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Report by Andrew Munro, Specialist Registrar Checked by Ian Maconochie, Paediatric A&E Consultant Institution St Mary’s Hospital, Paddington, UK
A short cut review was carried out to establish whether adding inhaled anti-cholinergics to beta-agonists improves outcome in the treatment of acute childhood asthma. 148 papers were found using the reported searches, of which one presented the best evidence to answer the clinical question. The author, date and country of publication, patient group studied, study type, relevant outcomes, results and study weaknesses of this best paper is tabulated. It is concluded that anti-cholinergics reduce time to recovery and discharge and may reduce admissions for moderate to severe …