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Table 2 Studies of children with bronchiolitis and post-bronchiolitis, and acute asthma treated with montelukast

From: Update on leukotriene receptor antagonists in preschool children wheezing disorders

 

Author

Pros

Cons

   

No difference:

   

- in length of stay

 

Amirav[47]

 

- in clinical severity score

   

- in cytokine levels in nasal lavage fluid

 

Bisgaard[48]

 

No differences in percentage symptom-free days

   

No differences:

Bronchiolitis and post bronchiolitis

Proesmans[49]

 

- of symptoms and disease-free days and nights

   

- of n° of exacerbations

   

- of n° of unscheduled visits and need of inhaled steroids

  

Higher percentage of symptom-free days and nights

 
 

Bisgaard[50]

Reduced daytime cough

 
  

Decreased exacerbations versus placebo

 
 

Kim[51]

Reduced serum eosinophil-derived neurotoxin levels compared with initial levels

 
 

Decreased cumulative recurrent wheezing episodes at 12 months versus placebo

 
 

Harmanci[52]

Reduced oral steroids need

 

Acute asthma

 

Decreased lung index scores and respiratory rate versus placebo

Hospitalization rates not significantly different

 

Robertson[33]

Reduced healthcare resource use, symptoms, time-off school/parent work

No effect on hospitalization rate, symptoms duration, β2 or steroids use

 

Bacharier[40]

 

No difference in symptom free-days, oral steroid, healthcare resource use

  1. References are in parenthesis.