Summary of findings for the main comparison. Glucocorticoid versus placebo: summary of findings.
Glucocorticoid versus placebo for acute viral bronchiolitis in infants and young children | |||||
Patient or population: infants and young children with acute viral bronchiolitis Settings: outpatients and inpatients Intervention: glucocorticoid versus placebo | |||||
Outcomes | Illustrative comparative risks* (95% CI) | Steroid versus placebo | No of participants (studies) | Quality of the evidence (GRADE) | |
Assumed risk1 | Corresponding risk | ||||
Placebo | Steroid | ||||
Admissions (outpatients) Follow‐up: day 1 |
Medium risk population |
RR 0.92 (0.78 to 1.08) |
1762 (8) | high | |
162 per 1000 | 149 per 1000 (126 to 175) | ||||
Admissions (outpatients) Follow‐up: day 7 |
Medium risk population |
RR 0.86 (0.7 to 1.06) |
1530 (5) | moderate | |
250 per 1000 | 215 per 1000 (175 to 265) | ||||
Length of stay (inpatients) days |
The mean length of stay ranged across control groups from 0.8 to 6.6 days | The mean length of stay in the intervention groups was 0.18 lower (0.39 lower to 0.04 higher) | 633 (8) | high | |
*The basis for the assumed risk (for example, the median control group risk across studies) is provided in footnotes. The corresponding risk (and its 95% CI) is based on the assumed risk in the comparison group and the relative effect of the intervention (and its 95% CI) CI: confidence interval RR: risk ratio | |||||
GRADE Working Group grades of evidence High quality: Further research is very unlikely to change our confidence in the estimate of effect. Moderate quality: Further research is likely to have an important impact on our confidence in the estimate of effect and may change the estimate. Low quality: Further research is very likely to have an important impact on our confidence in the estimate of effect and is likely to change the estimate. Very low quality: We are very uncertain about the estimate. |
1Assumed risk for admissions was based on the median control group risks across the studies included in the meta‐analysis (medium risk).