Cochrane · systematic review · CD008816

Timing of hypertonic saline inhalation for cystic fibrosis

Elkins, M, Dentice, R · Cochrane Database of Systematic Reviews · 2020 · Cochrane Library

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
21
current version
GRADE rated
11
No studies
10
Included studies
NR
No studies 10 · 47.6%Ungraded 0 · 0%Very low 0 · 0%Low 11 · 52.4%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

Inhalation before compared with during airway clearance techniques for cystic fibrosis

Population: adults and children with cystic fibrosis
7 questions
OutcomeEffectEvidenceStatus / GRADE
FEV1 % predicted
Inhalation before vs during airway clearance techniques
no estimate extracted2 studies · 63 participantsLow
Downgraded: risk of bias, indirectness
FVC % predicted
Inhalation before vs during airway clearance techniques
no estimate extracted1 study · 50 participantsLow
Downgraded: risk of bias, indirectness
QoL
Inhalation before vs during airway clearance techniques
no estimate extractedNRNo studies
Symptom scores
Inhalation before vs during airway clearance techniques
no estimate extracted3 studies · 76 participantsLow
Downgraded: risk of bias, indirectness
Measures of sputum clearance: sputum wet weight immediately (g)
Inhalation before vs during airway clearance techniques
no estimate extracted2 studies · 26 participantsLow
Downgraded: risk of bias, indirectness
LCI
Inhalation before vs during airway clearance techniques
no estimate extracted1 study · 13 participantsLow
Downgraded: risk of bias, indirectness
Adverse events
Inhalation before vs during airway clearance techniques
no estimate extractedNRNo studies

Inhalation before compared with after airway clearance techniques for cystic fibrosis

Population: adults and children with cystic fibrosis
7 questions
OutcomeEffectEvidenceStatus / GRADE
FEV1 % predicted
Inhalation before vs after airway clearance techniques
no estimate extracted1 study · 50 participantsLow
Downgraded: risk of bias, indirectness
FVC % predicted
Inhalation before vs after airway clearance techniques
no estimate extracted1 study · 50 participantsLow
Downgraded: risk of bias, indirectness
QoL
Inhalation before vs after airway clearance techniques
no estimate extractedNRNo studies
Symptom scores
Inhalation before vs after airway clearance techniques
no estimate extracted1 study · 50 participantsLow
Downgraded: risk of bias, indirectness
Measures of sputum clearance
Inhalation before vs after airway clearance techniques
no estimate extractedNRNo studies
LCI
Inhalation before vs after airway clearance techniques
no estimate extractedNRNo studies
Adverse events
Inhalation before vs after airway clearance techniques
no estimate extractedNRNo studies

Inhalation during compared with after airway clearance techniques for cystic fibrosis

Population: adults and children with cystic fibrosis
7 questions
OutcomeEffectEvidenceStatus / GRADE
FEV1 % predicted
Inhalation during vs after airway clearance techniques
no estimate extracted1 study · 50 participantsLow
Downgraded: risk of bias, indirectness
FVC % predicted
Inhalation during vs after airway clearance techniques
no estimate extracted1 study · 50 participantsLow
Downgraded: risk of bias, indirectness
QoL
Inhalation during vs after airway clearance techniques
no estimate extractedNRNo studies
Symptom scores
Inhalation during vs after airway clearance techniques
no estimate extracted1 study · 50 participantsLow
Downgraded: risk of bias, indirectness
Measures of sputum clearance
Inhalation during vs after airway clearance techniques
no estimate extractedNRNo studies
LCI
Inhalation during vs after airway clearance techniques
no estimate extractedNRNo studies
Adverse events
Inhalation during vs after airway clearance techniques
no estimate extractedNRNo studies