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. 2018 Mar 19;2018(3):CD006897. doi: 10.1002/14651858.CD006897.pub4

Reid 2010.

Trial name or title A randomised double blind study of short course systemic steroids versus conventional 14 days course in acute exacerbations of COPD
Methods Randomised controlled trial, blinded, parallel
Participants Inclusion criteria:
All patients admitted to the Royal Hobart Hospital with the primary diagnosis of acute exacerbation of COPD
No age limit, males and females
Exclusion criteria:
  1. Patients who had already received more than 1 oral CS dose from their GP before presentation, or who have received a treatment CS course within the past 1 month, will not be eligible

  2. Patients taking long‐term oral CS at a dose greater than 5 mg/d

  3. Significant co‐morbidities such as ongoing angina or current cardiac failure

  4. Pneumonic consolidation, lung cancer, fibrosis, bronchiectasis or asthma

  5. Inability to comply with instructions

  6. Patients with inadequate social supports: These patients often have prolonged admissions once the acute phase has resolved; ICS begun before admission will not be an exclusion criterion but will be taken into account in a subgroup analysis of exacerbations of COPD

Interventions Intervention group 1: prednisolone 0.5 mg/kg for 14 days
Intervention group 2: prednisolone of 1 mg/kg for 3 days (max 50 mg) + 11 days placebo
Control group: placebo
Outcomes Length of stay in hospital, rate of treatment failure, symptom score, lung function tests, sputum cellularity
Starting date 07/07/2007. Recruiting not completed
Contact information Dr David Reid, Prof EH Walters. Menzies Research Institute, Tasmania, Hobart TAS 7001, Australia. +61 3 62267043; D.E.C.Reid@utas.edu.au
Notes  

COPD: chronic obstructive pulmonary disease; CS: corticosteroid; GP: general practitioner; ICS: inhaled corticosteroid.