Evidence map›Paper›PMID 38492031›Full record

SynthesisEuropean journal of pediatrics2024

Standard medical therapy with vs. without nebulised magnesium for children with asthma decompensation.

Luísa Cunha, Meritxell Roca Mora, Farhan Afzal, Giulia M Cesar, Catharina Ribeiro Guimarães, Julia Pereira Muniz Pontes, Gabriel Grando Alves, Antonio Carlos Fonseca Silveira

Abstract readSystematic ReviewMeta-AnalysisComparative Study
PubMed Publisher
In one paragraph

Synthesis in European journal of pediatrics, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
0.7field-weighted citation impact, top 33% 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

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

  1. Pooled it
  2. Effectiveness of Intravenous and Nebulized MgSOChildren (Basel, Switzerland) · 2025
    Review
  3. 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

8 authors at 7 institutions in 3 countries.

Luísa CunhaCentro Universitario Lusiada, Rua Oswaldo Cruz, 179 - Boqueirão, Santos, SP, 11045-101, Brazil. luisacunha.marin@hotmail.com.
Meritxell Roca MoraUniversitat Internacional de Catalunya, Barcelona, Spain.
Farhan AfzalFaisalabad Medical University, Faisalabad, Punjab, Pakistan.
Giulia M CesarFaculdade de Medicina de Petropolis, Petropolis, RJ, Brazil.
Catharina Ribeiro GuimarãesUniversidade Federal de Ouro Preto, Ouro Preto, MG, Brazil.
Julia Pereira Muniz PontesState University of Rio de Janeiro, Rio de Janeiro, RJ, Brazil.
Gabriel Grando AlvesUniversidade Federal de Santa Maria, Santa Maria, RS, Brazil.
Antonio Carlos Fonseca SilveiraPediatrics Department, Centro Universitário Lusíada, Santos, SP, Brazil.
Centro Universitário Lusíada · BRFaculdade de Medicina de Petrópolis · BRPunjab Medical College · PKUniversidade do Estado do Rio de Janeiro · BRUniversidade Federal de Ouro Preto · BRUniversidade Federal de Santa Maria · BRUniversitat Internacional de Catalunya · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Pediatric asthma is a common condition, and its exacerbations can be associated with significant morbidity and mortality. The role of nebulised magnesium as adjunct therapy for children with asthma exacerbations is still unclear. To compare clinical and functional outcomes for children with asthma exacerbation taking either nebulised magnesium sulfate added to standard medical therapy (SMT) versus SMT alone. PubMed, Embase, and Cochrane Library were systematically searched for randomised clinical trials (RCT) comparing the use of SMT with vs. without nebulised magnesium. The outcomes were respiratory rate, heart rate, % predicted peak expiratory flow rate (PEFR), % predicted forced expiratory volume (FEV1), peripheral O

conclusionIn children with asthma exacerbation, treatment with nebulised magnesium and SMT was associated with a statistically significant, but small improvement in predicted PEFR and respiratory rate, as compared with SMT alone. WHAT IS KNOWN: • Magnesium sulfate has bronchodilating properties and aids in the treatment of asthma exacerbation when administered intravenously. • There is no significant evidence of benefit of nebulised magnesium as an adjunct therapy to the standard medical treatment for children with asthma exacerbations. WHAT IS NEW: • Our study suggests nebulised magnesium sulfate may have a statistically significant, but small benefit in respiratory rate and peak expiratory flow rate. The addition of nebulised magnesium does not seem to increase adverse events.

Indexed as

AsthmaMagnesium SulfateNebulizers and VaporizersAdministration, InhalationAdolescentAnti-Asthmatic AgentsBronchodilator AgentsChildChild, PreschoolFemaleHumansMaleRandomized Controlled Trials as TopicTreatment OutcomeAnti-Asthmatic AgentsBronchodilator AgentsMagnesium SulfateAsthmaBronchodilationExacerbationMagnesiumPediatrics

Identifiers

PMID38492031
OpenAlexW4392883232

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.