3. Summary of included studies: ICS versus systemic corticosteroids.
Study | N on ICS | N on oral corticosteroids | Age group | Delivery device | ICS dose | Systemic corticosteroid dose and mode of delivery | Hospital admissions reported? |
Ancheta 2008 | 12 | 12 | Children | MDI+spacer | Fluticasone 125 μg/puff 4 puffs q 20 min x 3; total dose 1500 μg; HIGH | Hydrocortisone 4 mg/kg to maximum 200 mg; IV | Y |
Belda 2007 | 19 | 20 | Adults | MDI | Fluticasone 16 puffs; total dose 4000 μg; HIGH | Prednisone 30 mg; oral | N |
Devidayal 1999 | 41 | 39 | Children | Nebuliser | Budesonide 800 μg x 3 doses; total dose 2400 μg; HIGH | Prednisolone 2 mg/kg; oral | Y |
Go 2010 | 16 | 17 | Adults | Nebuliser | Dose not stated | Hydrocortisone 250 mg; IV | N |
Macias 2003 | 45 | 90 | Children | MDI+spacer | Triamcinolone 600 μg; LOW | Prednisone 2 mg/kg; oral | Y |
Milani 2004 | 17 | 17 | Children | Nebuliser | Budesonide 2 mg; HIGH | Prednisone 1 mg/kg; oral | Y |
Rahman 2008 | * | * | 100 Adults |
MDI+spacer | Budesonide 3000 μg/h x 2 hours; total dose 6000 μg; HIGH | "systemic corticosteroid" 500 mg; IV | N |
Rodrigo 2005 | 60 | 61 | Adults | MDI+spacer | Fluticasone 500 μg q10 min x 3 hours; total dose 9000 μg; HIGH | Hydrocortisone 500 mg; IV | Y |
Sari 2004 | 38 | 38 | Adults | Nebuliser | Fluticasone 500 μg; LOW | Methylprednisolone 125 mg; IV | N |
Scarfone 1995 | 62 | 66 | Children | Nebuliser | Dexamethasone 1.5 mg/kg; HIGH* | Prednisone 2 mg/kg; oral | Y |
Schuh 2000 | 52 | 51 | Children | MDI+spacer | Fluticasone 2000 μg | Prednisolone syrup 2 mg/kg to maximum 60 mg; oral | Y |
Schuh 2006 | 35 | 34 | Children | MDI+spacer | Fluticasone 2000 μg; HIGH | Prednisolone syrup 2 mg/kg to maximum 60 mg; oral | Y |
Starobin 2008 | 24 | 23 | Adults | Nebuliser | Fluticasone 500 μg; LOW | Methylprednisolone 125 mg; IV | Y |
Volovitz 1998 | 11 | 11 | Children | Turbohaler | Budesonide 1600 μg; HIGH | Prednisolone 2 mg/kg; oral | Y |
* Denotes uncertainty.
Dose equivalency used: high ≥ beclomethasone dipropionate 2 mg (e.g. budesonide 1.5 mg, fluticasone 1.5 mg, triamcinolone 5 mg).