, C, Ni Chroinin, M, et al. · Cochrane Database of Systematic Reviews · 2015 · 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
14
current version
GRADE rated
14
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 0 · 0%Very low 0 · 0%Low 2 · 14.3%Moderate 11 · 78.6%High 1 · 7.1%

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

Comparison

Population: children with chronic asthma
7 questions
OutcomeEffectEvidenceStatus / GRADE
Number of participants with exacerbations requiring systemic steroids
RR 0.95 [0.7, 1.28]12 studies · 1669 participantsModerate
Downgraded: imprecision
Number of participants with exacerbations requiring hospitalisation
RR 1.74 [0.9, 3.36]6 studies · 1292 participantsModerate
Downgraded: imprecision
Serious adverse events
RR 1.17 [0.75, 1.85]16 studies · 4022 participantsModerate
Downgraded: imprecision
Total number of withdrawals
RR 0.8 [0.67, 0.94]23 studies · 4374 participantsLow
Downgraded: imprecision
Change in FEV1 (L) at endpoint
no estimate extracted9 studies · 1942 participantsLow
Downgraded: imprecision
Change in morning PEF (L/min) at endpoint
no estimate extracted16 studies · 3934 participantsModerate
Downgraded: imprecision
Total number of adverse events
RR 1.04 [0.98, 1.1]15 studies · 3284 participantsModerate
Downgraded: imprecision

Comparison

Population: children with chronic asthma
7 questions
OutcomeEffectEvidenceStatus / GRADE
Number of participants with exacerbations requiring systemic steroids
RR 1.69 [0.85, 3.32]3 studies · 581 participantsModerate
Downgraded: imprecision
Number of participants with exacerbations requiring hospitalisation
RR 1.9 [0.65, 5.54]4 studies · 1008 participantsModerate
Downgraded: imprecision
Serious adverse events
RR 1.54 [0.81, 2.94]7 studies · 1343 participantsModerate
Downgraded: imprecision
Total number of withdrawals
RR 0.96 [0.67, 1.37]7 studies · 1491 participantsModerate
Downgraded: imprecision
Change in FEV1 (L) at endpoint
no estimate extracted2 studies · 526 participantsModerate
Downgraded: imprecision
Change in morning PEF (L/min) at endpoint
no estimate extracted5 studies · 1283 participantsModerate
Downgraded: imprecision
Total number of adverse events
RR 1.01 [0.92, 1.1]6 studies · 1254 participantsHigh