Evidence map›Paper›PMID 27483163›Full record

SynthesisPloS one2016

Aminophylline Dosage In Asthma Exacerbations in Children: A Systematic Review.

Lewis Cooney, Ian Sinha, Daniel Hawcutt

Open access · goldAbstract readSystematic Review
In one paragraph

Synthesis in PloS one, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
0.8field-weighted citation impact, top 25% 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

9 citing papers in PubMed, 1 synthesis or guideline pooled it, 20 citations in OpenAlex.

  1. Seizures and quinolone antibiotics in children: a systematic review of adverse events.European journal of hospital pharmacy : science and practice · 2020
    Pooled it
  2. Article
  3. Article
  4. Article
  5. Evaluating the preventive effect of metoclopramide and aminophylline on pain after deep vitrectomy.International journal of physiology, pathophysiology and pharmacology · 2022
    Article
  6. Review
  7. [Paediatric Life Support].Notfall & rettungsmedizin · 2021
    Review
  8. Article
  9. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors at 1 institution in 1 country.

Lewis CooneyDepartment of Women's and Children's Health, Institute of Translational Medicine, University of Liverpool, Liverpool, Merseyside, United Kingdom.ORCID http://orcid.org/0000-0002-5799-9383
Ian SinhaNational Institute for Health Research Alder Hey Clinical Research Facility, Alder Hey Children's Hospital, Liverpool, Merseyside, United Kingdom.
Daniel HawcuttDepartment of Women's and Children's Health, Institute of Translational Medicine, University of Liverpool, Liverpool, Merseyside, United Kingdom.
University of Liverpool · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAdequate asthma treatment of childhood exacerbations with IV aminophylline depends on appropriate dosage. Recommendations to aim for a target therapeutic range may be inappropriate as serum concentrations correlate poorly with clinical improvement. This review aims to evaluate the evidence for the optimum dosage strategy of intravenous aminophylline in children suffering an exacerbation of asthma.

methodsA systematic review comparing dosage regimens of intravenous aminophylline in children suffering an exacerbation of asthma. Primary outcomes were time until resolution of symptoms, mortality and need for mechanical ventilation. Secondary outcomes were date until discharge criteria are met, actual discharge and adverse effects. DATA SOURCES: CENTRAL, CINAHL, MEDLINE and Web of Science. Search performed in March 2016. ELIGIBILITY CRITERIA: Studies using intravenous aminophylline in children with an acute exacerbation of asthma which reported the dosage and clinical outcomes.

findings14 RCTs were included. There is a poor relationship between the dosage administered to children and symptom resolution, length of stay or need for mechanical ventilation. This study is limited due to its use of indirect evidence.

conclusionThe currently recommended dosage regimens may not represent the optimum safety and efficacy of intravenous aminophylline. There is a need to develop the evidence base correlating dosage with patient centered clinical outcomes, to improve prescribing practices.

Indexed as

Administration, IntravenousAminophyllineAsthmaBronchodilator AgentsChildDose-Response Relationship, DrugHumansTreatment OutcomeAminophyllineBronchodilator Agents

Identifiers

PMID27483163
PMCPMC4970720
OpenAlexW2489887758

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.