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Review: β2 agonists are ineffective but increase adverse effects in acute bronchitis without underlying pulmonary disease

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 QUESTION: In patients who have acute bronchitis without underlying pulmonary disease, are β2 agonists more effective than placebo or alternative treatments for improving symptoms?

Data sources

Studies were identified by searching Medline (1966 to 2000), EMBASE/Excerpta Medica (1974 to 2000), the Cochrane Library (August 2000), conference proceedings, the System for Information on Grey Literature in Europe (1980 to 2000), and Science Citation Index (1990 to 2000). Bibliographies of relevant articles were reviewed, and US manufacturers of brand-name β2 agonists were contacted for unpublished studies.

Study selection

Studies in any language were selected if they were randomised controlled trials (RCTs) comparing β2 agonists with placebo or an alternative treatment in patients ≥ 2 years of age who had acute bronchitis or acute cough without a clear cause (eg, pneumonia, pertussis, or sinusitis).

Data extraction

Data were extracted on sample size, patient inclusion and …

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