An efficacy and safety evaluation of montelukast + fluticasone propionate vs. fluticasone propionate in the treatment of cough variant asthma in children: a meta-analysis

Abstract Purpose This study aimed to evaluate the efficacy and safety of montelukast (Mon) + fluticasone propionate (Flu) versus Flu in the treatment of cough variant asthma (CVA) in children. Methods Eligible documents were selected from various databases. Weighted mean difference (WMD) and 95% con...

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Main Authors: Zhengbo Wei, Sheng Li
Format: Article
Language:English
Published: BMC 2023-12-01
Series:BMC Pulmonary Medicine
Subjects:
Online Access:https://doi.org/10.1186/s12890-023-02721-z
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author Zhengbo Wei
Sheng Li
author_facet Zhengbo Wei
Sheng Li
author_sort Zhengbo Wei
collection DOAJ
description Abstract Purpose This study aimed to evaluate the efficacy and safety of montelukast (Mon) + fluticasone propionate (Flu) versus Flu in the treatment of cough variant asthma (CVA) in children. Methods Eligible documents were selected from various databases. Weighted mean difference (WMD) and 95% confidence interval (CI) were used to evaluate continuous variables, and categorical variables were evaluated using risk ratio (RR) and 95% CI. Heterogeneity analysis was performed using Cochran’s Q test and I 2 statistics, followed by sensitivity analysis and publication bias evaluation. Results Nine studies were included, and Flu + Mon was found to significantly improve the total effective rate and reduce cough recurrence compared to Flu. The cough remission and disappearance times in the Mon + Flu group were significantly lower than those in the Flu group. FEV1% recovery in the Mon + Flu group was significantly better than that in the Flu group. Conclusion Mon + Flu is effective and safe for the treatment of CVA in children.
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spelling doaj.art-2fbde043fcc6439bb840e8907624ed7f2023-12-10T12:05:55ZengBMCBMC Pulmonary Medicine1471-24662023-12-0123111010.1186/s12890-023-02721-zAn efficacy and safety evaluation of montelukast + fluticasone propionate vs. fluticasone propionate in the treatment of cough variant asthma in children: a meta-analysisZhengbo Wei0Sheng Li1Department of Pediatrics, The Affiliated Yancheng Maternity&Child Health Hospital of Yangzhou University Medical SchoolDepartment of Pediatrics, The Affiliated Yancheng Maternity&Child Health Hospital of Yangzhou University Medical SchoolAbstract Purpose This study aimed to evaluate the efficacy and safety of montelukast (Mon) + fluticasone propionate (Flu) versus Flu in the treatment of cough variant asthma (CVA) in children. Methods Eligible documents were selected from various databases. Weighted mean difference (WMD) and 95% confidence interval (CI) were used to evaluate continuous variables, and categorical variables were evaluated using risk ratio (RR) and 95% CI. Heterogeneity analysis was performed using Cochran’s Q test and I 2 statistics, followed by sensitivity analysis and publication bias evaluation. Results Nine studies were included, and Flu + Mon was found to significantly improve the total effective rate and reduce cough recurrence compared to Flu. The cough remission and disappearance times in the Mon + Flu group were significantly lower than those in the Flu group. FEV1% recovery in the Mon + Flu group was significantly better than that in the Flu group. Conclusion Mon + Flu is effective and safe for the treatment of CVA in children.https://doi.org/10.1186/s12890-023-02721-zCough variant asthmaFluticasone propionateMeta-analysisMontelukast
spellingShingle Zhengbo Wei
Sheng Li
An efficacy and safety evaluation of montelukast + fluticasone propionate vs. fluticasone propionate in the treatment of cough variant asthma in children: a meta-analysis
BMC Pulmonary Medicine
Cough variant asthma
Fluticasone propionate
Meta-analysis
Montelukast
title An efficacy and safety evaluation of montelukast + fluticasone propionate vs. fluticasone propionate in the treatment of cough variant asthma in children: a meta-analysis
title_full An efficacy and safety evaluation of montelukast + fluticasone propionate vs. fluticasone propionate in the treatment of cough variant asthma in children: a meta-analysis
title_fullStr An efficacy and safety evaluation of montelukast + fluticasone propionate vs. fluticasone propionate in the treatment of cough variant asthma in children: a meta-analysis
title_full_unstemmed An efficacy and safety evaluation of montelukast + fluticasone propionate vs. fluticasone propionate in the treatment of cough variant asthma in children: a meta-analysis
title_short An efficacy and safety evaluation of montelukast + fluticasone propionate vs. fluticasone propionate in the treatment of cough variant asthma in children: a meta-analysis
title_sort efficacy and safety evaluation of montelukast fluticasone propionate vs fluticasone propionate in the treatment of cough variant asthma in children a meta analysis
topic Cough variant asthma
Fluticasone propionate
Meta-analysis
Montelukast
url https://doi.org/10.1186/s12890-023-02721-z
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