Abstract | BACKGROUND: OBJECTIVES: SEARCH STRATEGY: The Cochrane Airways Group register of trials (based on MEDLINE, EMBASE, CINAHL and hand searched respiratory journals) and reference lists of relevant articles were used to identify relevant studies. The latest search was carried out in October 2000. SELECTION CRITERIA: DATA COLLECTION AND ANALYSIS: Full text of 35 trials were anonymized for author, date and publication and two blinded independent reviewers selected eligible studies for inclusion. Disagreement was resolved through consensus. Seven trials met the inclusion criteria. Attempts were made to contact authors to verify accuracy. Results were reported as weighted mean differences (WMD) or relative risk (RR) with 95% confidential intervals (CI). MAIN RESULTS: Patients in these trials were predominantly school-aged children hospitalised for acute severe asthma with a baseline FEV1 at 35-40% of predicted and/or a baseline Pulmonary Index of 6-7. Aminophylline significantly improved percentage predicted FEV1 by 6 - 8 hours (WMD 8.4%; 95% CI: 0.82, 15.92%). The effect was maintained for 24 hours. Improvements were also seen in symptom scores at 6-8 hours (WMD= -0.71; 95% CI: -0.82,-0.60). There was no reduction in hospital stay or in number of nebulisers required. Vomiting was more likely with aminophylline therapy (Relative Risk = 3.69; 95% CI: 2.15, 6.33). REVIEWER'S CONCLUSIONS: Addition of intravenous aminophylline should be considered early in the treatment of children hospitalised with acute severe asthma with sub optimal response to the initial inhaled bronchodilator therapy. Although the improvement is sustained for 24 hours, there is no apparent reduction in length of hospital stay or number of inhaled beta2-agonists nebulisations. Treatment with aminophylline is associated with an increased risk of vomiting.
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Authors | A Mitra, D Bassler, F M Ducharme |
Journal | The Cochrane database of systematic reviews
(Cochrane Database Syst Rev)
Issue 4
Pg. CD001276
( 2001)
ISSN: 1469-493X [Electronic] England |
PMID | 11687103
(Publication Type: Journal Article, Review, Systematic Review)
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Chemical References |
- Bronchodilator Agents
- Aminophylline
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Topics |
- Acute Disease
- Administration, Inhalation
- Adolescent
- Aminophylline
(administration & dosage)
- Asthma
(drug therapy)
- Bronchodilator Agents
(administration & dosage)
- Child
- Child, Preschool
- Humans
- Injections, Intravenous
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