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. 2002 Jul 22;2002(3):CD003901. doi: 10.1002/14651858.CD003901

Ekstrom 1998b.

Methods STUDY DESIGN: Parallel group, 3 treatment arms; multicentre, 25 centres Norway, Sweden, Spain, Italy. 12 wks. 
 RANDOMISATION: Yes, method not given. 
 BLINDING: double blind, double dummy, matching devices. 
 WITHDRAWALS/DROP OUTS: 38 described. 27 to asthma, 11 to adverse events. 
 COMPLIANCE: Not assessed/ reported. 
 CONFOUNDERS: Groups well balanced by characteristics. Excess withdrawals from SABA group, 10 subjects did not fully meet inclusion criteria. 
 QUALITY: Jadad 4. Cochrane B
Participants N = 397 Adults, M = 232 F = 179 Mean age 47 (RANGE 18 to 79) 
 BASELINE SEVERITY: mild ‐ moderate asthma. 
 INCLUSION : Diagnosis asthma by ATS criteria. Baseline FEV1 50‐80% predicted, >15% FEV1 reversibility to SABA. 
 EXCLUSION: none stated in paper.
Interventions LONG ACTING BETA AGONIST: Formoterol 6 mcg BD 
 SHORT ACTING BETA AGONIST: Terbutaline 500mcg QDS 
 PLACEBO: Placebo QDS 
 DEVICE: Dry powder device. 
 TREATMENT PERIOD: 12 weeks 
 RESCUE: Terbutaline 250 mcg via turbuhaler PRN 
 CO‐INTERVENTIONS: ICS 80%, cromones 5% (at stable dosages)
Outcomes OUTCOMES: FEV1, PEF, Rescue use, asthma symptom score, adverse events. asthma deterioration
Notes Symptom Score‐ breathlessness, chest tightness, wheezing, cough. Scale :0 ‐ 3. Asthma deterioration leading to withdrawal reported.
Risk of bias
Bias Authors' judgement Support for judgement
Allocation concealment? Unclear risk Information not available (Cochrane Grade B)