Cochrane · systematic review · CD011032

Intermittent inhaled corticosteroid therapy versus placebo for persistent asthma in children and adults

Chong, J, Haran, C, Chauhan, BF, 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
13
current version
GRADE rated
13
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 0 · 0%Very low 1 · 7.7%Low 6 · 46.2%Moderate 6 · 46.2%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

Intermittent ICS versus placebo for children and adults with persistent asthma

Population: School‐aged children and adults
6 questions
OutcomeEffectEvidenceStatus / GRADE
Exacerbations requiring oral corticosteroids ‐ School‐age children
Intermittent ICS vs placebo
OR 0.57 [0.29, 1.12]1 study · 145 participantsLow
Downgraded: imprecision
Exacerbations requiring oral corticosteroids ‐ adults
Intermittent ICS vs placebo
OR 0.1 [0.01, 1.95]1 study · 240 participantsLow
Downgraded: imprecision
Serious adverse events
Intermittent ICS vs placebo
OR 1 [0.14, 7.25]2 studies · 385 participantsModerate
Downgraded: imprecision
Day time asthma score Mean difference
Intermittent ICS vs placebo
no estimate extracted1 study · 240 participantsModerate
Downgraded: imprecision
Night time asthma score Mean difference
Intermittent ICS vs placebo
no estimate extracted1 study · 240 participantsModerate
Downgraded: imprecision
Adverse events
Intermittent ICS vs placebo
OR 2.9 [0.12, 71.96]1 study · 243 participantsLow
Downgraded: imprecision

Intermittent ICS versus placebo for preschool children with wheeze

Population: Preschool children
7 questions
OutcomeEffectEvidenceStatus / GRADE
Exacerbations requiring oral corticosteroids
Intermittent ICS vs placebo
OR 0.48 [0.31, 0.73]4 studies · 490 participantsModerate
Serious adverse events
Intermittent ICS vs placebo
OR 0.42 [0.17, 1.02]3 studies · 439 participantsLow
Downgraded: imprecision
Hospitalisations
Intermittent ICS vs placebo
OR 0.73 [0.23, 2.29]3 studies · 327 participantsVery low
Downgraded: imprecision
Quality of Life PedsQL total score
Intermittent ICS vs placebo
no estimate extracted1 study · 143 participantsLow
Downgraded: imprecision
Day time asthma score Standardised mean difference
Intermittent ICS vs placebo
no estimate extracted3 studies · 364 participantsModerate
Night time asthma score Standardised mean difference
Intermittent ICS vs placebo
no estimate extracted3 studies · 364 participantsModerate
Adverse events
Intermittent ICS vs placebo
OR 0.86 [0.42, 1.75]1 study · 166 participantsLow
Downgraded: imprecision