Table 3

Grade and number of final clinical recommendations9

Grade of recommendationNumber of recommendations in breathing difficulty
Grade A: high-quality meta-analyses, systematic review, randomised controlled trial with low risk of bias10
Grade B: high-quality systematic reviews of case–control, cohort studies, high-quality case–control or cohort studies with a very low risk of bias5
Grade C: well-conducted case–control or cohort studies with a low risk of bias or chance and a moderate probability that the relationship is causal and directly applicable to the target population and demonstrating overall consistency of results; or extrapolated evidence from high-quality systematic reviews of case–control or cohort studies or high-quality case–control or cohort studies with a very low risk of bias and a moderate probability that the relationship is causal17
Grade D: Based on non-analytical studies, eg, case reports, case series, expert opinion or extrapolated evidence from well conducted case–control or cohort studies with a low risk of bias or chance and a moderate probability that the relationship is causal31
Total number of statements in the guideline63