A meta-analysis of the effects of community-based treatments for asthma in children.

IF 2 3区 医学 Q2 PEDIATRICS
Yanyan Li, Ming Ren, Yajuan Wang, Xiaomi Qi, Hui Wang, Na Liang, Tianyang Ren, Lihong Zhang
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Abstract

Background: The aim of the study was to appraise and compare the influence of community‑based interventions (C-BIs) for childhood asthma.

Methods: We examined meta-analysis data and employed dichotomous or continuous random or fixed-effect models to obtain odds ratios (ORs) and mean differences (MDs) with 95% confidence intervals (CIs). This review examined 13 papers that included a total of 8824 people with asthma.

Results: Children with C-BI had significantly lower asthma-connected emergency department visits (OR, 0.29; 95% CI, 0.22-0.39, p < 0.001), hospitalizations (OR, 0.24; 95% CI, 0.15-0.40, p < 0.001), duration of asthma symptoms (MD, -2.56; 95% CI, -2.84- -2.28, p < 0.001), nighttime asthma symptoms (MD, -2.14; 95% CI, -2.94- -1.34, p < 0.001), and use of bronchodilator (OR, 0.28; 95% CI, 0.16-0.51, p < 0.001), and higher use of asthma action plan (OR, 8.87; 95% CI, 3.85-20.45, p < 0.001) compared to children without C-BI in asthma.

Conclusions: Children with C-BI had significantly lower asthma-related emergency department visits, hospitalization duration of asthma symptoms, night-time asthma symptoms, and use of bronchodilators, and a higher use of asthma action plans compared to children without C-BI in asthma. Nevertheless, due to the limited number of studies involved in the comparisons, their values warrant careful consideration.

Abstract Image

Abstract Image

Abstract Image

儿童哮喘社区治疗效果的荟萃分析。
背景:本研究的目的是评估和比较社区干预(C-BIs)对儿童哮喘的影响。方法:我们检查了meta分析数据,并采用二分或连续随机或固定效应模型来获得95%置信区间(ci)的优势比(ORs)和平均差异(MDs)。这篇综述检查了13篇论文,共包括8824名哮喘患者。结果:C-BI患儿与哮喘相关的急诊科就诊次数显著减少(OR, 0.29; 95% CI, 0.22-0.39, p)。结论:与未患C-BI的患儿相比,C-BI患儿与哮喘相关的急诊科就诊次数、哮喘症状住院时间、夜间哮喘症状和支气管扩张剂的使用均显著减少,哮喘行动计划的使用也显著增加。然而,由于参与比较的研究数量有限,它们的价值值得仔细考虑。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
BMC Pediatrics
BMC Pediatrics PEDIATRICS-
CiteScore
3.70
自引率
4.20%
发文量
683
审稿时长
3-8 weeks
期刊介绍: BMC Pediatrics is an open access journal publishing peer-reviewed research articles in all aspects of health care in neonates, children and adolescents, as well as related molecular genetics, pathophysiology, and epidemiology.
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