Evidence map›Paper›PMID 8215545›Full record

Trial reportArchives of disease in childhood1993

Use of budesonide in severe asthmatics aged 1-3 years.

G J Connett, C Warde, E Wooler, W Lenney

Abstract readClinical TrialRandomized Controlled Trial
In one paragraph

Trial report in Archives of disease in childhood, 1993. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 2 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

13 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Budesonide for chronic asthma in children and adults.The Cochrane database of systematic reviews · 2001
    Pooled it
  2. Inhaled steroids for episodic viral wheeze of childhood.The Cochrane database of systematic reviews · 2000
    Pooled it
  3. Trial
  4. Trial
  5. Trial
  6. A non-electrostatic spacer for aerosol delivery.Archives of disease in childhood · 1995
    Trial
  7. Trial
  8. Trial
  9. Article
  10. Article
  11. The use of inhaled corticosteroids in children with asthma.Current allergy and asthma reports · 2002
    Review
  12. Review
  13. 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

4 authors.

G J ConnettRoyal Alexandra Hospital for Sick Children, Brighton.
C Warde
E Wooler
W Lenney

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The treatment of severe asthmatics aged 1-3 years with budesonide administered via Nebuhaler and Laerdal facemask was assessed in a six month, double blind, placebo controlled study. Patients were randomised to budesonide (n = 20) or placebo (n = 20) treatment. Daily symptom scores were recorded by parents and clinic visits occurred every six weeks. Cough scores improved significantly with budesonide: nocturnal and daytime cough scores (0-2) fell by a mean (SEM) of 0.4 (0.2) and 0.5 (0.2); while with placebo the nocturnal score increased by 0.1 (0.2) and daytime score was unchanged at 0.0 (0.2). All other data showed improvements for active over placebo treatment. Thirteen children in each group completed six months' treatment. Parents of 25 of these found the delivery system convenient and easy to use. While blinded to treatment it was assessed to be beneficial in nine of 13 receiving budesonide and four of 13 receiving placebo. The Nebuhaler and facemask is an acceptable delivery system for long term asthma treatment. Symptoms are significantly reduced when it is used to give 400-800 micrograms budesonide/day to children aged 1-3 years who cannot use other delivery systems.

Indexed as

Administration, TopicalAnti-Inflammatory AgentsAsthmaBronchodilator AgentsBudesonideChild, PreschoolCoughDouble-Blind MethodDrug Administration ScheduleFemaleGlucocorticoidsHumansInfantLife StyleMaleMasksAnti-Inflammatory AgentsBronchodilator AgentsBudesonideGlucocorticoidsPrednisolonePregnenediones

Identifiers

PMID8215545
PMCPMC1029518

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.