Efficacy and safety of conventional long acting β2- agonists: systematic review and meta-analysis

Autor: Karbasi-Afshar, R., Aslani, J., Mostafa Ghanei
Jazyk: angličtina
Rok vydání: 2016
Předmět:
Zdroj: Caspian Journal of Internal Medicine, Vol 7, Iss 2, Pp 64-70 (2016)
Scopus-Elsevier
Caspian Journal of Internal Medicine
ISSN: 2008-6172
2008-6164
Popis: Background: Chronic obstructive pulmonary disease (COPD) is usually considered one of the leading causes of death worldwide, so finding proper therapeutic strategies for this disease is of high importance. In this meta-analysis, we reviewed the existing literature on the efficacy and safety of conventional long acting beta agonists (LABAs) in COPD patients. Methods: We searched MEDLINE and Google scholar to identify relevant articles. We limited data to double-blinded randomized controlled trials (RCTs). Data of 14, 832 COPD subjects including 7540 patients under a β2 agonist (cases) and 7292 taking placebo (controls) retrieved from 20 randomized controlled trials and were enrolled into this meta-analysis. Evaluated outcomes included overall mortality, exacerbations and tolerance to the drug. Results: The analysis of survival showed no significant difference between those taking LABAs or placebo (relative risk (RR): 0.945, 95% confidence interval (CI): 0.821-1.088, P=0.432). Exacerbation rate, however, was significantly lower among the cases than among the controls (RR: 0.859, 95%CI: 0.800-0.922, p
Databáze: OpenAIRE