Cochrane · systematic review · CD011826

Bronchodilators delivered by nebuliser versus pMDI with spacer or DPI for exacerbations of COPD

van Geffen, WH, Douma, WR, Slebos, DJ, et al. · Cochrane Database of Systematic Reviews · 2016 · 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
5
current version
GRADE rated
5
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 0 · 0%Very low 1 · 20%Low 4 · 80%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

Comparison

Population: participants with an exacerbation of COPD; people with asthma excluded from our analysis
5 questions
OutcomeEffectEvidenceStatus / GRADE
Change in FEV1 1 h after dosing in ml
no estimate extracted1 study · 40 participantsVery low
Downgraded: imprecision, inconsistency, indirectness
Serious adverse events
OR 1 [0.18, 5.53]2 studies · 70 participantsLow
Downgraded: imprecision, inconsistency, indirectness
Change in FEV1 closest to 1 h after dosing in ml
no estimate extracted4 studies · 126 participantsLow
Downgraded: imprecision, inconsistency, indirectness
Change in dyspnoea score during the first 24 h after dosing
no estimate extracted2 studies · 74 participantsLow
Downgraded: imprecision, inconsistency, indirectness
Adverse events/side effects
OR 1.65 [0.42, 6.48]3 studies · 110 participantsLow
Downgraded: imprecision, inconsistency, indirectness