Table 4.
ID | Author | Intervention | Subgroup | Outcome | Intervention | Comparison | P Value |
---|---|---|---|---|---|---|---|
1 | Fowdar [28] | NAC | Dose | Exacerbation | NR | ||
(i) 600 mg/day | 0.90 (0.82–1.00) | ||||||
(ii) <600 mg/day | 0.83 (0.69–0.99) | ||||||
Use time | NR | ||||||
(i) >6 months | 0.85 (0.74–0.98) | ||||||
(ii) <6 months | 0.81 (0.54–1.21) | ||||||
| |||||||
4 | Tse [33] | NAC | High risk of exacerbation: | Time to exacerbation | 258.2 (20.8) | 203.6 (20.4) | 0.02 |
(i) Categories C-D | |||||||
Low risk of exacerbation: | 272.1 (39.0) | 337 (21.3) | 0.34 | ||||
(i) Categories A-B | |||||||
High risk of exacerbation: | Amount of hospital admissions | ||||||
(i) Categories C-D | |||||||
(ii) 4 months | 0.31 (0.1) | 0.29 (0.09) | 0.91 | ||||
(iii) 8 months | 0.49 (0.14) | 0.56 (0.13) | 0.69 | ||||
(iv) 12 months | 0.51 (0.14) | 0.93 (0.18) | 0.079 | ||||
Low risk of exacerbation: | |||||||
(i) Categories A-B | |||||||
(ii) 4 months | 0.08 (0.08) | 0.07 (0.07) | 0.9 | ||||
(iii) 8 months | 0.23 (0.12) | 0.13 (0.13) | 0.6 | ||||
(iv) 12 months | 0.31 (0.17) | 0.13 (0.13) | 0.43 | ||||
FEV1: | Exacerbation frequency | 1.21 (0.25) | 2.3 (0.36) | 0.16 | |||
(i) <50% | |||||||
| |||||||
10 | Martineau [39] | Vitamin D | Levels | Time to moderate or severe exacerbation | |||
(i) <50 nmol/L | 0.57 | 0.021 | |||||
(ii) 50 nmol/L | 1.45 | 0.21 | |||||
(iii) or more | |||||||
| |||||||
14 | Jolliffe [40] | Vitamin D | Levels | Incidence of moderate or severe exacerbation | |||
(i) <25 nmol/L | 0.55 (CI 95%: 0.36; 0.84)∗∗ | 0.006 | |||||
(ii) ≥25 nmol/L | 1.04 (CI 95%: 0.85; 1.27)∗∗ | 0.71 | |||||
Levels | Incidence of moderate or severe exacerbation | ||||||
(i) 25.0–49.9 nmol/L | 1.00 (CI 95%: 0.77; 1.31)∗∗ | 0.97 | |||||
(ii) 50.0–74.9 nmol/L | 1.06 (CI 95%: 0.70; 1.61)∗∗ | 0.78 | |||||
(iii) ≥75 nmol/L | 1.17 (CI 95%: 0.73; 1.87)∗∗ | 0.52 |
NAC : N-Acetylcysteine; ∗ relative risk (95% CI); ∗∗ aIRR: adjusted incidence rate ratio.