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. 2008 Jan 24;371(9609):329–339. doi: 10.1016/S0140-6736(08)60170-1

Table 2.

Selected randomised controlled trials of corticosteroid versus placebo in the treatment of croup

Patients (n) Croup severity Setting Route of administration and medication Primary outcome Results
Bjornson (2004)87 720 Mild Emergency department Oral dexamethasone vs placebo Return to medical care within 7 days Reduction (7% vs 15%, p<0·001)
Geelhoed (1996)88 100 Mild Emergency department Oral dexamethasone vs placebo Return to medical care within 7–10 days after study treatment Reduction (0% vs 17%, p<0·01)
Johnson (1998)47 144 Moderate to severe Emergency department Nebulised budesonide or intramuscular dexamethasone vs placebo Rate of admission Reduction (35% vs 67%, p<0·001)
Tibballs (1992)89 70 Respiratory failure or intubated Intensive-care unit Oral prednisolone vs placebo Duration of intubation Reduction (median 98 vs 138 h, p<0·003)
Geelhoed (1995)90 80 Moderate to severe Admitted children Nebulised budesonide or oral dexamethasone vs placebo Duration of admission Reduction (12/13 h vs 20 h, p<0·03)
Klassen (1994)91 54 Mild to moderate Emergency department Nebulised budesonide vs placebo Clinical croup score at 4 h Improvement (18% vs 6%, p=0·005)