March 2013. Volume 9. Number 1

Inhaled cortocosteroids added to standard acute asthma treatment could reduce hospital admissions

 
 
 
 
 
 
 
 
 
 
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AVC | Critically appraised articles

Edmonds ML, Milan SJ, Camargo CA Jr, Pollack CV, Rowe BH. Early use of inhaled corticosteroids in the emergency department treatment of acute asthma. Cochrane Database Syst Rev. 2012;(12):CD002308
Reviewers: Gimeno Díaz de Atauri Á1, Rivas Juesas C2.
1Servicio de Pediatría. Hospital Puerta de Hierro. Madrid. España.
2Servicio de Pediatría. Hospital de Sagunto. Sagunto. Valencia. España.
Correspondence: Álvaro Gimeno Díaz de Atauri. Email: agdrizos@hotmail.com
Reception date: 11/02/2013
Acceptance date: 13/02/2013
Publication date: 20/02/2013

Abstract

Authors' conclusions: inhaled corticosteroids (ICS) therapy reduces hospital admissions in patients with acute asthma who are not treated with oral or intravenous corticosteroids. They may also reduce admissions when they are used in addition to systemic corticosteroids; however, the most recent evidence is conflicting. There is insufficient evidence that ICS therapy can be used in place of systemic corticosteroid therapy when treating acute asthma.

Reviewers' commentary: inhaled corticosteroids added to the standard treatment of asthma attacks (systemic corticosteroids) can reduce admissions Further studies are needed for clarify doses, devices, drugs and the possibility of long time adverse effects.

How to cite this article

Gimeno Díaz de Atauri A, Rivas Juesas C. Añadir corticoides inhalados al tratamiento habitual de la crisis asmática podría disminuir la hospitalización. Evid Pediatr 2013;9:11.

AVC | Critically appraised articles

Edmonds ML, Milan SJ, Camargo CA Jr, Pollack CV, Rowe BH. Early use of inhaled corticosteroids in the emergency department treatment of acute asthma. Cochrane Database Syst Rev. 2012;(12):CD002308
Reviewers: Gimeno Díaz de Atauri Á1, Rivas Juesas C2.
1Servicio de Pediatría. Hospital Puerta de Hierro. Madrid. España.
2Servicio de Pediatría. Hospital de Sagunto. Sagunto. Valencia. España.
Correspondence: Álvaro Gimeno Díaz de Atauri. Email: agdrizos@hotmail.com
Reception date: 11/02/2013
Acceptance date: 13/02/2013
Publication date: 20/02/2013

How to cite this article

Gimeno Díaz de Atauri A, Rivas Juesas C. Añadir corticoides inhalados al tratamiento habitual de la crisis asmática podría disminuir la hospitalización. Evid Pediatr 2013;9:11.

References

  1. Edmonds ML, Milan SJ, Camargo CA Jr, Pollack CV, Rowe BH. Early use of inhaled corticosteroids in the emergency department treatment of acute asthma. Cochrane Database Syst Rev. 2012;(12):CD002308
  2. British Guideline on the Management of Asthma. British Thoracic Society Scottish Intercollegiate Guidelines Network. Thorax. 2008;63 Suppl 4:iv1-121.
  3. Global Initiative for Asthma. NHLBI/WHO workshop report: global strategy for asthma management and prevention (revised 2009). Available from: http://www.ginasthma.com [updated 2012.
  4. Rodrigo GJ. Rapid effects of inhaled corticosteroids in acute asthma: an evidence-based evaluation. Chest. 2006;130:1301-11.
  5. Upham BD, Mollen CJ, Scarfone RJ, Seiden J, Chew A, Zorc JJ. Nebulized budesonide added to standard pediatric emergency department treatment of acute asthma: a randomized, double-blind trial. Acad Emerg Med. 2011;18:665-73.
  6. Rowe BH, Spooner C, Ducharme FM, Bretzlaff JA, Bota GW. Early emergency department treatment of acute asthma with systemic corticosteroids. Cochrane Database Syst Rev. 2001;(1):CD002178.
  7. Rivas Juesas C, Gimeno Díaz de Atauri A. Los corticoides inhalados pueden disminuir discretamente la talla adulta. Evid Pediatr. 2012;8:76.
20/02/2013

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