Table 2.
Results of direct comparisons for change in clinical score among outpatients
Comparison | Time point | No of studies (No of patients) | Standardised mean difference (95% CI) | I2 (%) |
---|---|---|---|---|
Steroid v placebo | 1 hour | 4 (1006) | −0.04 (−0.16 to 0.09) | 0 |
2 hour | 3 (214) | −0.17 (−0.55 to 0.21) | 43 | |
3-6 hours | 4 (808) | −0.14 (−0.50 to 0.21) | 68 | |
12-24 hours | 1 (69) | 0.13 (−0.51 to 0.76) | 36 | |
3-10 days | 4 (224) | −0.20 (−0.61 to 0.21) | 55 | |
Steroid v adrenaline | 1 hour | 2 (442) | 0.31 (0.12 to 0.50)* | 0 |
2 hours | 1 (45) | 0.35 (−0.27 to 0.98) | NA | |
3-6 hours | 1 (45) | 0.42 (−0.20 to 1.05) | NA | |
Steroid v salbutamol | 1 hour | 1 (45) | 0.65 (0.01 to 1.28)† | NA |
2 hours | 1 (45) | 0.36 (−0.27 to 0.98) | NA | |
3-6 hours | 1 (45) | 0.70 (0.06 to 1.34)† | NA | |
Adrenaline v placebo | 1 hour | 4 (900) | −0.45 (−0.66 to −0.23)* | 40 |
2 hours | 1 (30) | −0.83 (−1.58 to −0.08)* | NA | |
Adrenaline v salbutamol | 1 hour | 6 (248) | −0.11 (−0.36 to 0.14) | 0 |
2 hours | 4 (207) | −0.09 (−0.37 to 0.18) | 0 | |
12-24 hours | 1 (69) | −0.21 (−0.86 to 0.44) | 41 | |
3-10 days | 1 (69) | −0.50 (−0.98 to −0.02)* | 0 | |
Salbutamol v placebo | 1 hour | 8 (565) | −0.49 (−0.96 to −0.01)† | 86 |
2 hours | 2 (100) | −0.04 (−1.07 to 0.99) | 84 | |
3-6 hours | 1 (60) | −0.79 (−2.53 to 0.95) | 90 | |
Ipratropium v placebo | 2 hours | 1 (69) | −0.14 (−0.61 to 0.33) | NA |
Adrenaline and dexamethasone v placebo | 1 hour | 1 (399) | −0.34 (−0.54 to −0.14)‡ | NA |
Adrenaline and dexamethasone v salbutamol | 2 hours | 1 (35) | −0.17 (−0.87 to 0.52) | NA |
12-24 hours | 1 (35) | 0.00 (−0.70 to 0.70) | NA | |
3-10 days | 1 (35) | −1.22 (−1.98 to −0.46)‡ | NA | |
Steroid and salbutamol v placebo | 1 hour | 1 (30) | −0.34 (−1.75 to 1.07) | NA |
2 hours | 1 (30) | −0.67 (−2.04 to 0.70) | NA | |
3-6 hours | 1 (30) | −1.08 (−2.43 to 0.27) | NA | |
Steroid and salbutamol v adrenaline | 1 hour | 1 (30) | 0.36 (−0.36 to 1.08) | NA |
2 hours | 2 (64) | 0.25 (−0.26 to 0.77) | 0 | |
12-24 hours | 1 (34) | 0.30 (−0.43 to 1.02) | NA | |
3-10 days | 1 (34) | −0.16 (−0.88 to 0.56) | NA |
NA=not applicable.
*Results favour adrenaline.
†Results favour salbutamol.
‡Results favour combined adrenaline and dexamethasone.