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. 2013 Jun 4;2013(6):CD004878. doi: 10.1002/14651858.CD004878.pub4

2. GRADE assessments: glucocorticoid versus placebo.

Population Outcome Number of studies Number of participants GRADE domains Strength of evidence Intervention favoured
Risk of bias Consistency Directness Precision
GLUCOCORTICOID versus PLACEBO
Inpatients Length of stay 8 633 Medium Consistent Direct Precise High No difference
Clinical score : 3 to 6 hours 1 26 Medium Unknown Direct Imprecise Low Glucocorticoid
Clinical score : 6 to 12 hours 3 175 Medium Consistent Direct Imprecise Moderate Glucocorticoid
Clinical score : 12 to 24 hours 3 230 Medium Consistent Direct Imprecise Moderate No difference (glucocorticoid favoured)
Clinical score : 24 to 72 hours 4 113 Medium Inconsistent Direct Imprecise Low No difference (glucocorticoid favoured; very close to significant)
Outpatients Admissions day 1 8 1762 Medium Consistent Direct Precise High No difference
Admissions up to day 7 5 1530 Low Consistent Direct Imprecise Moderate No difference
Clinical score: 60 minutes 4 1006 Low Consistent Direct Precise High No difference
Clinical score: 120 minutes 3 214 Medium Consistent Direct Imprecise Moderate No difference
Clinical score: 3 to 6 hours 2 808 Medium Inconsistent Direct Precise Moderate No difference
Clinical score: 12 to 24 hours 1 69 Medium Unknown Direct Imprecise Low No difference
Clinical score: 3 to 10 days 4 224 Medium Inconsistent Direct Imprecise Low No difference
Inpatients/outpatients Adverse events 5 1123 Low Consistent Direct Precise Moderate No difference