Evidence map›Paper›PMID 35509393›Full record

ReviewHealth science reports2022

Effects of nebulized epinephrine in association with hypertonic saline for infants with acute bronchiolitis: A systematic review and meta-analysis.

Renan A Pereira, Versiéri Oliveira de Almeida, Mariana Zambrano, Linjie Zhang, Sérgio L Amantéa

Abstract readReview
In one paragraph

Review in Health science reports, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

2 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Review
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

5 authors.

Renan A PereiraDepartment of Pediatrics Federal University of Health Sciences of Porto Alegre Porto Alegre Brazil.ORCID 0000-0003-3750-9620
Versiéri Oliveira de AlmeidaDepartment of Pediatrics Federal University of Health Sciences of Porto Alegre Porto Alegre Brazil.ORCID https://orcid.org/0000-0003-1274-6857
Mariana ZambranoDepartment of Pediatrics Federal University of Health Sciences of Porto Alegre Porto Alegre Brazil.ORCID 0000-0001-5199-6977
Linjie ZhangMaternal-Infant Department, Faculty of Medicine Federal University of Rio Grande Rio Grande Brazil.ORCID 0000-0001-5150-5840
Sérgio L AmantéaDepartment of Pediatrics Federal University of Health Sciences of Porto Alegre Porto Alegre Brazil.ORCID 0000-0002-1256-3957

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Nebulized epinephrine and hypertonic saline have been extensively studied in infants with acute bronchiolitis, with conflicting results. Aims: To evaluate the efficacy on length of stay (LOS), clinical severity scores (CSS), oxygen saturation (SaO Materials & Methods: This is a systematic review and meta-analysis. Outcomes were represented by mean differences (MD) or standard mean differences (SMD) and 95% confidence intervals (CIs) were utilized. Results: Eighteen trials were systematically selected and 16 of them contributed to the meta-analysis (1756 patients). Overall, a modest but significant positive impact was observed of the combination therapy on LOS (MD of -0.35 days, 95% CI -0.62 to -0.08, Conclusion: Low-quality evidence from this systematic review suggests that nebulized epinephrine plus HS may be considered as a safe and efficient therapy for decreasing LOS and CSS in infants with acute bronchiolitis, especially in those who require hospitalization for more than 48 h.

Indexed as

adrenalinechildhypertonicsaline solution

Identifiers

PMID35509393
PMCPMC9059211

What OpenQuestion holds

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Registered trials

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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.