Ebden 1986.
Methods | Setting: Wales, hospital outpatient clinic Length of intervention: 6 weeks Design: crossover, no washout Randomisation: yes, method not stated Allocation concealment: unclear Masking: double blind Excluded: not stated Withdrawals: stated Baseline characteristics: no details Jadad score: 3 | |
Participants | 28 adults: 20M 8F Age range: 19‐72 years Inclusion criteria Patients with chronic asthma whose "attending physician considered their asthma to be poorly controlled and require further treatment" 15% reversibility in PEFR after inhaled beta2 agonist Good inhaler technique Exclusion criteria: Use of oral steroids within 2 months of the study | |
Interventions | BDP: 250 mcg 3puffs 2xdaily (1500 mcg/day) via MDI BUD: 200 mcg 4 puffs 2xdaily (1600 mcg/day) via MDI+ collapsible spacer |
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Outcomes | FEV1 FVC Morning PEFR Evening PEFR Daily beta2 agonist (puffs/day) Daytime wheeze score Morning serum cortisol Serum cortisol 30 minutes post 250mcg tetracosactrin | |
Notes | Reply from author but unable to clarify details of randomisation procedure or if carryover effects were excluded. Majority of patients demonstrated a significant improvement in at least one efficacy outcome compared to baseline | |
Risk of bias | ||
Bias | Authors' judgement | Support for judgement |
Allocation concealment (selection bias) | Unclear risk | B ‐ Unclear |