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. 2003 Jul 21;2003(3):CD003535. doi: 10.1002/14651858.CD003535

Raes 1989.

Methods Design: randomised, double‐blind, parallel study.
 Method of randomisation: allocation to group by study sponsor.
 Concealment of randomisation: unclear (B).
 Blinding: double‐blind ‐ pharmaceutical company provided each patient with coded boxes containing drug..
 Description of withdrawals or dropouts: yes.
 Jadad's score: 3
Participants Number enrolled into trial: 20
 Number in treatment group (ipratropium bromide): 12
 Number in control group (salbutamol): 8
 Number of withdrawals or dropouts (treatment group): 3.
 Number completing trial (treatment / control): 17.
 Age (range): 7‐15 yrs
 Sex: 14 males, 6 females.
 Asthma diagnosis: Physician diagnosed.
 Severity of asthma: Mild chronic symptomatic asthma 
 Inclusion criteria: (1) PD20 of <150mcg, (2) FEV1 and FVC > 80% of predicted, (3) FEV1/FVC >70% of predicted, (4) <20% increase in baseline FEV1 after 0.4mg of inhaled fenoterol.
 Source of participants: Outpatient clinic.
 Additional notes: Study performed between February and July (European study).
Interventions Setting: Home / outpatient clinic.
 Types: Ipratropium bromide 40mcg (2 puffs inhaled via metered dose inhaler) TDS vs fenoterol 0.2mg via inhaler TDS.
 Duration: Total 4 months.
Outcomes Outcomes: Diary card recording:
 ‐Symptoms of cough, wheeze and frequency of asthma attacks (score severity between 0 to 3 for each item).
 ‐PEFRs measured am and pm before treatment.
 ‐Need for additional bronchodilators
 ‐Need for any other drugs e.g. steroids.
 At clinic (monthly assessments): PD20 and FEV1.
 Adverse events: side effects recorded in daily diary.
Notes  
Risk of bias
Bias Authors' judgement Support for judgement
Allocation concealment (selection bias) Unclear risk B ‐ Unclear