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. 2001 Oct 20;323(7318):901. doi: 10.1136/bmj.323.7318.901

Table 2.

Significant outcomes found in more than one trial

Inhaler device Outcome (favoured device) No of trials and reference Nos Type of trial (No of patients) Effect size (95% CI) P value
Adults
 Turbohaler Pulse rate (higher with Turbohaler) 34 6 9 Cumulative dosing crossover (104) SMD=0.44 (0.05 to 0.84) 0.03
Rotahaler Patient preference (metered dose inhaler) 326 35 38 Crossover trials: 2 long term, 1 short term (156) Odds ratio=3.10 (1.60 to 6.01) 0.0008
HFA-pressurised metered dose inhaler Oral steroid requirement (lower with HFA inhaler) 373 80 Long term parallel trials (519) Odds ratio=0.57 (0.37 to 0.88) 0.01
NNT=9 (5.21 to 43.48)
Children
 Rotahaler Patient preference (metered dose inhaler) 265 70 Long term trials: 1 parallel, 1 crossover (260) Odds ratio=2.63 (1.56 to 4.44) 0.0003

SMD= standardised mean difference, HFA=hydrofluoroalkane, NNT=number needed to treat.