Evidence map›Paper›PMID 10373132›Full record

Trial reportArchives of disease in childhood1999

Persistent nocturnal cough: randomised controlled trial of high dose inhaled corticosteroid.

M J Davies, P Fuller, A Picciotto, S A McKenzie

Open access · bronzeAbstract readClinical TrialRandomized Controlled Trial
In one paragraph

Trial report in Archives of disease in childhood, 1999. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 4 pooled it
3.0field-weighted citation impact, top 9% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 4 syntheses or guidelines pooled it, 72 citations in OpenAlex.

  1. Inhaled corticosteroids for subacute cough in children.The Cochrane database of systematic reviews · 2013
    Pooled it
  2. Pooled it
  3. Inhaled corticosteroids for non-specific chronic cough in children.The Cochrane database of systematic reviews · 2005
    Pooled it
  4. Inhaled beta2-agonists for treating non-specific chronic cough in children.The Cochrane database of systematic reviews · 2005
    Pooled it
  5. Article
  6. Review
  7. Analysis of the Literature on Chronic Cough in Children.The open respiratory medicine journal · 2017
    Review
  8. Antitussive drugs--past, present, and future.Pharmacological reviews · 2014
    Review
  9. Very high dose inhaled corticosteroids: panacea or poison?Archives of disease in childhood · 2006
    Review
  10. Article
  11. Article
  12. Article
  13. [Chronic cough in childhood].Revue des maladies respiratoires · 2004
    Review
  14. Review
  15. Review
  16. Acute upper airway infections.British medical bulletin · 2002
    Review
  17. Article
4 · The record

Corrections and comments

  • Commented on by
5 · Who and what money

Authors and funding

4 authors at 2 institutions in 1 country.

M J DaviesQueen Elizabeth Hospital for Children, Royal Hospitals Trust, Hackney Road, London E2 8PS, UK.
P Fuller
A Picciotto
S A McKenzie
Queen Elizabeth Hospital · GBRoyal London Hospital · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo investigate the effect of a short course of inhaled corticosteroid in the treatment of isolated and persistent nocturnal cough in children.

designRandomised double blind placebo controlled study.

settingSubjects' homes in east London, England. SUBJECTS: Consecutively referred children, 1-10 years old, with persistent nocturnal cough.

interventionsPlacebo or fluticasone propionate 1 mg twice daily for three nights and 500 microg twice daily for 11 nights. Videotaping of children at night: two nights' baseline, nights 3 and 4 after three days of inhaled corticosteroid, and nights 15 and 16.

main outcome measureA fall in 75% of coughs from baseline.

results50 subjects were recruited. The median number of coughs in the baseline period for the inhaled corticosteroid group and placebo group were 92 and 71, respectively (p = 0.43) and, on nights 15 and 16, 8 and 36, respectively (p < 0. 01). Compared to baseline, both groups of subjects improved significantly by nights 15 and 16 (p < 0.01; p < 0.01). Comparing the inhaled corticosteroid and placebo groups, coughs fell to a median of 22% and 57% of baseline totals on nights 3 and 4, respectively (p = 0.38), and 8% and 35% on nights 15 and 16, respectively (p = 0.02). 17 of 24 subjects on inhaled corticosteroid who completed the study and 8 of 23 on placebo improved by 75% after two weeks (p = 0.03).

conclusionsChildren with persistent nocturnal cough improve in two weeks after referral on placebo. There is a modest benefit from a two week course of high dose inhaled corticosteroid.

Indexed as

Circadian RhythmAdministration, TopicalAndrostadienesAnti-Inflammatory AgentsChildChild, PreschoolChronic DiseaseCoughDouble-Blind MethodFemaleFluticasoneFollow-Up StudiesGlucocorticoidsHumansInfantMaleAndrostadienesAnti-Inflammatory AgentsFluticasoneGlucocorticoids

Identifiers

PMID10373132
PMCPMC1717983
OpenAlexW1999924413

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.